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Old 02-21-2008
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Treating Depression and Hopelessness Remains

If you or a loved one is starting an anti-depressant, this is very important. We have known for a long time that the risk of suicide is highest right after someone starts taking an anti-depressant. A new study reveals why this may be:

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Aikens and his team studied 573 patients with depression from 37 practices. They were given an antidepressant, either fluoxetine (Prozac), paroxetine (Paxil) or sertraline (Zoloft). They were assessed one, three, six and nine months after the treatment began.

Overall, patients' depression responded rapidly to medication, with 68 percent of their improvement occurring by the end of the first month, and 88 percent by three months. The patients experienced the majority of their improvement in several areas during this time period, including positive emotions, work functioning and social functioning.

Improvements in head, back and stomach pain plateaued during the first month, with little improvement thereafter. Because of that, Aikens says, physicians may want to consider additional treatments that directly target pain in depressed patients if these physicial complaints persist after the first few weeks of treatment with antidepressants.

With hopefulness, however, the improvement was much more gradual. Physicians may want to consider cognitive-behavioral strategies, such as teaching patients to identify and challenge the pessimistic thoughts that usually accompany depression, and encouraging them to engage in activities that may improve their mood, Aikens says.
It is critical to try to counteract feelings of hopelessness when starting treatment. I'm posting this article in the hopes that simply knowing that it may take a few months to see the light at the end of the tunnel may help some.
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Old 02-21-2008
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It's so true. OMG, it is. Being depressed for a length of time changes the way one sees the world. My experience is extreme. My psychiatrist figures I've been suffering clinical depression since I was 5 or 6 years old. Relieving the disease doesn't change the thinking. It clears the mud magnificently so you can change the thinking, though. Things I had to overcome after the medication took effect were: ~Distrust of my own feelings. I knew they were skewed, sometimes wildly, and didn't reflect reality. I knew this even as a child.
~Defeating the habit of negative self talk. I said things to myself that I would never put up with hearing another person say, either to myself or anyone else.
There are things I'm still working on, 20 years after treatment began. For instance, I am still terrified to take on big or long term projects. I've dropped so many balls in the past, and it's so embarrassing when they're publicly obvious. The most recent one was when I had to quit the church board of directors because of it. I was so scared to take it on, told them so, did it anyway, and bam. So I'm still deeply scared by that aspect.
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~ ~ ~ "And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom."
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