Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Depression And Anxiety: Treatment, Procedure, Cost and Side Effects

What is the treatment?

There are multiple reasons which lead to a person being utterly depressed and facing social anxiety. These factors include loss of a loved one, getting fired from workplace, difficult situations like going through a divorce or even a separation, and many more. These conditions leave a person mentally and emotionally exhausted and miserable. These feelings are usually very normal reactions to the stressful life conditions. However, there are certain patients who are diagnosed with depression as a psychiatric disorder. These individuals as compared to other patients are more prone to mood swings and the conditions become more severe and persistent in their case. Women undergo depression more as compared to men. Anxiety disorder on the other hand is somewhat different than depression. It involves irritability, nervousness, concentration problems and upheavals in sleeping.

There are several drugs available for the treatment of depression and anxiety disorder. It includes SSRIs (selective serotonin reuptake inhibitors), such as citalopram (Celexa), escitalopram oxalate (Lexapro), luvoxamine (Luvox), setraline (Zoloft), fluoxetine (Prozac), and paroxetine HRI (Paxil). There are newer medicines too which act as serotonin receptors. Bupropion (Wellbutrin) is a drug which has unique mechanisms. A health care provider will determine which drug is best for the patient. There are certain cases in which a combination of drugs is required. Sometimes the combination of one antidepressant with another antidepressant of some other class can boost the effect of a single drug working alone. An example of this is a mood stabilizer like lithium. Anxiety disorder treatment drugs are lorazepan (Ativan), alprazolam (Xanax) and many more. ECT or Electroconvulsive therapy is also a treatment option in severe cases.

How is the treatment done?

The treatment starts by seeing a specialist, physician or a doctor of mental health. They will ask you about your mental health or how he is feeling. They will figure out the cause of depression or anxiety and will come to a conclusion whether the problem is caused by a physical condition or is related to mental health. The doctors will then recommend you antidepressants that will help relieve the indications of depression by the adjustment of certain chemicals in your brain which directly affects the circuits that control mood swings. Antidepressants increase serotonin levels in the brain and start showing noticeable effects after 2 to 3 weeks.

In case of severe depression, there may be a recommendation of an electroconvulsive therapy or ECT. This therapy is associated with a small and painless electric current passing through your brain while you’re under general anesthesia. This leads to a brief seizure which relieves the indications of depression. ECT is also called electroshock therapy. It was earlier a controversial therapy but is now considered quite effective as a treatment method for depression. Its performance is based on a series of sessions of either inpatient or outpatient for up to 4 weeks. You’ll be made asleep through general anesthesia so that you don’t feel the seizure or the current.

Who is eligible for the treatment? (When is the treatment done?)

Patients undergoing depression and anxiety are eligible for the drug treatment. Every patient who is going through severe depression which is uncontrollable and has made the person suicidal is eligible for the electroconvulsive therapy or ECT.

Who is not eligible for the treatment?

A pregnant woman and children need to consult their health care provider before the usage of antidepressants so that they may be able to make a detailed and informed decision regarding their condition.

Are there any side effects?

The side effects of the treatment include slight hesitancy in urination, dry mouth, nausea, diarrhea, constipation, blurred vision, drowsiness due to a sedating effect, and sweating.

What are the post-treatment guidelines?

In case the symptoms of your depression start returning, consult or share your problems with a medical professional, a therapist, or someone close to you and try to work things out for your betterment. Joining a support or a mental health group will combat depression and help you to a great deal. Make as many lifestyle changes as possible in order to maintain your mental health. These changes may include your workplace or even your relationships which are making you unstable in life. Avoid the consumption of too much alcohol and stop smoking. Eating a balanced diet induced with fruits and green leafy vegetables is a significant part of a healthy lifestyle.

How long does it take to recover?

If a patient is finding the treatment helpful after 3-4 weeks, he/she may continue the treatment for 6 months after all the indications have been erased. In case the medications are stopped too soon, the indications may develop again. Patients with recurrent depression are advised to have the treatment for a longer period.

What is the price of the treatment in India?

The price of the treatment ranges from Rs. 100 to Rs. 2,000.

Are the results of the treatment permanent?

The results of the treatment are not permanent as depression is known to be recurrent and may develop again if there are no lifestyle changes made or if the medications are discontinued before the completion period.

