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

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?

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).

Popular Questions & Answers

Hi, I am a 29 year old female. I am suffering from constant anxiety and depression. I have extreme mood swings and recently facing slight pain in the chest. It is affecting my physical health as well. I have been prescribed the following medication: nexito 10 etizolam 0.5 mg dicorate er 250 I want to know if these medicines are sufficient or should I take alternate treatment like therapy. Plus, are these medicines safe to take without any tests?

Masters In Clinical Psychology
Psychologist, Gurgaon
You can take both need to assess you situation and guide you accordingly if medicine is required or both or just therapy consult with me or any psychologist for therapy & counseling. All the very best sooner the therapy better the recovery rate.
1 person found this helpful

I need help. I have been suffering from mental illness (anxiety and depression) on and off for the last 10 years. I am male, 26 years old, preparing for civil services exam. The first time depression started when I was in kota in 2009, then I even did not know what I was going through. Someone took me to a doctor after many months of suffering. I started taking medicines and depression got better but anxiety remained. I gave my exam of 12th in that anxiety and did poorly as compared to my 10th. Then, I started, yoga,meditation etc ,got admission in engineering college and somehow depression reduced to some extent but mild to moderate anxiety was consistently there. At that time I did not know what is this happening to me. I thought depression and anxiety was the same thing. I did not take any medicine from 2011 to 2016 and I was doing okay. In 2016 I was feeling very much anxious again and had to visit aiims, said the whole story to the psychiatrist. He gave escitalopram 10 mg and clonazepam 10 mg. I started eating those medicines but did not take for many days as I got better in a few days. So I never visited again and neither did I complete the course of medicine. I had to visit again in 2020 since I was feeling very anxious during exam days or few days before exam or when I started preparing seriously for exam, and doctor asked me where were you for such a long time? I said I never realized in these years that I had depression or anxiety, I was doing absolutely fine. He again gave me escitalopram and clonazepam (sos) for 3 months but when 3 months was about to complete, lockdown happened, I could not go again. I ate medicines for 3 months and then left but after leaving some withdrawal symptoms used to come like before eg- heaviness of my head, anxiety,twitching of mouth muscles and then I have to start the medicine again. I want to quit medicines for forever, kindly help me to manage anxiety without this medicine and also diagnose me properly as depression and anxiety is so mixed that only recently I discovered that I had anxiety also. All these years I thought I had depression only.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user, nervousness or anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical ...

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