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Wayne Health’s Psychiatry and Behavioral Health team has provided behavioral health services for children, adolescents and adults since 1995 using a “whole-person” approach to care.
Depression is no stranger to most. It is experienced by most people to some degree over the normal course of their lives and daily living. Depression is synonymous with sadness, feeling down-hearted, bummed out, or blue, with low energy. There are different degrees of depression, including mild, moderate and severe. These degrees are ranked based on several factors that may include:
Depression is usually treated with a combination of antidepressant medication and certain types of therapy, including psychotherapy. For some, antidepressants provide relief without further interventions.
Depression that doesn’t respond to antidepressants is known as treatment-resistant depression. Anxiety that doesn’t respond to medication, counseling and lifestyle changes may be treatment resistant anxiety.
Depression and anxiety can affect people differently, and if ignored, can lead to more serious issues. So it is important to talk with your physician about your symptoms and options.
What is anxiety?
Anxiety is a feeling of fear or concern that something bad may happen. Feeling worried or nervous is a normal part of life. Everyone feels anxious from time to time. Mild to moderate anxiety can help you focus your attention and energy.
But if you have severe anxiety, you may feel helpless or confused. You may worry about things that aren’t likely to happen. Severe anxiety is also called generalized anxiety disorder.
Anxiety disorder occurs when you feel worried and stressed about many things. This type of worry disrupts your life on most days. Many people with anxiety disorder have physical symptoms, such as headaches or being tired all the time.
Anyone can get an anxiety disorder at any age. But it often starts when you are a child or teenager. Women are twice as likely as men to have the problem
Know your risk of depression coming back
Many things can make a person more likely to have depression again. These include having depression symptoms that continue after treatment, a previous episode of depression, and a history of childhood abuse or neglect.
It is important to know your risk and to recognize warning signs of depression symptoms returning. Once you know these things, you will be better able to keep it from happening to you.
Know the warning signs of depression returning
The two most common signs of depression coming back are:
You may have other symptoms, such as:
Wayne Health focuses on educating patients about the treatment options available to treat their depression and anxiety. We offer decision aids that address the needs of individuals with different styles of selecting treatment options. Our information packet describes the types of treatments and provides detailed information about potential issues and concerns associated with those treatments. We also provide a question and response brochure that will assist you in identifying the treatment options that best match your needs. These decision aids have been evaluated and modified based on feedback from individuals who are receiving treatment for depression.
Antidepressant medicines may improve or completely relieve the symptoms of depression. Whether you need to take medicine depends on your symptoms. You and your doctor can decide if you need medicine and which medicine is right for you.
You may start to feel better within 1 to 3 weeks after you start taking antidepressant medicine. It can take as many as 6 to 8 weeks to see more improvement.
Counseling and psychotherapy are important parts of treatment for depression. You will work with a mental health professional such as a psychologist, licensed professional counselor, clinical social worker, or psychiatrist. Together you will develop an action plan to treat your depression.
You can do many things to help yourself when you feel depressed or are waiting for your medicine to work. These things include being active, getting enough sleep, and eating a balanced diet.
Other treatments for depression include:
Counseling and medicine can both work to treat anxiety. The two are often used along with lifestyle changes.
Cognitive-behavioral therapy (CBT) is a type of counseling that’s used to help treat anxiety. In CBT, you learn how to notice and replace thoughts that make you feel worried. It also can help you learn how to relax when you worry.
Medicines can help. These medicines are often also used for depression. Selective serotonin reuptake inhibitors (SSRIs) are often tried first. But there are other medicines that your doctor may use. You may need to try a few medicines to find one that works well.
Many people feel better by getting regular exercise, eating healthy meals, and getting good sleep. Mindfulness—focusing on things that happen in the present moment—also can help reduce your anxiety.
Wayne Health physicians and researchers are also teaching and research faculty at Wayne State University School of Medicine who conduct basic, translational and clinical research. This makes the latest treatments and clinical trials available to you sooner than other providers without a medical school affiliation, and often before FDA approval or commercial availability.
For more information, please visit the links below at the WSU School of Medicine.