Treatment for Major Depressive Disorder

Several types of treatment for major depression are available, and the type chosen depends on the individual and the severity of their illness. There are three basic types of treatment for depression in common use today: psychotherapy, medications and electroconvulsive therapy (ECT). They may be used singly or in combination. NeuroStar® TMS Therapy is currently testing a fourth type.
Psychotherapy: There are several types of psychotherapy that have been shown to be effective for depression including cognitive- behavioral therapy (CBT) and interpersonal therapy (IPT). Research has shown that some individuals with mild to moderate depression can at times be treated successfully with either of these therapies used alone. Other research on Major Depressive Disorder has indicated that the use of medication and psychotherapy together is more useful than either one utilized alone.
Cognitive-behavioral therapy (CBT) – helps to change the negative thinking and unsatisfying behavior associated with depression, while training people how to break the behavioral patterns that contribute to their illness.
Interpersonal therapy (IPT) – focuses on improving troubled personal relationships and on adapting to new life situations that may have contributed to an individual’s depression.
Medication: The first antidepressant medications were introduced in the 1950s. Research has shown that imbalances in neuro- transmitters like serotonin, dopamine and norepinephrine can be modulated with antidepressants. The response to medication is gradual often taking 4-6 weeks to fully respond. Five groups of antidepressant medications are most often prescribed for depression:
Selective serotonin reuptake inhibitors (SSRIs) – useful as a first-line treatment, they act specifically on the neurotransmitter serotonin. In general, SSRIs cause fewer side effects than TCAs and MAOIs.
Serotonin and norepinephrine reuptake inhibitors (SNRIs) – useful as first-line treatments in people taking an anti-depressant for the first time and for people who have not responded to other medications. In general, SNRIs cause fewer side effects than TCA and MAOIs.
Dopamine reuptake blocker – a newer antidepressant medication, it acts on the neurotransmitters dopamine and norepinephrine. In general, this class of medication causes fewer side effects than TCAs and MAOIs.
Tricyclic antidepressants (TCAs) – still widely used for severe depression. TCAs elevate mood in depressed individuals, re-establish their normal sleep, appetite and energy level. The often times greater side effects of the tricyclic antidepressants may limit their usefulness in some individuals
Monoamine oxidase inhibitors (MAOIs) – are often effective in individuals who do not respond to other medications or who have "atypical" depressions with marked anxiety, excessive sleeping, irritability, hypochondria or phobic characteristics. These medications are harder to use and require following a low tyramine diet.
Electroconvulsive therapy (ECT) - ECT is an effective treatment for severe depressive episodes. ECT employs the use of anesthesia and muscle relaxers during the procedure which involves the application of an electrical field to the head in order to produce a physical seizure. These treatments are given in the hospital.
For individuals where medication, psychotherapy, and a combination of the two prove to be ineffective, or work too slowly to relieve severe symptoms such as psychosis or thoughts of suicide, ECT is often used. ECT may also be indicated for those who are not able to take antidepressant medications and do not respond to psychotherapy. Side effects on memory recall are troublesome for some individuals. Vagus Nerve Stimulation (VNS Therapy™) – is a non-drug treatment available specifically for treatment-resistant depression. The actual procedure takes about an hour and is usually performed under general anesthesia on an outpatient basis. Two small incisions are required: one on the upper chest area for the pulse generator and one on the left neck for the thin, flexible wires that connect the pulse generator to the vagus nerve. This treatment is infrequently utilized. Trancranial Magnetic Stimulation (TMS Therapy):
Neurostar TMS Therapy is a new treatment cleared by the US Food and Drug Administration (FDA) for patients suffering from depression who have not achieved satisfactory improvement from prior antidepressant treatment. TMS stands for "transcranial magnetic stimulation."
TMS Therapy is a treament that can be performed in a psychiatrist's office, under their supervision, using medical device called the NeuroStar TMS Therapy system. NeuroStar TMS Therapy is;
Non-invasive, meaning that it does not involve surgery. It does not require any anesthesia or sedation, as the patient remains awake and alert during the treatment.
Non-systemic, meaning that it is not taken by mouth and does not circulate in the blood stream throughout the body.
The typical initial treatment course consists of 5 treatments per week over a 4-6 week period, for an average of 20-30 total treatments. Each treatment session lasts approximately 40 minutes.
Note: Information on this site is for reference purposes only. It is not intended to be nor should it be taken as medical advice. Individuals who think they may suffer from major depressive disorder should see a medical professional regarding their symptoms