What are the alternatives to the treatment?

The alternative treatment methods available for depression and anxiety disorder include vagal nerve stimulation (VNS), deep brain stimulation (DBS) and repetitive transcranial magnetic stimulation (RTMS).

Safety: Medium Effectiveness: Medium Timeliness: High Relative Risk: High Side Effects: High Time For Recovery: Very High Price Range:

Rs. 100 - Rs. 2,000

Popular Health Tips

Mental Health - 6 Reasons To Take it Seriously!

DPM, MBBS
Psychiatrist, Mumbai
Mental Health - 6 Reasons To Take it Seriously!

The first question when you greet somebody is 'how are you' and this often refers to our state of well-being. While most answers would be great, awesome or good, we usually think of how we are doing physically. While some of us may talk about physical conditions (say things like feverish, have a cold, etc.), not many would think of talking about mental health conditions. However, mental health is very important for overall well-being.

Can you think of someone who is severely depressed or anxious all the time and have a good physical health? Chances are very bleak, and if you consider the overall health as a mix of mental and physical balance, this is not possible. Read on to understand how important mental health is and why you should start paying more attention to it.

  1. Improved physical health: If someone is in a stressed state, it is obvious that they would not be able to do the activities they enjoy. Being affected mentally also leads to reduced immunity and sleep disturbances, making the person prone to infections and other disorders. Stress is one of the main risk factors for chronic medical conditions like heart disease and diabetes.
  2. Improved prognosis: Most often, doctors focus on treating the physical aspects of a person’s health. However, with recent emphasis on mental health, more and more doctors are looking at wholesome measures to improve a person’s health. Results show that when a person’s mental health is also addressed, the physical ailments respond very well.
  3. Improved productivity: People with unattended mental health disorders often resort to absence from work and/or school, can have financial instability, be homeless and can fall repeatedly. Being mentally healthy provides overall changed perspective of life and therefore improves productivity.
  4. Improved personal relationships: Children of people affected with mental illness are prone to neglect, abuse, rejection, and behavioural issues. There is also social isolation, which may lead into adulthood, and these children may also have emotional health problems. Others in the close circle including spouses, siblings, parents, close friends and colleagues would be clearly affected by a person who is mentally unhealthy.
  5. Social effects: These people are highly prone to social crimes like rape, murder, theft, violence, etc. They may not be able to afford their treatment and/or resort to these crimes to assert themselves.
  6. Improved quality of life: Life expectancy is higher in people who are mentally healthy. Even with mild symptoms of anxiety and depression, this is reduced, and the chances of a happier, healthier life are reduced.

Whatever the effect, mental health needs to be addressed as equally as we do physical problems, using medications, counselling, or lifestyle changes.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2331 people found this helpful

Do You Need Therapy?

Masters in Clinical Psychology
Psychologist, Lucknow
Do You Need Therapy?

Most of us face struggles at some point in our lives. These struggles may include stress at work, difficulty with a romantic partner, or problems with a family member. Alternatively, struggles may include emotional symptoms such as depression or anxiety, behavioral problems such as having difficulty throwing useless items away or drinking alcohol too often, and cognitive symptoms such as repetitive upsetting thoughts or uncontrolled worry. Sometimes, life's struggles can be eased by taking better care of yourself, and perhaps talking about the issues with a supportive friend or family member.

But there may be times when these steps don't resolve the issue. When this happens, it makes sense to consider seeking the help of a qualified licensed psychologist. How do you know if therapy is needed?

Two general guidelines can be helpful when considering whether you or someone you love could benefit from therapy. First, is the problem distressing? And second, is it interfering with some aspect of life?

When thinking about distress, here are some issues to consider:

  • Do you or someone close to you spend some amount of time every week thinking about the problem?
  • Is the problem embarrassing, to the point that you want to hide from others?
  • Over the past few months, has the problem reduced your quality of life?

When thinking about interference, some other issues may deserve consideration:

  • Does the problem take up considerable time (e.g., more than an hour per day)?
  • Have you curtailed your work or educational ambitions because of the problem?
  • Are you rearranging your lifestyle to accommodate the problem?

