Sunday, August 31, 2014

Depression; Why is it so complicated? Part I

                                             

   

I recently read news that you most likely won’t hear about, and that is that Robin Williams suicide may have been precipitated by the medications he was taking for both Depression and Parkinsons. The news reports are sketchy, and I don’t know if we’ll ever know what happened, or learn what Mr. Williams was taking, but it is true that for some, antidepressants can cause suicidal thoughts.

Depression is complicated, and the treatment can be too. Beyond complicated it can also be scary to the individual and to the people around them. We receive so many mixed messages about mental illness that some are still too ashamed to admit they need help, while friends and family members may be unsure as to how to help, or simply what to say. Who or what can we trust if even the medications don’t always work, or worse yet sometimes increase the symptoms?

Many times Depression can be traced to what many would simply refer to as lifes ups and downs. Have you ever gone through a lot of changes in your life? Have you lost a spouse, a friend, or had a cat or dog die? Have you ever had trouble finding a job? These and other situations can cause what is often referred to as Situational Depression. Most people would feel depressed having experienced these or other events, but for many the feelings are transient. What causes some people to become so depressed that they feel no hope whatsoever, or feel the only answer is to be take their own life? I believe that it’s often a combination of factors.

There are many causes of Depression, and therefore the diagnosis and screening is crucial. In some cases a thorough medical exam with blood work and other testing may be necessary. These are some factors that can lead to Depression.
1. Trauma, whether from a car accident, rape, sexual or emotional abuse as a child, spousal abuse, war, etc.
2. Hypothyroidism, which can be caused by Hashimoto’s Disease, Thyroiditis, tumors, a lack of iodine in ones diet, a car accident causing whiplash, etc.
http://www.stopthethyroidmadness.com/
http://thyroid.about.com/cs/depression/a/quiz.htm
3. Poor diet, or more specifically a deficiency in Essential Fatty Acids, Vit D, iodine and selenium can lead to symptoms of Depression. Though a poor diet can also lead to overall poor health, which too can cause Depression.
4. Drug use and alcohol abuse can exacerbate or lead to symptoms of Depression.
5. Mold Exposure and Chemical Toxicity can lead to brain, immune and nervous system dysregulation that can lead to symptoms of Depression.
http://chronicfatigueandnutrition.com/mold-toxicity/mold-depression/

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2072855/
 6. Stress, genetics and other situational factors like those discussed above can also contribute to the condition of Depression or depressive symptoms.

So if Depression is so complicated where do you go for help? There are some basic treatment options that will be helpful regardless of the cause, so I would start with these. Core treatments for Depression include finding a Counselor that you feel comfortable with and that will challenge you. A good diet and exercise program are an essential part of treating Depression and a healthy lifestyle. Next I would look for a complementary Doctor or a Nurse Practitioner who can do a general check up, and help you rule out thyroid issues, vit D deficiency, etc. Maybe this same practitioner or someone else can help you determine if mold/chemical exposures are a factor in your case. Finally I would suggest cleaning up your life/environment, and general detox. These two will be included in Part II.
#depression #thyroid #antidepressants #diet


No comments: