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Are Anti-depressants helpful?

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Everlasting33

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As someone who has tried up to 10 different anti-depressants, I have had my doubts on these medications.

I look through many depression forums and I have noticed a wide range of "failure" on the part of anti-depressants.

I was reading a book called "Psychology Debunked" where this idea was introduced to me. At first, I was adamant that the author was wrong. But, after doing some research on my own and realizing that not one anti-depressant helped, I am more convinced that anti depressants do not work.

I have found several sites on this topic but because of forum rules, I am unable to post them here. Here is an excerpt from one:

"Antidepressants are believed to exert their therapeutic effects by acting on brain monoamines, which are believed to be important determinants of mood. However, in a circular chain of logic, the monoamine theory of depression was itself formulated primarily in response to observations that early antidepressants increased brain monoamine levels [ 3].

Independent evidence has not confirmed that there is a monoamine abnormality in depression. For example, the findings of brain imaging studies of serotonin abnormality are contradictory. Some found reduced serotonin 1A receptor binding in drug-free patients who were depressed, consistent with the hypothesis that selective serotonin reuptake inhibitors (SSRIs) improve depression by correcting a deficiency of serotonin activity [ 4, 5]. Other studies, however, have found no difference between patients who are drug-free and controls [ 6, 7] or increased binding potential in depressed patients [ 7, 8]. Postmortem findings of receptor changes in the brains of people who committed suicide have also been inconsistent [ 9–11]. In some studies, with patients who had recovered from depression, a tryptophan depletion challenge led to a transient increase in depressive symptoms. However, these results have not been confirmed in volunteer studies [ 12], and the effect appears to be dependent on previous SSRI use [ 13]. Research on catecholamines (noradrenaline and adrenalin) is similarly confusing and inconclusive [ 14]. "


If anyone wants more information, please PM me.

And if anyone has had great success, please do share! :)

NOTE: I am not advocating someone stopping medication. I simply want to spread some of the information that I have received and perhaps it can helpful to others. I hope this thread is allowed. :wave:
 

bliz

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What medication did you take? How long did the medication help?

Thanks for your story:cool:

I was first on Prozac. After several years, it no longer worked and I had to try other things. Along the way, I tried some with horrible results! I was on Effexor for quite awhile, and had to slowly wean off it. After several decades I'm now back on Prozac. There are so many drugs out there, it can take time finding a good match. A psychiarist can help find the right one much better than a regular doctor.
 
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savingme09

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Keep in mind that there are 3 broad categories of antidepressants- MAOI's (monoamine oxidase inhibitors), tricyclics, and SSRI's/SNRI's (selective serotonin reuptake inhibitors and selective norepinephrine reuptake inhibitors). Most people are familiar with SSRI's and SNRI's as these newer and are marketed more aggressively. There are MANY different types of antidepressants in all 3 categories. Some of the MAOI's and tricyclics are coming back into use when patients don't respond to multiple SSRI's or SNRI's. Doctors tend to use SSRI/SNRI meds as a first line because they are a)better known, b)more aggressively marketed to doctors and patients, and c)tend to have fewer side effects and drug/food interactions.

Unfortunately for the field of psychology/psychiatry, we are just learning about the role of neurotransmitters in mental functioning and mental illness. A good number of the medications we use as antidepressants were initially developed for some other purpose (Prozac is a prime example) and only marketed as an antidepressant when clinical trials noted an unexpected side benefit. So, quite a bit of what we know about what helps for mood disorders has been through accidental discoveries.

Without going into too many specifics, we believe, generally, that serotonin, dopamine, and norepinephrine are all involved in mood and mental illness. We aren't completely sure of what imbalances of what neurotransmitters in which parts of the brain are responsible for the development of mental illness, although I think we are getting closer to finding some answers on that. And, we have to consider the possibility that it may be different for different people. The discovery of neurotransmitters and new technology for brain imaging has opened many new doors to the study of phenomena that, up until recently, were mainly speculative. However, there is still much that we don't know about neutrotransmitter activity and mental illness.

Antidepressants aren't for everyone, nor do they work for everyone. I wish they did because it would make my job easier and it would vastly improve people's lives. ECT is still around, though it is not used frequently, as an alternative for those who suffer from severe depression that has not responded to anything else. There are people both for and against the use of ECT and I myself don't know enough about it to have an opinion one way or another.

2 other random thoughts on the subject:

I wish I had the citation for the study, but I read a study recently that found that patients who were randomly assigned to either a program of regular exercise or an antidepressant got as much or more benefit from the exercise than the antidepressant.

Occasionally, people who do not find relief for depressive symptoms from antidepressants can benefit from bipolar mood stabilizers as it might be something more on the bipolar spectrum with hypomanic as opposed to manic symptoms. This is a new idea, however, and I am not aware of any studies that have been done to test this hypothesis, just anecdotal stories from a few psychiatrists.

