Struggling with Medication: Can Depression Really Be Cured?

I have a question I would like to ask?

I currently have to take nine pills a day, which makes me feel very anxious.
I'm even worried that this will harm my kidneys, but without the medication, I'm afraid I won't be able to sleep! Just before bed, I need to take three and a half pills.
Over time, I feel like my memory and learning abilities have decreased, and I have become overly dependent on medication; now I can't sleep without it.
What should I do? I feel like I haven't seen any real improvement; I'm still overly emotional, still overthinking, and still suffering from severe insomnia.
Sometimes I even have thoughts of self-harm.
Although I sleep for a long time after taking the medication, the quality of my sleep is poor.
I keep dreaming, and when I wake up, I remember my dreams very clearly, to the point where I can't distinguish between what actually happened and what didn't, which is very distressing.
I really don't want to continue taking medication because I feel like it isn't helping at all.
Is depression really treatable? I can't help but start to doubt...

Litchi, 20~29 year old female. Ask Date: 2005/05/17

Dr. Yu Xie Zhao reply Psychiatry

I am not aware of the specific classes of medications you are taking, but I suspect that the medication you take at bedtime includes sedatives.
Generally speaking, these medications can lead to dependence and tolerance, meaning that you may feel unable to function without them and may require increasing doses over time.
Reports indicate that such medications can cause temporary amnesia, and while there is limited research on long-term adverse effects, the possibility does exist.
I recommend that you consult your physician to develop a tapering plan.
I must inform you that this process requires determination and may be an unpleasant experience.
The mechanisms and structures of sleep are quite complex and cannot be easily explained in a few words.
Certain tests, such as polysomnography, can analyze your sleep architecture, and these are available at medical centers, such as the Chest Department at Taipei Veterans General Hospital.
Depression is one of the three major illnesses of the 21st century.
Current medications combined with psychotherapy generally yield good results, but patience is essential.

Reply Date: 2005/05/17

More Info

Dealing with depression and the complexities of medication can be incredibly challenging, and your concerns are valid. It’s important to understand that while depression can be a debilitating condition, it is also treatable. However, the path to recovery is often not straightforward and can involve a combination of medication, therapy, lifestyle changes, and support systems.

Firstly, it’s crucial to recognize that the medications prescribed for depression, such as antidepressants and anxiolytics, can have side effects, including those you mentioned—memory issues, dependency, and poor sleep quality. These medications work by altering the balance of neurotransmitters in the brain, which can help alleviate symptoms of depression. However, they can also lead to unwanted side effects, and finding the right medication or combination of medications can take time and patience.

If you feel that your current medication regimen is not providing the relief you need, or if you are experiencing significant side effects, it is essential to communicate this with your psychiatrist or healthcare provider. They can assess your situation and may suggest adjusting your medication, changing dosages, or even trying different medications altogether. It’s important to avoid abruptly stopping any medication without professional guidance, as this can lead to withdrawal symptoms or a worsening of your condition.

In addition to medication, therapy can be a powerful tool in managing depression. Cognitive Behavioral Therapy (CBT) is particularly effective for many individuals with depression, as it helps to identify and challenge negative thought patterns and develop healthier coping strategies. Engaging in therapy can provide you with a safe space to express your feelings and work through your struggles with a trained professional.

Lifestyle changes can also play a significant role in managing depression. Regular physical activity, a balanced diet, and adequate sleep hygiene can positively impact your mood and overall well-being. Exercise, in particular, has been shown to release endorphins, which can improve mood and reduce feelings of anxiety. Additionally, practices such as mindfulness, meditation, and yoga can help reduce stress and improve emotional regulation.

Support from friends, family, or support groups can also be invaluable. Sharing your experiences with others who understand what you’re going through can help alleviate feelings of isolation and provide encouragement. Sometimes, just knowing that you are not alone in your struggles can make a significant difference.

Regarding your concerns about long-term medication use and its effects on your kidneys or overall health, it is essential to have regular check-ups with your healthcare provider. They can monitor your health and make necessary adjustments to your treatment plan. If you are worried about the number of medications you are taking, discuss this with your doctor. They may be able to simplify your regimen or explore alternative treatments.

In summary, while depression can be a challenging condition to manage, it is treatable. Open communication with your healthcare provider, exploring therapy options, making lifestyle changes, and seeking support can all contribute to your recovery. Remember, it’s okay to seek help and advocate for your health. Recovery is a journey, and with the right support and treatment, many people find relief from their symptoms and lead fulfilling lives.

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