मन पर तनाव का बोझ नहीं लायें

एक पुरानी एवं प्रसिध्द कहावत है 'मन चंगा तो कठौती में गंगा।' इस कहावत के निहितार्थ बहुत गहरे हैं। सहज ही समझ में आ जाता है कि यह उक्ति जीवन के गहरे अनुभवों से उपजी होगी। रोजमर्रा के जीवन में भी कभी-कभी यह देखने को मिल जाता है कि यदि मन किसी कारणवश प्रसन्न है तो उस दिन की परेशानियां अन्य दिनों की तरह बोझिल नहीं लगती। अन्यथा इसके ठीक विपरीत स्थिति में जब मन पर किसी चिन्ता-फिक्र का बोझ होता है, तब व्यक्ति को हर कदम पर, हर बात में तनाव की अनुभूति होती है।
यह चिन्ता-फिक्र स्वयं में कई आयाम समाये होती है। यह एक ऐसी जटिल संरचना की तरह है जो किसी भी छोर से शुरू होकर किसी भी अनचाहे मुकाम या तमाम मुकामों तक पहुंच सकती है। व्यक्ति बस एक बार चिन्ता-फिक्र की डोर से जुड़-भर जाये, फिर आगे की गति उसके नियंत्रण से बाहर होती है। मन किसी बिन्दु से शुरू करता है और उसका अन्त वहां होता है, जिसकी उसने कभी कामना भी नहीं की होती है। मानसिक तनाव व्यक्ति को इस प्रकार नियंत्रित कर लेते हैं कि उसकी स्वतंत्र अभिव्यक्ति एक दिवास्वप्न बनकर रह जाती है।
तनाव एवं व्यक्तिगत स्वतंत्रता दो विरोधाभासी बातें हैं। कभी-कभी यह भी देखने में आता है कि मन पर तनाव का बोझ ढोता हुआ व्यक्ति उस बोझ के दबाव से सर्वथा अनभिज्ञ होकर जिये जा रहा है। उसे एहसास ही नहीं हो पाता है कि वह किसी किस्म का तनावपूर्ण जीवन जी रहा है। अगर आप इस किस्म के किसी व्यक्ति, जो कि आपको प्रत्यक्षत: तनावमय जीवन जीता हुआ दिखाई दे रहा है, कहें कि आप इतना तनाव न लिया करें तो उसे विस्मय होता है। वास्तव में वह झूठ नहीं बोल रहा होता है, जब वह आपको चौंका देने वाला उत्तर देता है कि- 'मैं तो मजे में हूं। मैं तो कभी टेंशन लेता ही नहीं हूं।' ऐसा इसलिए होता है कि व्यक्ति धीरे-धीरे तनाव के साथ ही जीने का इस कदर आदी हो चुका होता है कि वह भूल ही जाता है कि तनावरहित मन:स्थिति कैसी होती है।
आपने अक्सर पाया होगा कि घर में या आफिस में किसी से हॉट-टॉक हो जाने पर, एक बार मन का संतुलन, उसकी लय खो जाने के बाद आप न जाने कितने लोगों से व्यवहार करने में बिना चाहे ही क्रोध से या भय युक्त आचरण करने लगते हैं। कभी बच्चों पर चिल्लाते हैं तो कभी पत्नी पर, कभी सहकर्मियों से दुखड़ा रोते हैं तो कभी अन्दर ही अन्दर घुटते रहते हैं।
यह सारी स्थितियां स्वस्थ वातावरण को बिगाड़ देती हैं। अत: यह जरूरी हो जाता है कि मन को यथासंभव प्रसन्नता से युक्त रखा जाए। यह बात कहने-सुनने में जितनी आसान है, अभ्यास करने में उतनी ही कठिन है। यदि मन की प्रसन्नता पाना इतना ही आसान होता तो हर व्यक्ति सुखी होता और संसार स्वर्ग से सुहावना स्थल होता। फिर कोई भी ब्रह्म सत्य, जगत मिथ्या' नहीं कहता।
दरअसल, मन को प्रसन्नता से युक्त रखने के लिए लगातार प्रयास करते रहने की आवश्यकता पड़ती है। इसके लिए कोई जादुई पध्दति नहीं है। यह सतत् प्रयास पूर्वक स्वयं के व्यक्तित्व में झांककर, उसका विश्लेषण करके उसके कमजोर घटकों को रूपान्तरित करके ही पायी जा सकती है। सुखी जीवन के लिए प्रसन्नता से बड़ी संजीवनी शक्ति कोई नहीं है। अत: इसके लिये आवश्यक प्रयास फिर वे चाहे कितने ही श्रमसाध्य क्यों न हों, अवश्य किये जाना चाहिए।तनावरहित मन शरीर को भी स्वस्थ रखता है। चित्त की प्रसन्नता से आस-पास का वातावरण भी महकने लगता है। जिस प्रकार तनाव एक संक्रामक बीमारी है जो अपने चारों तरफ तनाव के स्पन्दन फैला देती है, उसी प्रकार प्रसन्नता भी संक्रामक होती है जो अपने सम्पर्क में आने वाले हर व्यक्ति को उत्साह, उमंग एवं सकारात्मक से भर देती है। अत: यह कतई समझदारी नहीं कही जा सकती कि आप अपने ऊपर तनाव का बोझ लादे फिरते रहें, जबकि प्रयास करके आप उस बोझ को न सिर्फ उतार फेंक सकते हैं, बल्कि उसके स्थान पर प्रसन्नता की संजीवनी शक्ति धारण कर सकते हैं। समझ गये न! देर किस बात की। शीघ्रस्य शुभम्।

