Depression; Lifestyle Tips.
Feelings of depression can strike not only during the winter holidays, but also on any occasion with high social and emotional expectations. Begin by understanding that you are not obligated to feel cheerful or any particular way; accept your feelings so you can deal with them. Understand that one reason for your sadness may have to do with missing people who have died, either recently or even years ago. Avoid alcohol or other substances if they serve as "quick fixes"--they do more harm than good. Don't spend extra money either. Share responsibility for preparing for a social event rather than taking it all on yourself. Make time for yourself to "recharge" and relieve stress. If you're lonely, volunteer to help others.
What to do when depression starts
Think of specific triggers that might be causing or aggravating your depression. Some examples are sleep deprivation, diet deficiencies, seasonal light deprivation, stress, grief due to loss, alcohol abuse, problems in relationships and medications. Change the factors that you can, and bring others to the attention of your health care professional. Take care of yourself with a healthy diet, adequate sleep and moderate exercise. Don't withdraw, but maintain only a reasonable amount of responsibilities. See your health care professional, go to a walk-in center, or call a hotline for the help you need. Let your family and friends help you.
What to do while waiting for your medication to start working
Break large tasks into small ones and set priorities to make your day less frustrating. You may also find that it's easier to do physical tasks (like cleaning) than analytical tasks, and these still accomplish something useful. Choose non-stressful activities that normally make you feel good, like going to a movie, a religious service, or a ballgame. Moderate exercise may help. Consciously turn to more positive thoughts when you find yourself concentrating on the negative. Ask friends and family for support. Take your medication as prescribed and expect your mood to lift gradually, not suddenly. Call your health care provider if you have questions or concerns.
Put the light back in your life
If you have seasonal affective disorder (SAD) or "winter depression," don't use tanning beds as light therapy. The ultraviolet rays they give off may be harmful to your eyes and skin. Instead, try light boxes, wearable visors and even masks specially made as SAD therapy. These light sources are much brighter than ordinary indoor light. Sit about two feet away and read or do whatever you wish for about 30 minutes per day. Mornings are best; don't use the treatment too late in the evening, or you may have trouble sticking to your normal sleeping hours.
If you think your child may have depression
Talk to your child. Pay attention to behavioral changes like crying more often, complaining of feeling sad and empty, discouragement and hopelessness, disrupted sleep, loss of interest in favorite activities, isolation from friends and family. Remember that even a child with good grades can be depressed, if he or she is trying to compensate for low self-esteem by being anxious to please. School-age children may complain of headache, stomachache, or may act irritable or misbehave. Teens may show reckless behavior. Consult with your pediatrician, school guidance counselor or mental health professional and know the warning signs of suicide so you can act swiftly if you see them.
"FDA Plans to Evaluate Results of Women's Health Initiative Study for Estrogen-Alone Therapy." U.S. Food and Drug Administration. "FDA Talk Paper." March 2, 2004. http://www.fda.gov. Accessed March 2004.
Effects of Estrogen plus Progestin on Health-Related Quality of Life. J. Hays et al. NEJM, May 8,2003; Vol. 348, No. 19.
FDA Approves Lower Dose of Prempro, a Combination Estrogen and Progestin Drug for Postmenopausal Women. FDA News (press release). March 13, 2003. http://www.fda.gov
"FDA Approves New Labels for Estrogen and Estrogen with Progestin Therapies for Postmenopausal Women Following Review of Women's Health Initiative Data." FDA News/Press Release. January 8, 2003. http://www.fda.gov. Accessed March 2003.
"St. John's Wort." National Center for Complementaty and Alternative Medicine. http://www.nccam.nih.gov. Accessed July 2002.
Hypericum Depression Trial Study Group. Effect of Hypericum perforatum (St. John's wort) in major depressive disorder: a randomized, controlled trial. JAMA, 2002; 287:1807-14.
Shelton RC, Keller MB, Gelenberg AJ, et al. Effectiveness of St. John's wort in major depression. JAMA, 2001; 285:1978-86.
