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Common Treatments
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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

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

Physical Health & Mental Health - Understanding The Connection!

PG Diploma In Psychology & Counselling
Psychologist, Hyderabad
Physical Health & Mental Health - Understanding The Connection!

You probably have heard of the saying “A healthy mind comes from a healthy body”. Most often in our daily busy schedule we overlook our eating habits, and physical activity. Are they linked with each other? The answer is YES! There are multiple associations between mental health and chronic physical conditions that significantly impact people’s quality of life. “there is no health without mental health.” The associations between mental and physical health are:

  1. Poor mental health is a risk factor for chronic physical conditions.

  2. People with serious mental health conditions are at high risk of experiencing chronic physical conditions.

  3. People with chronic physical conditions are at risk of developing poor mental health.

Mental health plays a major role in your ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect your ability to participate in healthy behaviors. This can result in problems with physical health, such as chronic diseases, and can decrease a person’s ability to participate in treatment and recovery. Unfortunately, most people don’t go to a mental health professional for a mental health exam. In many cases, people only seek out a mental health professional after a crisis has occurred. 

There are different ways to balance your mental and Physical health both: One of the most impactful way is :Mindfulness”

 What exactly is mindfulness, and how can it improve psychological well-being?

"Mindfulness is about being fully aware in the present moment,". "It's about bringing our attention back to the present moment and not getting carried away by our thoughts."Mindfulness helps to train individuals in bringing back the attention time and time again when it has wandered. And it is precisely through helping individuals to not get carried away by their thoughts that mindfulness has been shown to be so effective for conditions like anxiety and depression.

“It's not about getting good at meditation, it's about getting good at life.” And how its helps deepens our connections with others and with the world around us.

Some simple steps to reduce risk of physical illness: 
Eat a well-balanced diet, get plenty of rest, get routine check-ups and tests, incorporate regular exercise into your schedule. 

Some of the other ways to keep you mentally healthy are:

  1. Value yourself: Treat yourself with kindness and respect, and avoid self-criticism. Make time for your hobbies and favorite projects, or broaden your horizons
  2. Take care of your body: Taking care of yourself physically can improve your mental health, therefore, you must ensure 
    • Eat nutritious meals
    • Avoid cigarettes
    • Drink plenty of water
    • Exercise, which helps decrease depression and anxiety and improve moods
    • Get enough sleep as researchers believe that lack of sleep contributes to a high rate of depression in college students
  3. Surround yourself with good people: People with strong family or social connections are generally healthier than those who lack a support network. Make plans with supportive family members and friends, or seek out activities where you can meet new people, such as a club, class or support group.
  4. Learn how to deal with stressLike it or not, stress is a part of life. Practice good coping skills: Try One-Minute Stress Strategies, do Tai Chi, exercise, take a nature walk, play with your pet or try journal writing as a stress reducer. Also, remember to smile and see the humor in life. Research shows that laughter can boost your immune system, ease pain, relax your body and reduce stress.
  5. Quiet your mind: Try meditating, Mindfulness. Relaxation exercises can improve your state of mind and outlook on life. In fact, research shows that meditation may help you feel calm and enhance the effects of therapy.
  6. Get help when you need it: Seeking help is a sign of strength — not a weakness. And it is important to remember that treatment is effective. People who get appropriate care can recover from mental illness and addiction and lead full, rewarding lives.

Hear your inner voice and accept that you need help. Just like how we most the people go to the doctor and get a check-up. They have their blood pressure, temperature and weight measured. They have blood drawn to check for issues with cholesterol, blood sugars, thyroid, iron levels, and other measures for their physical health check up. Like wise it’s equally important to take care of your mental health.

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

2642 people found this helpful

Casual Sex- Good And Bad Served In One!

MBBS, DPM - Psychiatry
Psychiatrist, Greater Noida
Casual Sex- Good And Bad Served In One!

In a conservative society like that of India, premarital sex or casual sex is still a taboo. With the fast changing trend in the society, some parents may consider dating and premarital sex to be normal but the same cannot be said for a major part of our society who still consider these relations as scandalous and unethical.

No one can be moral policed here for the choices they make. While some may engage in casual sex owing to the sexual urges, some may want to enjoy their lives without the promises of love, commitment or restrictions. While there are still many people who believe in love, the younger generation is more inclined towards casual sex.

Before labelling anyone with a tag, it is important to understand why do people go for casual sex? Are they commitment phobic or are there some underlying factors that have gone unnoticed and unattended?

Why do people go for casual sex?
Also known as Recreational Sex, casual sex is all about enjoying the moment and moving on in life.

  • Most people opt for casual sex as it gives them a sense of freedom where they can enjoy life and yet remain single and not committed.
  • Some people hate restrictions that they may have to deal with if in a relationship.
  • Believe us, but research says people who fear betrayal and separation often go for casual sex.
  • Some people are of the belief that getting into a relationship can spell doom for their career. Hence, they prefer casual sex to a committed relationship.
  • People who have a liberal view about love and sex feel relaxed and stress-free after the casual sex. In fact, quite a few people go for casual sex to beat stress and anxiety (both personal as well as professional).
  • For some, casual sex act as a mean to break free from the shackles of inhibitions and awkwardness.
  • While in casual sex, you can be yourself as there will be no one to judge you or your performance.
  • Strangely, some people discover their true self during casual sex. It gives them a direction, an idea about what they want from life.

Demerits
With so many benefits, casual sex comes as the best option available. But what is a bed of roses without thorns?