Thoughts on Depression and Suicide

It wasn't until I lost my son to suicide that I began to learn lots and lots about depression and suicide. There are a few things that, by now, you probably know but I want to tell you (again?). Maybe this will help to put things in perspective.
First, we have to learn to accept our past and know that we can't change it. We have to come to terms with it and get past any guilt or shame. It can be done. Just because something bad has happened, or because we have done something wrong, does not make us bad. Frequently, we have disproportionately built those things up in our own minds. When we can put the past behind us, we can go on with our lives. That's accepting the things that we cannot change.
To live our lives in the present, we must stop doing things that cause us guilt or shame. Guilt and shame are like vampires. When they are exposed to the sunlight of truth and openness, they burn away to nothing. This means we must be honest with ourselves and in our dealings with others; but we still must use caution when dealing with some people. No Iframes
A life that is satisfactory also includes all of the good character traits that we can think of. The Boy Scout oath comes to mind, but this really depends on our own personal definitions and which traits you can take pride in. You and I can do, or be, anything that we (not someone else) can comfortably live with. We have that choice, that ability, and that much power over our lives.
Secondly, we have to take charge, and face our lives with boldness and be responsible and active (as opposed to passive) in our lives. We must stand up for what we think and believe, make our position clear, and not let people walk on us figuratively or literally. That empowers us to be leaders (someone has to be in charge), to make our own way in the world, and gives us self-pride where there would otherwise be shame, self-blame, and surrender.
Mahatma Ghandi said A no uttered from deepest conviction is greater than a yes mearly uttered to please, or what is worse, to avoid trouble. I must caution you though to start with small decisions and progress slowly because that will give you a successful history to draw on. This is changing the things we can change.
Thirdly, I was a member of a social/civic organization that opened each and every meeting with a creed, part of which was:
We believe that faith in God gives meaning and purpose to human life ...
I believe it does, and that faith can carry us when things are tough. Now this statement is not to make people go right out and join up, but we humans need faith in something, if only because it is our nature to do so. If you had faith in God, and depression has caused you to feel so bad as to lose it, remember that God has not moved, He is just where you left Him.
The Alcoholics Anonymous (A.A.) organization uses a prayer for it's members. I think they only use the first verse, but here is the whole prayer:
***
GOD, grant me the Serenityto accept the things I cannot changeCourage to change the things I canand the Wisdom to know the difference.
Living ONE DAY AT A TIME;Enjoying one moment at a time;Accepting hardship as thepathway to peace.
Taking, as He did, thissinful world as it is,not as I would have it.
Trusting that He will makeall things right if I surrender to His Will;
That I may be reasonably happyin this life, and supremelyhappy with Him forever inthe next.
Amen
By Reinhold Neibuhr
Fourth, there are better ways of handling all of our feelings than turning them inward. If we turn the feelings inward (bottle them up), they will consume us from within. We must feel them and deal with them to get rid of them.