"Summit on Women and Depression: Proceedings and Recommendations." American Psychological Association. April 2002.
Grady D, Herrington D, Bittner V, et al, for the HERS Research Group. Heart and estrogen/progestin replacement study follow-up (HERS II): Part 1. Cardiovascular outcomes during 6.8 years of hormone therapy. JAMA 2002;288:49-57.
Hulley S, Furberg C, Barrett-Connor E, et al, for the HERS Research Group. Heart and estrogen/progestin replacement study follow-up (HERS II): Part 2. Non-cardiovascular outcomes during 6.8 years of hormone therapy. JAMA 2002;288:58-66.
Writing Group for the Women's Health Initiative Investigators. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women's Health Initiative randomized controlled trial. JAMA 2002; 288:321-333.
"Women's Health Initiative," National Heart, Lung and Blood Institute. http://www.nhlbi.nih.gov. Updated Aug. 2003; accessed Aug. 2003.
The Menopause Guidebook: Helping Women Make Informed Healthcare Decisions through Perimenopause and Beyond. North American Menopause Society: May 2003; http://www.menopause.org. Accessed Aug. 2003.
Public Alert on St. John's Wort. National Institutes of Mental Health. Feb. 20, 2001. http://www.nimh.nih.gov. Accessed Oct. 2001.
"Depression: Investigational Treatments" Veritas Medicine. Reviewed Jan. 10, 2001. http://www.veritasmedicine.com. Accessed Aug. 2003.
"Pharmacologic Treatment of Acute Major Depression and Dysthymia" Annals of Internal Medicine 2000; 132:738-742. Clinical Guideline, Part 1.http://www.annals.org. Accessed Aug. 2003.
Rush, A. John, et al. "Vagus Nerve Stimulation (VNS) for Treatment-Resistant Depressions: A Multicenter Study."Biol Psychiatry Vol. 47, No. 4, February 15, 2000:276-286.
For the Public. National Institute of Mental Health. http://www.nimh.nih.gov. Updated Jan. 2003. Accessed June 2003.
"Fact Sheets" National Mental Health Association. http://www.nmha.org. Date published: n/a. Accessed June 2003.
Help Center. American Psychological Association. http://helping.apa.org. Accessed June 2003.
Public Information. American Psychiatric Association. http://www.psych.org. Accessed June 2003.
"Introducing New Lexapro" Forest Pharmaceuticals, Inc. Copyright 2002. http://www.lexapro.com. Accessed Nov. 2002.
Morris M.S, et al. "Depression and Folate Status in the US Population" Psychotherapy and Psychosomatics, Vol 72, No 2, 2003. http://content.karger.com. Accessed June 2003.
"Bone Loss in Premenopausal Women with Depression" National Institute of Mental Health. Updated Aug. 2002. http://clinicaltrials.gov. Accessed June 2003.
"Magnets that can fight depression" Depression and Bipolar Alliance (DBSA). Aug. 20, 2003. http://www.dbsalliance.org. Accessed Aug. 2003.
"Rates of Dementia Increase Among Older Women on Combination Hormone Therapy" NIH News, May 27, 2003. http://www.nih.gov. Accessed Aug. 2003.
Caspi, A. et al. "Influence of Life Stress on Depression: Moderation by a Polymorphism in the 5-HTT Gene." Science, vol. 301, pages 386-389. July 18, 2003.
"Depression & Women" National Women's Health Report, Vol. 25, No. 4. Published Aug. 2003. National Women's Health Resource Center. Accessed Aug. 2003.
Kessler R.C., et al. National Comorbidity Survey Replication. "The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R)." JAMA. 2003 June 18; 289(23): 3095-105.
Lexapro [package insert]. St. Louis, MO. Forest Pharmaceuticals. 2002.
Keywords: Depression, holidays, medication, child
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|Publication:||NWHRC Health Center - Depression|
|Article Type:||Disease/Disorder overview|
|Date:||Dec 12, 2006|
|Previous Article:||Depression; Key Q&A.|