A “yes” response to any of these questions suggests that you might wish to consider seeking professional help. Remember that sometimes a problem might be less upsetting to you than it is to the people around you. This does not automatically mean that you are in the know and your friends or family are over-reacting to you. Rather, this situation suggests that you may wish to think about why the people who care about you are upset.

Clearly, the decision to enter into therapy is a very personal one. Numerous advances have been made in the treatment of psychological disorders in the past decade and many therapies have been shown scientifically to be helpful. As you think about whether therapy might be helpful to you, remember that many psychological problems have been shown to be treatable using short-term therapy approaches.

Learning more about different approaches to therapy might also help you to discern if one of them sounds like a good fit with your personality and approach to life. Given the range of therapeutic options that are available, you don't need to continue to struggle with a problem that is upsetting and/or getting in the way of other parts of your life. Help is available.

4 people found this helpful

Anxiety and Depression Disorder - How To Cope With It?

Doctor In Unani Medicine(D.U.M.B.I.M)
Sexologist, Delhi
Anxiety and Depression Disorder - How To Cope With It?

Unlike what you may think, anxiety is a common emotional response in a situation where we are worried about an outcome. It is, in fact, beneficial to us as it keeps us alert and charged for a reaction. Anxiety disorder, however, comes when you lose control over your reaction and let it take control of your life in a way that disables you from living a normal life. 
The first thing to do as a positive step is to accept that you have a disorder. Mental health problems are as big as physical problems. Just like the body needs to be treated to cure a disease, the mind too can be treated to cure you of your problems. The next thing to do is to know what type of disorder you are suffering from to get specific treatment for it.

Connection between anxiety and depression:
Anxiety is not just incessant worrying. It is sometimes an obsessive compulsive disorder that can takeover your life or a terrifying phobia that can prevent you from doing things that are routine for others. Over a period of time, living with such a disorder can take an emotional toll leading to depression

The chances of developing depression in addition to anxiety is quite high. In fact, almost half of all people with major depression also suffer from severe and persistent anxiety. In many cases people suffering from post traumatic stress disorder (PTSD) and anxiety are also victims of depression.

Symptoms of anxiety and depression disorder

  • Constant fear and worry
  • Loss of interest in normal life, hobbies and activities
  • Insomnia and fatigue with inability to relax
  • Panic attacks
  • Feeling of sadness and worthlessness

Coping with anxiety and depression disorder
The first and most important thing to know is that both conditions are treatable and patients who get regular care, medication and support from friends and family can come back to living a normal life. Here are some of the treatments available:

1. Medication: Taking proper medication is very important as it acts quickly and is quite safe. Most people do not take medication, such as sleeping pills, fearing they might get addicted to them, which is a myth. Also, medications prescribed by your doctor are safe and specific that is why they have been prescribed.

2. Cognitive behavioral therapy (CBT): It is used to first figure out what the cause behind the anxiety or depression. It is then used to teach people to manage their fears, anxieties, and depressive symptoms and also learn how to take control of their emotions. Another therapy used for treating depression is Emotive Behaviour therapy.

3. Lifestyle modification: In order to overcome, anxiety and depression, certain lifestyle changes are required, such as one should exercise daily at least for 30 minutes and eat a healthy diet.

4. Counselling: Counselling helps the person to overcome the oppressive thoughts and cope up with the feeling of worthlessness.

5. Group therapy: Knowing you are not alone with your pains and fears can often come as a big relief. Not only will the patient benefit from joining a local support group, the care giver will also learn how to cope with the developments of the disorder and how they can continue to provide care and support to their loved ones.

6 people found this helpful

Childhood Trauma - 5 Best Ways To Manage It!

M.Sc - Psychotherapy
Psychologist, Bangalore
Childhood Trauma - 5 Best Ways To Manage It!

Often children are seen as resilient and capable of bouncing back from almost any situation. Traumatic experiences can however lead to long lasting and severe effects that might stay even in their adult lives if they aren’t dealt with. Trauma might result from any such thing that can disrupt their safety and leave them vulnerable. These include verbal, sexual or physical abuse, an unstable environment, domestic violence, separation from parents, bullying, severe illness, or invasive medical procedures.