Sorry that this is so random and poorly organized. I'm on my way to bed and wanted to respond before I went to sleep and forgot it all. I guess the short version is that not everyone responds to antidepressant meds, although many do when they find the right medication for them. We don't know all the specifics about how brain chemistry affects mood and mental illness, so there is some guesswork involved, but we know a lot more than we did, say, 20 years ago. And, finally, that lifestyle changes such as regular exercise can provide relief for symptoms of depression, possibly equal to or greater than the benefit from antidepressants.

And of course, the usual disclaimer- I'm not a doctor, don't start or stop taking any medication without talking to your doctor first.
 
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Bellicus

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When I started on Cipralex at least I didn't want to kill myself anymore. It gave some pleasant side-effects like sleepiness and munchies too, and that helped too, to get my mind off the depression. But I also became manical from it, so I started using lithium and was later diagnosed bipolar, and lithium really helped me, even if it is not really a anti-depressant, but more of a mood-stabilizer. So after a while I stopped the Cipralex, cause I felt that Lithium was what worked most effective for me. And I've also tried other anti-depressants like Remeron, but had no effect from them, other then getting tired. But I never really used them properly either, cause of the side-effects.

So I have experienced some medicine that work, and some that didn't work. I think this is pretty individual. Some people get better effect from certain medicine then others, and some don't get any effect at all and maybe have to try several different ones.
 
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flying_kiwifruit

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The thing with Anti depressants is that not one will work for everyone, also some people they will work wonders for, for other people they do nothing. Its a individual thing. I'm on Prozac atm and it has worked well for me, I know others who have taken and it hasnt done a thing. It so individual you can't gernerlise it, not saying that you are doing that.
 
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petrospetra

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When I was depressed, I found that anti-depressants dulled the strength of the symptoms, and since they had a mild tranquilizer in them, also helped me to sleep. The anti-depressants did not cure me, but by reducing the severity of the symptoms, it made it easier for me to concentrate on recovering.
 
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wallaby

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ive been on SSRIs, SNRIs, a norepinephrine-dopamine reuptake inhibitor, antipsychotics, and sedatives that are supposed to have antidepressant or antianxiety properties. one of the antipsychotics seemed to help a bit with the depression, the rest didnt really do much for my depression or anxiety or sleep. Both the antipsyhotics helped with the hallucinations, though, and one of the antipsychotics helps with sleep. most people have more luck.
 
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Jo1

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Hi:hug:I understand the doubts. Ive been dead against anti-depressants ever since I had a bad side effect to one. I was set against them. But ive been struggling so much I guess I gave in at the end. Im on prozac. I did have bad lack of sleep through them and loss of apetite:( But at least thats worn off. I have been on them near a month now, its difficult to say whether they are having an effect or not as ive still been very up and down:( But I know I needed something. Ive been on them near month now..
 
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Garyzenuf

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ive been on SSRIs, SNRIs, a norepinephrine-dopamine reuptake inhibitor, antipsychotics, and sedatives that are supposed to have antidepressant or antianxiety properties. one of the antipsychotics seemed to help a bit with the depression, the rest didnt really do much for my depression or anxiety or sleep. Both the antipsyhotics helped with the hallucinations, though, and one of the antipsychotics helps with sleep. most people have more luck.



...And less problems...I hope all turns out well for you. :wave:

*
 
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I read that medicine only helps 80&#37; of people, so there are some "lucky" ones in that 20%. Personally I've been on Prozac for a year and I like it; one psychiatrist told me Prozac's the gold standard of antidepressants. However, I still have my low periods like one I had last week that got bad. That's where social supports and Cognitive therapy really come in handy.
 
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jsimms615

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I have tried twice to go off of anti-depressants. Both times I did not tell my wife until a week or two after I stopped. She was actually pointing out to me that I was acting different before she knew I had stopped taking my meds. So, for me, it definitely works.
There are different kinds of depression. Some I do think are caused by a chemical imbalance. Some are less severe and some are situational. In some cases the medicine wouldn't help at all and other times I think it does.
Working in mental health for the last few years, I have seen some pretty positive effects on some people with major depression. Course, I am just a case manager and not a psychiatrist.
 
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Everlasting33

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My depression had all the classic symptoms: loss of appetite, irregular sleep patterns, depressive mood, suicidal thoughts, fatigue and feelings of worthlessness yet anti-depressants didn't help.

What did help was changing my environment (which provided consistency, warmth, discipline, friendships, financial stability) which encouraged growth.

Everyone is different and we all respond differently to therapy. I am just thankful I "persistent" is my middle name ;)
 
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balesom

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I've been given five different anti-depressants over the years. The only one that I had any positive reaction to was the first one I was given, Lexapro. However, I did have a side effect of severe appetite reduction, with a loss of twenty pounds in two weeks while on it. Zoloft did absolutely nothing for me, and the other three only drove me deeper into depression. Needless to say, I'm currently avoiding them right now, but my doctor and counselor are more than willing to continue working with me if I'm willing to continue trying.
 
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