shaneris5 replied: "Ask yourself: "Why do I feel depressed, and when did I first start to feel this way: can I associate this with any recent change in my life?" (if so, it is probably reactive [situational] depression: counselling, such as Cognitive Behavioural Therapy may be indicated, but most of life's adverse situations are resolved within 16 weeks, yet the medical criteria for depression, and the prescription of antidepressants is only 2 weeks!). Or, was it a more gradual thing, with no apparent cause? (a nutritional deficiency, hypothyroidism, environmental toxicity, or reactions to some medications, etc., becomes more likely as the cause). Antidepressants work quicker than the following; 2 - 6 weeks, but you may have to adjust dosage, or types. St. John's wort helps most people; tolerance doesn't develop, and the few side effects don't occur often, and even then are normally not severe (neither should be relied on as a sole treatment).
It doesn't cause sleeping problems, or weight change, but usually takes at least 2, and generally 4 - 6 weeks to become effective, but can work quicker than antidepressants, sometimes. A recent, independent German double blind study showed it to be as effective as a commonly prescribed antidepressant, in cases of major depression, with far fewer side effects, and those were generally better tolerated, with a lower rate of discontinuation. Unlike antidepressants, where sexual dysfunction is a common side effect, it happens much more rarely with St. John's wort (I have noticed no effect in this area). A multidimensional approach to treating depression without medication follows. All except for no. (7.) are safe to use with medication, but not St. John's wort, because of interactions, and it's sensible to check out anything else first with your doctor.
(1.) Take 4 Omega 3 fish oil supplements, daily: (certified free of mercury) it is best if consumed with an antioxidant, such as an orange, or grapefruit, or their FRESHLY SQUEEZED juice. If vitamin E is added, it should be certified as being 100% from natural sources, or it may be synthetic: avoid it. In the winter months, if not getting sufficient daily exposure to strong light, see SEARCHBAR: enter: "vitamin D3", & Go to a doctor and ask for a 25(OH)D, also called 25-hydroxyvitamin D, blood test. When you get the results, dont follow the typical normal reference range, as these are too low. The OPTIMAL value that youre looking for is 45-52 ng/ml (115-128 nmol/l)". The company which tests your levels has to be one of those using the correct form of test, and this topic is addressed via the searchbar at mercola.com - "vitamin D3; testing". Also take a vitamin B complex which is certified as being 100% of natural origin; a deficiency in vitamin B9 (folic acid, or folate) is known to cause depression. Around 30% - 40% of depressed people have low vitamin B12 levels. Depressed females using the contraceptive pill may benefit from vitamin B6 supplements.
(2.) Work up slowly to at least 20 minutes minutes of exercise, daily, or 30 - 60 mns, 5 times weekly. Too much exercise can cause stress, which isn't wanted when dealing with depression. (3.) Occupational therapy (keeping busy allows little time for unproductive introspection, and keeps mental activity out of less desirable areas of the brain). (4.) Use daily, a relaxation method* and/or yoga*, and/or Tai Chi*. (5.) Initially, at least, some form of counselling, preferably either Cognitive Behavio(u)ral Therapy, or Rational Emotive Behavio(u)ral Therapy. (6.) Maintain a mood chart, and daily activities schedule**. (7.) As options, if desired, either a known, effective herbal remedy, such as St. John's wort, (get a German variety, if possible; local ones may vary in effectiveness. Take with a meal) or supplements, such as SAMe, or Inositol (from vitamin and health food stores, some supermarkets, or mail order: view section 55).
If 5HTP is used to boost serotonin levels, (which are low in depressed people) it is best taken with a high carbohydrate, minimal protein meal, like pasta, with tomato & basil, and avoid protein for 90 minutes, before, and after, to maximise the amount crossing the blood/brain barrier. 80% of people in the Western world have low magnesium levels, and these are known to cause depression & anxiety. Try pharmacies & supermarkets for the magnesium supplement types shown in or magnesium chloride."
Celexa and side Effects after 1 year? I have been on Celexa to treat general anxiety for 1 year... After my Dad died suddenly it really took a toll. Anyways, the Celexa really helped me out and seem to work. I am only on 10 mg, and recently I have been feeling a little "out of it", kind of a stoned or drunk or lightheaded feeling. I even had a case of vertigo, which has never happened before.
Is it possible to get side effects from a Medication even after you have been on it for 1 year? I have been checked by doctors and there is nothing physically wrong. I have not gone back to the Psychiatrist yet.