We can learn to express those feelings in a variety of ways. For instance, anger can be expressed by telling someone about it, by taking a tennis racket and beating (violently) on the seat of a stuffed chair, and by writing and expressing the anger. Also, we could express our feelings in painting, music, acting, dance, or other arts. And, of course, if we're going to point that anger at someone, we should point it towards the people that caused and deserve it. We should never direct it at innocent people.
Fifth, exercise is vital to healthy living. I can't tell you how important this is to our well-being. If you think that you can do nothing (and I know how depression can paralyze people) and be happy, you are wrong. Exercise is the most effective way to feel better right now. If you will do some exercise daily, you will feel better and sleep better. If you make it a regimen, you can do it from habit even if you have a bad day or several bad days. No Iframes
This is a very concentrated version of things that have made me able to live a better life in the last few years than I have ever had before. I have suffered depression all of my life, and I know the desolate feelings that were in Edgar Allen Poe's poems, in Van Gogh's paintings, and the feelings that make us think the world will be better off without us, that we are burdens to other people; and the self-hate that makes us want to die. Those are false and distorted thoughts that uselessly cost thousands of people their lives every year from suicide. The loss of those lives to the world is incalculable.
I hope this helps to put things in better order for you, and I pray that you will never be one of those people. This is a total package and should be interpreted as an overall view of what is going on with your depression. It is as good of a summary as I could muster.
It has taken me years to understand these things, and be able to put them in a form that I could communicate to other people. With these tools, you can start to see the way things really are, and start to rebuild your life if it is out of control. Being out of our control make us feel worthless. This should also change your approach to fighting depression and suicidal thinking to fighting the source of the disease (To change, so that we are in charge of our lives, and we decide and we control how we live) instead of unsuccessfully trying to fight the symptoms.
It may not cure you, but it will help you to live a more successful and a happier life, even with depression. Remember that you are the person to decide your wants and needs and you determine how you will live. Learn by starting small, to decide and take responsibility for your life, then progress slowly.

Written by Roger

Mail Me

hi,

this help is help every one you have to mail me and peopel will read your problem and they may also solve your problem. you have to give your detail


Name Age City Adsress Nearest Police Station No.




your detail will be safe and this needed only for help you.



mail me on savedepresslife@rediffmail.com.

save depresion life

I have created this blog for people who suffer from depression in India. I want help those people who suffer from depression and some time they attempt to commite suciede. This blog is for all people as students, youths, teenagers, men, women.
There is so many reason that make depression as studying tensoin, love tension, husband and wife misunderstanding tension, family disput, zelous with other, office tension etc.
Any tension, sorrow which make us depress our life we can say that is depression.
Now these cases increasing day by day, due to this some people can not tolrarte their tension and they commit sucide they do not think about their past or future after their death. They do not think about anything for their relative as well as parent.
This blog will help to save life those who try to commit sucide.
you may share your problem my team will try to solve your problem or sugest you about life.
you may mail me or contact me.

any one can share problem and solve this also.


i hope you will copreate me.
soon....i update my id and no.