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Friday, December 12, 2008 Clark asks

Q: Can major depressive episodes, seperated by many years, be part of the same Major Dep. Disorder?

I was originally diagnosed and treated for a Major Depressive Disorder, Eating Disorder, and uncontrolable bouts of anger.  This diagnoses and treatment occurred in late 2000.  I understand that the eating disorder and anger are part of the depression.  This occurred while I was in the armed forces.  I was discharged in 2001.  Prior to discharge I was attending appointments with a psychiatrist and taking remeron.  After discharge I no longer had appointments with a psychiatrist and no longer took medication.  I continued to have highs and lows but, in my opinion, no other major depressive episodes.  This was until late 2007, when I had another major depressive episode.   Now I take Cymbalta 60 mg. daily and my family doctor believes that this will be a long term / lifelong condition.  Really I have a couple of questions. 

 

1) I do not feel that my treatment was complete, in the service,  because when they discharged me they stopped the meetings with the psychiatrist and stopped my access to the medication.  If the treatment was not complete would this increase the likely hood of recurrence?

 

2) Some of the research that I have done shows that once a person has their first episode there is a 60% chance of a second.  Once they have a second episode there is a 70% chance and the percentage increase with every episode.  Is this information correct?

 

3) Are Major Depressive Episodes the disorder itself or are they characteristics of a larger disorder like Major Depressive Disorder or Bipolar?

 

4) My major depressive episodes were seperated by many years.  I understand that episodes vary between individuals and can be seperated by many years.  Are both episodes part of the originial disorder I was diagnosed with?

 

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Answers (1)
Merely Me, Health Guide
12/17/08 5:28pm

Hey Clark

 

You ask a lot of really good questions.  I am not sure I can adequately answer them all as I am not a therapist or anything.  I am just a fellow sufferer of depression myself.

 

I am surprised that your family doctor told you that your depression is life long.  On what basis did he/she make this claim?  I would definitely get a second opinion on that from a qualified therapist/psychiatrist.

 

I am going to go out on a limb here and say that if the treatment you were receiving was effective and then you had to suddenly stop...I would guess that yes...this would increase your chances of a relapse into depression.  It is a shame that it happened that way.

 

I would need to read up on the stats about whether or not each depressive episode makes it more likely to have another.  You can find all these stats but what matters is...your unique pattern of depression.  Nobody has a crystal ball to know what will happen in your future.  You may just be the outlier who does not have repeated episodes of depression.

 

As for your other two questions...in reading between the lines...I think what you are asking is...what is it that I have and what can I expect?  In order to have these questions adequately answered you may have to visit a therapist or psychiatrist to ask about your diagnosis.  I would concentrate on the depression you are currently experiencing.  The past is important but it is not the sole indicator of what will come. 

 

I think you are wanting specific answers so that you can accurately make predictions of what you can expect in the future.  This is a natural response to being told that you have depression.  In my experience and in my humble opinion...there are no black and white answers.  But there is always hope.

 

I wish the best of luck and thank you for reaching out here.

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By Clark— Last Modified: 12/25/10, First Published: 12/12/08