Identifying the cause often leads to the best course of action. Was there a triggering event? If so, it is probably reactive (situational) depression: counselling, such as Cognitive Behavioural Therapy may be indicated, but most of life's adverse situations are resolved within 16 weeks, yet the medical criteria for depression, and the prescription of antidepressants is only 2 weeks!. Or, was it a more gradual thing, with no apparent cause? (a nutritional deficiency, hypothyroidism, environmental toxicity, or reactions to some medications, such as Advil (ref: Mercola.com) etc., becomes more likely as the cause). Antidepressants work quicker than the following; 2 - 6 weeks, but you may have to adjust dosage, or types. St. John's wort helps most people; tolerance doesn't develop, and the few side effects don't occur often, and even then are normally not severe (neither antidepressants, nor the wort, nor supplements should be relied on as a sole treatment). It doesn't cause sleeping problems, or weight change, but usually takes at least 2, and generally 4 - 6 weeks to become effective, but can sometimes work quicker than antidepressants. See http://www.ncbi.nlm.nih.gov/pubmed/10759336?dopt=Abstract A recent, independent German double blind study showed it to be as effective as a commonly prescribed antidepressant, in cases of major depression, with far fewer side effects, and those were generally better tolerated, with a lower rate of discontinuation.
Unlike antidepressants, where sexual dysfunction is a common side effect, it happens much more rarely with St. John's Wort (I didn't experience any). A multidimensional approach to treating depression without medication follows. All except for no. (7.) are safe to use with medication, but not SJW, because of interactions, and it's sensible to check out anything else first, like Ginkgo Biloba, Gotu Kola, or supplements, such as SAMe, 5HTP, or L-phenylalanine, with your doctor. (1.) Take at least 4 Omega 3 fish oil supplements, daily: (certified free of mercury) it is best if consumed with an antioxidant, such as an orange, or its FRESHLY SQUEEZED juice. If vitamin E is added, it should be certified as being 100% from natural sources, or it may be synthetic: avoid it! In the winter months, if not getting sufficient daily exposure to strong light, see http://www.mercola.com SEARCHBAR: enter: "vitamin D3". Go to a doctor and ask for a 25(OH)D, also called 25-hydroxyvitamin D, blood test. When you get the results, don’t follow the typical “normal” reference range, as these are too low. The OPTIMAL value that you’re looking for is 45-52 ng/ml (115-128 nmol/l)". The company which tests your levels has to be one of those using the correct form of test, and this topic is addressed via the searchbar at Mercola.com - "vitamin D3; testing". Also take a vitamin B complex which is certified as being 100% of natural origin; the deficiency in vitamin B9 (folate, or folic acid) that most depressed people have, is known to cause depression. Around 30% - 40% of depressed people have low vitamin B12 levels.
(2.) Work up slowly to at least 20 minutes of daily exercise, or 30 - 60 mns, 5 times weekly in daytime, outside. Too much exercise can cause stress, which isn't wanted when dealing with depression. (3.) Occupational therapy (keeping busy allows little time for unproductive introspection, and keeps mental activity out of less desirable areas of the brain). (4.) Practice a relaxation method, daily, and when needed, such as: (free) http://www.drcoxconsulting.com/managing-stress.html or http://altmedicine.about.com/cs/mindbody/a/Meditation.htm or http://www.wikihow.com/Meditate or Tai Chi, Qi Gong, or yoga. Give the EFT a good tryout, to see if it helps you. It is free at www.emofree.com Professional is best. - There is a version for use in public places, (if you want to, you can claim to have a headache, as you use the acupressuremassage/tapping on your temples, but you would then be restricted to subvocalising (repeating it to yourself in your mind) "Even though I suffer from depression, I deeply and completely accept myself." (5.) Initially, at least, some form of psychotherapy or counselling; later, perhaps either Cognitive Behavio(u)ral Therapy, (a free E course in it, which may well reduce the time needed in therapy, as should *, & ** is at: http://ecouch.anu.edu.au/welcome ) or Rational Emotive Behavio(u)ral Therapy for, say, 6 months. (6.) Maintain a mood chart, and daily activities schedule**. (7.) As options, if desired, either a known, effective herbal remedy, such as St. John's wort, (get a German variety, if possible; local ones may vary in effectiveness. Jarsin, Perika, and Kira brands have been recommended as being effective.
Take with a meal), Ginkgo Biloba, Gotu Kola, or supplements, such as SAMe, 5HTP, or L-phenylalanine: see: http://www.indepression.com/depression-natural-remedy.html (from vitamin and health food stores, some supermarkets have old/inferior types, or mail order: Google: " ... ; supplies"). 80% of people in the Western world have low magnesium levels; this is known to cause depression & anxiety. Try pharmacies & supermarkets for the magnesium supplement types shown in http://www.real-depression-help.com/magnesium-for-depression.html or magnesium chloride. Low levels of calcium, and potassium can also cause depression. Have your blood tested, and correct any deficiencies, preferably through improved nutrition. An improvement can be noticed in as little as a week, if a deficiency is the cause. Use sea salt, http://www.naturalnews.com/025883.html as many people are iodine deficient, adversely affecting thyroid function. Google: "depression quizzes" and if positive, print, and take to your doctor, to eliminate medical causes. Read: "Lift your mood now." by * John D Preston, Psy.D. 2001, New Harbinger Publications, Inc., 5674 Shattuck Avenue, Oakland. CA, & "Feeling Good - the new mood therapy" ** by David D. Burns, M.D., from your bookstore, or Amazon.com
IF TAKING ANTIDEPRESSANTS: I suggest that you check out www.drugs.com & www.rxlist.com and wean off, in accordance with http://www.theroadback.org/workbook.htm and begin the core treatments below immediately, and the herbal remedies, or OTHER supplements, like SAM-e, 5HTP, or L-phenylalanine, when below 50% weaning dosage. Most doctors are only taught: "antidepressants, therapy, and if resistant, ECT".
thanks so much 4 this info as ive had this condition 4 so long a have resaerched and tried everything hoping theres something new out there but i guess the best thing is to use natural medicine which im considering going back 2 because i dont want 2 b dependant or addicted 2 prescribed drugs anymore.