  • Not knowing the person you are having sex with can be risky. Incidences of STD and other related disorders are more likely to affect people going for casual sex.
  • People get into casual sex to deal with stress and anxiety, yet the casual sex may end up leaving you mentally and emotionally drained and exhausted. Research suggests many people suffer from depression post a casual sex. There are chances that the casual fling may turn into something serious, at least for one of the partners. With time it may turn into a fatal attraction resulting in anxiety and depression.

Casual sex is a choice made by two individuals who prefer not to be in love. While it may be a boon for some, it can also turn out to be a bane for many. Drawing conclusions at this stage are not possible. It is an individual choice where you are solely responsible for both the good and the bad that comes with it. In case you have a concern or query you can always consult an expert & get answers to your questions!

3867 people found this helpful

Dependent Personality Disorder - How It Can Be Treated?

MD - Psychiatry
Psychiatrist, Ahmedabad
Dependent Personality Disorder - How It Can Be Treated?

Dependent personality disorder (DPD) is a frequently diagnosed personality disorder that is characterised by a strong need to be taken care of and a fear of being abandoned by important people in the patient’s life.
Symptoms include long-term dependent and submissive behaviours to elicit caregiving in others. The disorder is found equally in men and women.

Common signs

  1. Emotional dependence is one of the most common signs of DPD. Other signs are-
  2. Needy, passive, and clinging behaviour, and an intense fear of separation
  3. Inability to make everyday decisions without other’s advice and reassurance
  4. Avoidance of adult responsibilities
  5. Acting passive and helpless all the time
  6. Oversensitivity to criticism
  7. Lack of self-confidence
  8. Difficulty being alone
  9. Willingness to tolerate abuse from others


Causes of Dependent Personality Disorder ​(DPD)
Chronic physical illness or other psychological disorders like separation anxiety disorder in childhood can predispose a person to the development of dependent personality disorder. The exact cause of DPD is not known but several factors are involved like genetic, behavioural, psychological and temperamental.

Impaired parenting styles may also be to blame.
However, research suggests that no single factor is solely responsible rather, it is the complex and likely intertwined nature of all three factors that are important.

Treatment
Many people with a dependent personality disorder don’t seek treatment till it starts to significantly interfere or impact their lives. This usually happens when a person can’t cope with stress due to life events.
People with DPD are more prone to develop depression or anxiety symptoms.

Treatments for DPD are focused around psychotherapy, a type of counselling. Its goal is to help a person become more active and independent and to learn to form healthy relationships. The psychologist prefers short term therapy with specific goals when the focus is on managing behaviours that interfere with day-to-day functioning.

Assertiveness training helps the person with DPD develop self-confidence and cognitive-behavioral therapy (CBT) helps him or her develop new attitudes and perspectives about themselves that are positive. However, change in someone's personality structure usually requires long-term psychoanalytic therapy. In this type of therapy, childhood experiences are examined for formation of defence mechanisms, coping styles, and patterns of attachment in relationships.

DPD is the most difficult personality disorder to treat because of the patient’s strong need for constant reassurance and support. It is also very important for the doctor to monitor patient dependency.
Group therapy can also be helpful, although care needs to be taken so that the patient doesn’t use groups to reinforce dependent relationships in his life. Medication is also used though it’s not very effective. Medicines usually help DPD patients manage their depression or anxiety but not DPD. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

4986 people found this helpful

High Functioning Depression & Anxiety!

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
High Functioning Depression & Anxiety!

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. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

3508 people found this helpful

Popular Questions & Answers

I'm a mother of 9 months baby. My anxiety is going severe day by day. Im taking anti depressant from last 4 months. How long will it help me and how to come out of it.

MD - Psychiatry
Psychiatrist, Chennai
If you are taking medications and anxiety is still there, either the medication dose or type needs to be revised. One third of people will require short course for anxiety, others might need for a longer time. Consult a psychiatrist, All the best.
9 people found this helpful

Hii I am 22 years old. I was taking dulot 60 mg & mirtaz 0.75 for mixed anxiety & Depression. after taking 6 month I hv improved partially. As I am unable to consult doctor for unavoidable circumstances can I stop medicine as it is worsenly affecting my digestive health. I have discussed it with my doctor in my previous meet but he advised to continue. what should I do now?

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Since you are already on medication I suggest you talk to your treating Psychiatrist and convey your current symptoms to them. It is possible that some changes in medication dosages will help improve the symptoms. As they are familiar with your history it is always better to have a discussion with them regarding this situation.
2 people found this helpful

I have suffering from anxiety and depression fast from 5 years but it can't cure completely so please give the solution for my problem.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi lybrate-user Apart from medication you will benefit a lot from counseling and therapy Take counseling from me or any psychologist for same All the best You will be out of it.

M always feeling guilt and always think that God Will angry with me. He Will punish me. I always used to visits the temples compulsively and become extravagant. What is problem is with me?

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
Obsessive-compulsive disorder (OCD) is a common mental health problem. Symptoms typically include recurring thoughts and repetitive actions in response to the recurring thoughts. A common example is recurring thoughts about germs and dirt, with a need to wash your hands repeatedly to "clean off the germs" However, there are many other examples like sexual thoughts, counting, checking, orderliness, etc. The usual treatments are cognitive behavioural therapy (CBT), a selective serotonin reuptake inhibitor (SSRI) antidepressant medicine, or both. Treatment often works well to reduce the symptoms and distress of OCD greatly. All the best.

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?
Play video
Postpartum Depression Or Postnatal Depression
PPD depicts a type of mood disorder which is associated with childbirth and can affect both males and females. It usually onsets between one week / month following birth of child. Treatment for PPD may include counseling or medications.
Having issues? Consult a doctor for medical advice