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dysthymia specifically. WITHOUT seeing a doctor or shrink.

2006-10-21 23:06:37 · 14 answers · asked by kaylatherockstar 1 in Health Mental Health

14 answers

you dont


Recent research shows that approximately 62% of patients with dysthymic disorder will benefit from antidepressant medication. The guidelines for assessing the potential utility of drug therapy are a contributory family history and a past history of poor response to other forms of treatment. The relative ease and efficiency with which such a trial can be undertaken usually outweigh concerns about risks of medications or the appropriateness of their use.

Hospitalization
For almost all patients, treatment can take place on an outpatient basis.

Antidepressant Drugs
Both fluoxetine and imipramine have repeatedly been shown to be effective treatments for this disorder in placebo-controlled randomized double-blind studies. Interesting enough, the response rate to antidepressant therapy is usually in the order of 62%; whereas the response rate to placebo therapy ranges from 19% to 44%.

Antianxiety Drugs
A number of drugs are not of value for long-term treatment. Those drugs include the amphetamines, the barbiturates, and the benzodiazepines. Those drugs are often prescribed for patients with chronic symptoms of insomnia, fatigue, or tension. However, clinical experience and systematic research indicate that they are little better than a placebo and are at times worse.

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Psychosocial Treatment
Basic Principles
Psychotherapy is the principal treatment resource for patients with dysthymic disorder. Reassurance that the clinician understands the depth of the patient's pain, assessment of suicidal and other self-destructive potential, and optimism for the future are all useful.

Individual Psychotherapy
"Short-term" focused psychotherapy and therapeutic programs that stress changes in interpersonal relationships and cognitive self-awareness are becoming more popular, in part because long-term analytic approaches to personality change are economically unfeasible.

Patients who receive psychotherapy of any of several types - notably cognitive, interpersonally-oriented, or behavior therapy with social skills training - tend to have a good prognosis, with or without antidepressant medication. Analytic and other insight-oriented therapies appear useful for some patients, provided specific neurotic conflict patterns can be elucidated, the patient meets other criteria for this form of treatment, and the clinician is experienced in its use.

No matter what the form of psychotherapy, supportive measures are important. These may range from simple reassurance and education of the patient with respect to the characteristics of his or her illness, to unqualified acceptance of the patient who may at times appear hostile or draining to the therapist, to working with significant others in the patient's life. Successful psychotherapy with the depressed patient usually involves warmth and availability on the part of the psychiatrist, and not the classically "neutral" stance which the patient easily misperceives as uncaring.

Psychotherapy with chronically depressed individuals is an emotionally draining process for the therapist, and recurrent examination of the therapist's own feelings toward the patient is required. Analysis of one's own anger, boredom, or frustration about some aspect of the patient's behavior can help to isolate the key issue in therapy and lead to symptomatic improvement. The patient's unrealistic and idealistic expectations of himself or herself may, for example, be transmitted to the therapist and give rise to overlying optimistic expectations of progress in therapy. If the patient shows no subjective improvement over time, the therapist may inadvertently respond somewhat in the way significant individuals in the patient's life have responded. Interpretation of such personal experiences by the therapist can, in the proper context, be therapeutic.

Group Therapy
Although individual psychotherapy is the most common psychosocial treatment offered, many individuals with dysthymic disorder will benefit from group therapy and from active investigation and restructuring of maladaptive social functioning.

Family Therapy
Family-centered approaches differ from individual methods in their direct focus on the "role of the sick member" in the family system rather than on the symptoms of the identified patient.

2006-10-21 23:15:12 · answer #1 · answered by momoftrl 4 · 2 0

Depression is from bad expectations for love and sex and your brain will hurt you until you make your beliefs agree with reality. There is a problem for some of us because the adult must learn to wear a mask in life and some of us were not trained to do that. Ask more questions on here and research the answers of some who avoid the medication solutions. Only when Psychosis is occurring do you need meds. There is an insult unto death so try not to give up as hell closes in. read the stats on suicide for some ideas on your social group.

2006-10-21 23:28:36 · answer #2 · answered by Anonymous · 0 0

Hi Sweetie....
Did you just remove a question about suicide? Hope you dont mind but ive checked your questions.
Honey, this is so sad, I just want to give you a big cuddle.
Depression is a vile thing that can make you feel life is not worth living. I have suffered with it for many years and it doesnt help when people say things like, "pull yourself together", "suicide is selfish", etc, etc....Therapy and medication has helped me. Also the love and support of my boyfriend.
Can i suggest somethings to help.... Dont wallow in self pity, force yourself to fight this thing! Do something you enjoy. Go to college and do a course in something you have always wanted to do. Do something that makes you feel passionate and excited. Get yourself a support group, wether it be friends, family or doctors. I know you dont want therapy but there are plenty of organisations around with people who just want to listen. And i would seriously consider some kind of medication because this could all be down to some kind of chemical imbalance.
If you desperately need to talk you can email me if you want.
You are not alone, lots of people go through this.
Its not the end of your life, you can learn to live with this instead of just suffering. Be strong.
Good luck sweetie x x x x x

2006-10-21 23:35:48 · answer #3 · answered by Anonymous · 0 0

the only way to control depression is by strong willingness..what you gotta think whenever you get a depression attack is "that im a happy person" "i dont need to get depressed"..you know whenever you get a depression attack totally divert your mind to other things like t.v or video games..you can also eat something tasty like ice cream.woke up early in the morning to meditation and than take a walk in the park taking deep breaths..you can also do creative stuff like drawing or paintin something like that..if you do these type of stuff regularly you will be just fine..

2006-10-22 03:07:22 · answer #4 · answered by cool k 2 · 0 0

Keep you mind busy.
repeat God's name in your mind as long as possible
Observe your breath continuously,minutely
Don't assess/analyse your life too much.
Look at the brighter things in life.Think of all the good things that have happened.
Drink lemonade

Eat sweets....but in control

2006-10-21 23:14:43 · answer #5 · answered by Aq 3 · 2 0

It's so simple, silly, just get some exercises that your body can do and benefit from. "Don't you know that exercises produces 'endorphins' or something like that in our body, that makes people happy. And happy people don't just kill other people." - something like Reese Witherspoon said on her movie Legally Blonde. Meaning, exercises will really keep you away from depression... stay cool... c",)

2006-10-21 23:40:44 · answer #6 · answered by kernel 2 · 0 0

MIND in the UK did some research on this, which I think is on their website. Basically, exercise will help. Food may help. The stuff about food is here http://www.mind.org.uk/Information/Booklets/Mind+guide+to/Mindguidetofoodandmood.htm

2006-10-21 23:18:38 · answer #7 · answered by Anonymous · 1 0

well i would not recommend it cause u can get addicted to it chocolate
FACT: ONE truck load of chocolate =ONE anti depressant tablet
or take team sport and a hobby with friends and family
just talk to a close friend or relative

2006-10-21 23:17:20 · answer #8 · answered by zephoran 1 · 1 0

Buck yer piggin ideas up, and stop bleating about nothin

2006-10-22 03:39:21 · answer #9 · answered by dobbinesque 2 · 0 0

depression is the depression of your energy..... (duhhh) :)

anything that increases your energy will lesson depression

if their is a reason you are depressed then LET IT GO!!!!

if their is NO REASON then do things that raise your energy

I DO NOT FEEL SORRY FOR YOU BECAUSE I DO NOT LOOK DOWN AT YOU SO PICK YOURSELF UP!!!!!!!!

2006-10-22 00:56:11 · answer #10 · answered by humblesupastar 1 · 0 0

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