Understanding the “Why” Behind Depression


     During the process of writing my “Tips to a Happier You” series, I’ve thought about how I felt in the midst of my depression. Would I have been receptive to small, practical tips to help my depression? I can tell you the answer is no. There are just some lessons we have to learn the hard way. If I could have put some of these things into practice, I’m sure I would not have had to endure the hell I went through…oh if I’d only listened to some of the instruction given to me! But honestly, I let myself fall into the “I need it NOW” trap.
 
I let myself get wrapped up in the desire for immediate gratification. I wanted a magic pill to solve all of my problems. And let me tell you, there are drug companies that advertise their drugs on television and promise to do just that. Just like any advertising, they tell you all the benefits and none of the risks. They tell you how good the drug is going to make you feel, but they neglect to tell you all of the risks associated with taking it. Sure they mention some of the more common side effects, but only after they have you totally hooked on the awesomeness of their miracle drug. And when they do list any side effects, it comes through your television  mimicking the voice of the teacher in Charlie Brown, and it’s in the last three seconds of the commercial. 
     Okay, now that I’ve bashed antidepressants, let me say this: There is a real need for antidepressants, and they are appropriate under the right circumstances.
I just don’t believe they need to be the first choice treatment. 
Often when someone is placed on an antidepressant, it is situational. They have become depressed as a result of some event in their life. Sadness is a natural first response to any type of trauma we might experience. We become self-absorbed. We tend to think “poor me.” The next step we take is critical, and is dependent on the condition of our brain. The person 
who will end up depressed doesn’t have the ability to think, “What do I do from here?” 
     Here’s why (sorry, I’m about to get a little “sciency” on you): We have a part of our brain called the pre-frontal cortex. It is the part of our brain that reacts to trauma. If there is enough serotonin in our brain to activate the pre-frontal cortex, we will be sad, but will be able to recover from the trauma and look forward. If our brain is low on serotonin, our pre-frontal cortex is essentially dead and that’s when we can’t see the light at the end of the tunnel. It’s a physical abnormality, and it’s why people cannot typically “will” themselves out of depression. 
     Whether you are on an antidepressant or not, the tips I am giving here can be incorporated into your lifestyle. All of these tips are small, practical habits you can incorporate into your life and will benefit you whether you’re on an antidepressant or not. Once you have a few in place and are feeling better, you very well might be able to slowly come off of the antidepressant. You certainly don’t have incorporate all of these tips, just whichever ones strike your fancy! 

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Comments

  1. Low serotonin levels is also the component that is result for some migraines, especially silent migraines. I suffer from this, and I find myself in a depressive state either before or immediately after a migraine onset. Wonder if your tips for depression will work for migraines, since most migraines are stress related.

  2. I have suffered from migraines as well, and yes, serotonin definitely is a component of migraines. Any drug in the triptan class used for migraines (Imitrex, Maxalt, Frova…) does increase the available serotonin levels in the brain. So yes, anything that raises serotonin levels should help with migraines. Glad you brought that up!

    And while we are on this subject, NEVER mix an antidepressant with a triptan for migraines. These are often prescribed together, but never should be. The effect on serotonin from both can cause an interaction and result in serotonin syndrome. High blood pressure, hallucinations, inability to speak, and losing touch with reality are all symptoms of serotonin syndrome. If those meds must be taken together, onset of these symptoms should result in a trip to the emergency room.
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