Despite having emotional consequences, there is still hope. Here are a few ways childhood trauma can be dealt better with:

  1. Accept trauma when it happens to you. Childhood trauma victims generally spend many years trying to see past what has happened to them by pretending as if nothing happened and dismissing it wholly. Another way they cope is by blaming themselves and feeling guilty about it. Healing can only begin when you accept that the traumatic incident did actually happen and that you aren’t to be blamed for it.
  2. Take control. Helplessness can spill over into your adulthood and make you act and constantly feel like a victim. This leads to making choices resulting from all the pain inside. The past takes control of the present when you have been victimized. Conquering the pain is the only way to get the present back in your control. Letting go of old defense mechanisms used by you as a child may be the only way to take back control of your life and bury the pain.
  3. You should not isolate yourself and seek support instead. Withdrawing from others is the natural instinct of most survivors of trauma. This might just make things even worse. You should take conscious steps to maintain healthy relationships and to connect with other people to facilitate the process of healing. Seeking support helps. Childhood trauma survivor support groups and talking with trusted friends and family can help heal as well.
  4. The ability to deal with stress increases, if you maintain better health. Get adequate rest, exercise and eat well and set a regular routine. Abstain from drugs and alcohol as they only provide relief for a temporary amount of time, but increase isolation feelings, anxiety and depression, thus worsening trauma symptoms.
  5. Learn to truly let go. Accepting implies embracing the trauma and deciding what you will do about it. It can dominate throughout your life unless you let it all out.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2503 people found this helpful

High Functioning Depression & Anxiety - What Should You Know?

D.N.B. Psychiatry, Diploma In Psychological Medicine (Psychiatry), MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Navi Mumbai
High Functioning Depression & Anxiety - What Should You Know?

Depression is often equated with isolation and brooding but this is not always the case. Many people may actually suffer from depression without showing the typical symptoms of this condition. Hence, this form of depression may go unnoticed for many years. Such cases are known as high-functioning depression. Some of the symptoms of this condition include:

  1. Having difficulty expressing happiness: Though a person may be able to work normally, a person suffering from high-functioning depression will find it difficult to express emotions such as happiness. Thus he or she may not know how to act in the event of a promotion at work, the beginning of a new relationship or any other such happy events. In such cases, the happiness a person experiences from these events is temporary and muted.
  2. Lowered energy levels: Unlike not being able to get out of bed when suffering from typical forms of depression, a person suffering from high-functioning depression can follow his or her usual routine. However, they often find themselves lacking the energy they would normally have and feel the need to put extra effort into their normal tasks. This reduces the amount of satisfaction derived from completing tasks.
  3. Persistent self-doubt: While being self-critical is good to a certain extent, a person suffering from this form of depression is rarely satisfied with their work. Even when recognised by their peers or given an award for their work, they feel that this praise is misguided and have trouble accepting it. Thus, suffering from this condition is akin to swimming a race against the current and with additional unnecessary weights.
  4. Substance abuse: Since this form of depression can go undiagnosed for many years, patients often turn to alcohol and other addictive substances in frustration. This can further delay diagnosis as many of the symptoms of this condition can also be attributed to substance abuse.
  5. Feeling like a failure: Many people suffering from this condition feel as though they are constantly wasting time no matter how much they achieve in a day. This can make them feel hopeless and cause frequent changes in jobs.

The good news is that depression can be cured. Hence if someone around you or you, yourself experience such symptoms, talk to a doctor. Alternatively, you could make a few changes in your lifestyle to lift your mood. Try meditating in the morning or fit in some light exercise into your day. You could even take up a new hobby. However, this cannot replace cognitive therapy and psychological counselling.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3724 people found this helpful

Popular Questions & Answers

Hi.As we all know every human being is going to die some day as he or she will grow very old, but whenever I think about this I became very inpatient and my mind stuck with panic as it will happen one day to me and to my mother whom I love the most. Please help me out. I will be always thank ful to you.

Ph.D - Psychology, M.Phil - Psychology
Psychologist, Mathura
You require medicines from a psychiatrist to calm you down plus cognitive behavior therapy from a good psychologist. The sessions with a psychologist will continue for quite some time. You may try medicines from patanjali chikitsalaya. You practice all that is taught daily on astha channel 5.00 to 7.30 am. Very very effective- esp anulom-vilom and bramri and udgit. You will get miraculous results for free and without adverse effects of allopathic medicines and will gain good physical and mental health, increase in your stamina, good concentration, improved memory, etc. It is excellent to drive depression, negative thinking out of your system. Not necessary, you have to be present in front of your tv at 5 am. Begin by switching on your tv just whatever time you get up and start practicing as being taught. Gradually when you regulate your sleeping time, you will be able to get up next morning at 5 and will be able to do complete workout. The time you spend here will actually be an investment that will remove tension, stress, etc. Leading to increased positivity.

I'm suffering from stress and over thinking and how to overcome these issues and negative thinking and suicidal thoughts? Help me out.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Feeling low, having crying spells, sleep and appetite disturbances, and difficulty in concentration and attention are some of the signs of Depression. Consult a Psychiatrist for a detailed assessment. It is likely with medication and counseling the symptoms will improve. If you are feeling suicidal or hopeless consult a Psychiatrist immediately.

I have an uneven suffering in my life. every time I gather around some people or between a group of people, I started feeling uncomfortable, uneasy, my mouth starts to dry. Something just like a fobia of people.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Social anxiety disorder, also called social phobia, is an anxiety disorder in which a person has an excessive and unreasonable fear of social situations. Anxiety (intense nervousness) and self-consciousness arise from a fear of being closely watched, judged, and criticized by others. Symptoms include: Tremors, feeling anxious or nervous, sense of panic, sweating, increased heartbeat, feeling of impending doom, stomach discomfort, dizziness etc These can be debilitating. If the anxiety us overwhelming, consult a psychiatrist at the earliest. With the right medication and counseling, it is likely your symptoms will improve.
1 person found this helpful

I am suffering from anxiety depression and blushing some years I am 26 years old so please tell me what can I do I am in trouble.

Ph.D - Psychology, M.Phil - Psychology
Psychologist, Mathura
IF YOU PRACTICE ALL THAT IS TAUGHT DAILY ON ASTHA CHANNEL 5.00 TO 7.30 AM. VERY VERY EFFECTIVE- ESP ANULOM-VILOM AND BRAMRI AND UDGIT. YOU WILL GET MIRACULOUS RESULTS FOR FREE AND WILL GAIN GOOD PHYSICAL AND MENTAL HEALTH, INCREASE IN YOUR STAMINA, GOOD CONCENTRATION, IMPROVED MEMORY, ETC. IT IS EXCELLENT TO DRIVE DEPRESSION , NEGATIVE THINKING OUT OF YOUR SYSTEM. NOT NECESSARY, YOU HAVE TO BE PRESENT IN FRONT OF YOUR TV AT 5 AM. BEGIN BY SWITCHING ON YOUR TV JUST WHATEVER TIME YOU GET UP AND START PRACTICING AS BEING TAUGHT. GRADUALLY WHEN YOU REGULATE YOUR SLEEPING TIME, YOU WILL BE ABLE TO GET UP NEXT MORNING AT 5 AND WILL BE ABLE TO DO COMPLETE WORKOUT. THE TIME YOU SPEND HERE WILL ACTUALLY BE AN INVESTMENT THAT WILL REMOVE TENSION, STRESS, ETC. LEADING TO INCREASED POSITIVITY.
1 person found this helpful

I am acidity with constipation patient. Now I am suffering anxiety ,depression and night insomnia.

BHMS, MD - Homeopathy, PhD
Homeopath, Delhi
Hello Mr. lybrate-user As per your symptoms I suggest you to consult a good homoeopathic doctor nearby. Homoeopathy is very efficacious in the conditions like anxiety, insomnia, gastric disorders like yours. It has no side effects and it treats the root cause. A complete case history taking is required in your case. Insomnia, Hyperacidity and constipation can be related with anxiety you have. The underlying cause must be treated than treating the specific disease separately, and that will be done through homoeopathic medicines. Kindly take your meals regularly, avoid excess salt, sugar and oil in diet. Exercise regularly, start following yoga as it helps in controlling anxieties too. Drink an appropriate amount of water. Avoid using gadgets 2 hours before sleeping time. You should also follow deep breathing exercises any time in a day, even at work. Tc.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice