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Did you see the news last December that Terry Pratchett has Alzheimer’s. He is only 59. When I was younger, we used to congratulate anyone who approached their sixtieth birthday without dying. Now, with the improvements in diet and medical science, we all expect to live a lot longer. This is all a little double-edged.

As I grow older, one of the things I fear is that my mind may die before my body. There is nothing more depressing than watching your own personality disappear, leaving nothing but apparently immortal flesh behind. As an interested spectator, I have had relatives who sat or lay like vegetables in nursing homes for several years while we all waited for them to die. Which makes the anecdotal point that depression affects many when they are diagnosed with Alzheimer’s. As the disease progresses, depression also spreads to the immediate carers in the family, other relatives and friends. Perhaps we carers should all be reaching for the Zoloft.

The clinical evidence suggests that about 25% of people with Alzheimer’s suffer persistent depression, although there are no formal studies that map the relationship between the two. What we can say is that, when it arises, depression significantly affects the quality of life for all involved. Patients can be more quickly shuffled off into a nursing home or there is a risk of suicide by any of those involved.

The research links serotonin and the neurotransmitter systems with depression, but the evidence for the use of Zoloft and other Selective Serotonin Reuptake Inhibitors (SSRIs) in the treatment of those with Alzheimer’s has been patchy. Part of the problem is in assembling statistically significant sized groups of participants with broadly similar levels of symptoms (from mild to demented). The other problem is money. In the UK, there are about 700,000 people with Alzheimer’s, but only £10 per patient is spent each year on research into the disease — less than 5% of the amount spent on research into cancer. However, in Arch Gen Psychiatry, Jul 2003 there was a slightly better attempt made to test the safety and effectiveness of Zoloft for both the person with Alzheimer’s and, indirectly, for the caregivers. This was a 12-week randomised, placebo-controlled trial.

The first piece of good news was that the intellectual level of people diagnosed with Alzheimer’s who received Zoloft remained relatively stable, whereas the placebo group declined. However, there is a problem in that the evaluations were based on the caregivers’ reports and their expectations (and hopes) may have played a part in skewing the results. Nevertheless, the finding is interesting. There were few side effects in those who took the Zoloft.

The second piece of good news is that Zoloft did reduce the depression experienced by the Alzheimer’s patient and this significantly relieved caregiver distress. Given that private care is usually of a better quality than institutional care, this is a major step forward. It also has significantly economic implications for the state that may otherwise have to subsidise long-term care in an institutional home or hospital. Those receiving the Zoloft were less likely to wander around, or become agitated or aggressive. If confirmed in continuing trials, such behavioural improvements will mean that caregivers can continue to give personalised and individualised care for longer. This may slow the loss of personality and lessen the burden of guilt when the patient is finally sent into an institution.

So should all of us Baby Boomers reach for the Zoloft if we feel ourselves slipping away or bulk buy Zoloft for distribution to our potential caregivers? Well, this research is simply a useful indicator. There are many difficulties in relying on one set of findings to give generalised advice. I suppose that is the benefit of continuing research. So long as it delivers good news before we die, of course.

About the author:
Living and working in Northern New Jersey, John Scott has helped people from all over with his knowledge of Zoloft. To learn more, visit http://www.forgetdepression.com today.

Legal systems are not all about the top court. There can be many layers underneath where cases and principles in dispute bubble up as the injured seek justice. One of the most contentious of the current issues in the United States is the idea of pre-emption. That state legislators should be allowed to shield the pharmaceutical manufacturers from liability even though their medications or medical devices may have injured people. The justification is that the Federal Government has delegated the task of regulating the safety of medications and medical devices to the Food and Drug Administration (FDA). The courts therefore do not have the expertise or the right to second-guess the Federal body.

So, here we comes McNellis v. Pfizer Inc. which was decided by the 3rd U.S. Circuit Court of Appeals in tandem with Colacicco v. Apotex Inc. The plaintiffs allege fault because the manufacturers of zoloft and paxil failed to give adequate warnings. Both are Selective Serotonin Reuptake Inhibitors (SSRIs) used to treat depression. Patients taking either zoloft or paxil committed suicide. Although there is a black box notice that warns of the risk to some extent, the FDA refused wording in a stronger and more explicit form. The cases brought before the state courts of Pennsylvania and New Jersey reached opposite conclusions. On appeal, it was decided that state laws do pre-empt the right to claim that there was no adequate warning of the risk of suicide.

Whether the FDA should or should not enforce a more strict labelling system has been the subject of debate for some years. The SSRIs including zoloft are associated with changes in mood, particularly among the young. Now, in one sense, that is exactly what a pharmaceutical company making an antidepressant would want to hear. The medication is supposed to change the mood of those who take zoloft for the better. But moods can swing both ways and, just as zoloft may have its successes, so it may not help or exaggerate depression.

Warning notices are, however, equally two-edged. Also published this month in the Canadian Medical Association Journal is research into the consequences of the warning published by Health Canada that there was an increased risk among younger patients taking SSRIs including zoloft. In the two years after the warning, there was a 25% increase in the number of suicides in Manitoba. Two further facts may be stated: there was a significant reduction in the number of younger patients brought forward for treatment, and a 14% drop in the number of prescriptions written for patients under the age of eighteen years.

When potentially suicidal people go untreated, some will commit suicide. Let us put the SSRIs including zoloft to one side. Therapy and counselling might have saved more lives. But the warning put out by Health Canada was vague. It did not instruct doctors or their patients how to react. Were they to stop prescribing or taking zoloft? Were they to change the dosage of zoloft? What change in the symptoms after taking zoloft might indicate danger? When some parents are ashamed of their children’s illness, it can be difficult to get them to bring their children for treatment. Put out a vague warning with no specific recommendation on how to react, and prejudices are confirmed and the children are left untreated.

The Canadian research only examined the evidence as it affected people under the age of 18 years. We do not know how adults responded to the warning on either side of the Canadian/American border. But Health Canada and the FDA should take greater care in their warnings. Information has no use if you are not told how to use it effectively. It seems that in America, the courts are not willing to allow themselves to be used to penalise the manufacturers if the FDA gets the warnings wrong. I wonder when we can expect research along the Canadian lines to examine the suicide rates in America before and after the FDA’s warning.

About the author:
There is more information about depression treatment at http://www.forgetdepression.com. Read more by John Scott on the Zoloft today.

Finding the best antidepressant for you can be a challenge. Don’t be surprised if you have to try more than one drug before you find one that works well for you. Many doctors continue to rely on well established drugs known as tricyclic antidepressants. These drugs are often very effective in relieving depression, but they usually take some time two to six weeks to become fully effective. They may also have unpleasant side effects such as constipation, dry mouth, blurred vision, urinary retention and drowsiness, and they may be less safe for people with heart disease than some of the newer drugs. Even though these side effects diminish or disappear after a few weeks, many older people find them especially difficult to tolerate and they may stop taking the medication altogether.

Your doctor may recommend an older tricyclic antidepressant such as imipramine (Tofranil) and doxepin (Sinequan). Although these can work well, a newer group of tricyclics for example, nortriptyline (Aventyl) and desipramine (Norpramin) seem to be better tolerated, especially by older people. In recent years a new generation of antidepressant drugs known as SSRIs (selective serotonin reuptake inhibitors) has been developed. These drugs include fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil) and fluoxamine (Luvox). They also take between two and six weeks to show some benefits, and while they are usually (but not always} as effective as the older drugs, they tend to have fewer or at least more tolerable side effects. This makes them ideal for many older people. If you take one of these drugs, you may experience some nausea, headaches or agitation, but such side effects may disappear. Even so, they should always be reported to your doctor.

Finding the right dosage is extremely important. If the dose is too low, the drug won’t be effective; if it’s too high, you may experience unpleasant side effects. Recent studies have shown that older people can )obtain relief with lower doses of antidepressant medication, so your doctor may adopt a “start low, go slow” approach. Because antidepressants start to work only when they reach what doctors call a “therapeutic level” in your body, it’s vital that you give these drugs enough time to work. This can be difficult if you’re experiencing side effects, but most doctors recommend that you try each medication for at least four weeks before giving up and switching to a different drug.

Most people have to remain on antidepressant medication for many months, even after they begin to feel better. How long you continue to take the drug depends on your general health, the severity of the depression and whether your depressions tend to recur. You should never stop taking antidepressants suddenly, since this can cause problems. Instead, your doctor will advise you to taper the dosage down gradually. If your symptoms recur, you may have to take antidepressant drugs indefinitely.

About the author:
Learn more about depression medication and tips for its treatment. Finding the best antidepressant for you can be a challenge, you can easily learn more about them on authors site.

There is one simple explanation for those extra pounds of weight. Too much food! The way the body works is very simple. If you get just enough calories for basic things like breathing, you have to burn fat to get the energy to walk around. Eat more calories than you need given your basal activity level, and your body puts on fat. Your body is actually protecting you against the next famine when you will have nothing to eat and need your fat to survive until the next sandwich comes along.

Now turn to many of the forum sites where people discuss their experience with zoloft. The general spirit of these posts is, “I weighed 120lb until I took zoloft. Now I am . . .”

A simple test rules out thyroid problems, one of the more common physical explanations for sudden weight gains and this leaves us with lack of exercise combined with overeating. . . and a side effect of zoloft. It is a natural association to make. You start taking a medication and immediately you put on five pounds with no obvious change in your diet or level of physical activity. So, let us start off by accepting that some people react to medications by putting on weight. Why? The medication may increase or decrease the basal metabolic rate. If this happens, your weight may fluctuate even though you do not change your caloric intake. In some people, the medication can cause hormonal changes and increase appetite. Increased levels of serotonin are also associated with hunger pangs which encourage you to eat more.

Now we are into the business of balancing the advantages and disadvantages of the particular medication. Let us say that zoloft has made a dramatic improvement in your emotional life. For the first time in months (or years), you do not feel (so) sad. If you have put on a few extra pounds, is that a price worth paying? Or will you get depressed again because your body has become less attractive? As a gentle warning, if your regular doctor asks you whether you want to try a different medication, zoloft causes less weight gain than the tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs).

Back to denying the link. After all, the SSRIs were first promoted as anti-obesity medications. Like all decisions on whether to start a medication, you are dealing with unknowables. There is no doubt that some people eat more when they are depressed. Unless you have been keeping a food diary which counts calories, it will difficult to know how your eating habits have changed as the depression increased in intensity. You may already be putting on weight when you start taking the zoloft. Now let us reverse the psychological reaction. When people start feeling less depressed, they eat less and this reduces their weight. In other words, when the depression is cured, you may return to your healthy eating habits. Separating out the effect of the medication from the reality of the number of calories you eat is very difficult. It is easy to confuse coincidence with side effect.

So how should you react if you start zoloft and gain weight? Whatever else you may do, do not stop taking it. First, start counting calories properly. Start exercising. These are most likely to stabilise your weight. Only if you do change your diet and exercise to no effect, should you talk with your doctor. If self-help has failed, see what the professional recommends.

About the author:
Living and working in Northern New Jersey, John Scott has helped people from all over with his knowledge of zoloft. To learn more, visit http://www.forgetdepression.com today.

This one’s for all of you who feel like all the little things in your life are out of control. lf you have so many things to do that you can’t seem to finish any of them, take thirty minutes and complete just one of the short chores listed below. You’ll get a feeling of accomplishment you could never get from half finishing twenty different chores. None of these chores takes very long, but they are all things that a lot of people have a hard time getting around to. When they remain undone, they weigh on your mind and add to your stress and the sense that you aren’t able to keep things under control. Doing just one thing on this list each day can make a huge difference in how you feel about yourself. Try it for a week. You’ll see.

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Clean out your car. Throw out all the trash, return the recyclables, put everything back in the house that belongs in the house, and attack those floor mats with the hand vac. Then, wipe down the windows with glass cleaner.

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Clean out your purse or wallet. Throw away all the junk you don’t need. File the receipts. Put everything in the right place. Flatten out your money and stack it so that all the bills face the right way. Clean out all the loose change and put it in a jar somewhere. (If you do this every day, you may soon have enough change in that jar to cover college tuition.)

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Clean out the coat closet. Take out all the things that don’t belong in there and put them away properly. Hang up all the coats that have fallen or have half fallen off the hangers. Store all the scarves, hats, mittens, and earmuffs in a bin. Give away all the stuff that doesn’t fit anymore or that nobody wants. Wow! Who knew you had all that space in there?

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Balance your checkbook. Quit griping or dreading it. Just go do it.

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Call the dentist and make that appointment. And keep the appointment!

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Go to your desk and take one manageable stack from your many stacks of things that need to be filed or put away, and file or put away everything in that one pile.

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Drink a really big glass of water, all the way. Finish the whole thing.

* Make your bed. Just do it.

About the author:
Learn more self help tips for depression treatment from authors site. Also there are many related products which might be helpful in depression treatment.

For a long time, it’s been well recognized among bipolar researchers that mania and depression can affect sleep patterns. When a bipolar sufferer is experiencing acute mania, he may be too manic to sleep. Conversely, when he is going through a depressive episode, he may sleep too much and literally not feel like getting out of bed.

What many researchers have discovered as well is that the manic/depressive cycle works both ways. In other words, a lack of sleep can potentially trigger manic episodes. Studies are showing that up to 60 percent of bipolar suffers who have gone through a manic attack experience some sort of disruption in their normal sleep cycle prior to having the attack.

We all have had experiences when at the most inconvenient time possible, we were interrupted by life. Social rhythm disruptions, or SRDs, are life events that disrupt our established routines such as a sleep pattern. In normal people, i.e., those not suffering from bipolar disorder, this is not a big deal. We shrug it off and eventually return to our regular patterns. In bipolar patients, however, a social rhythm disruptions in their sleep pattern can directly trigger a manic attack.

This is why many health care professionals advise that their bipolar patients write up a sleep schedule for themselves and keep to it. This means going to bed at the same time each night and getting up at the same time each morning – even on weekends. Keeping to this schedule will keep “social rhythm disruptions” to a minimum and lessen the chances of a manic attack. As a general rule, following a sleep schedule also means not taking a nap when you’ve had a hard time sleeping the previous night. Taking a nap would simple be another form of social rhythm disruption and would not help in the long term.

Lack of enough sleep will make anyone irritable and cranky. Most of us, however, will simply be able to fall asleep the next night and “catch up on our sleep” and be perfectly fine the next day. Bipolar people can not always do this. They may be unable to go to sleep thus triggering a manic attack the next morning. The manic attack will lessen their desire to sleep and they will not sleep much the next night either. It is a frustrating and potentially deadly cycle.

It can be difficult for a bipolar person to keep to a sleep schedule without the help of family members. Including family members in the treatment discussions with the health care giver is good for everyone. It helps the family members to understand how critically important it is that the bipolar sufferer keeps to a regular sleeping routine. It helps the bipolar person by giving him emotional support and making him feel less abnormal.

Strong family support is especially important when the bipolar sufferer is a teenager who, in many; cases, is already going through a stressful period in his life at a time when peer pressure tends to make outcasts of those that don’t appear to be normal. But even in adult cases of bipolar disease, the support of a loving family cannot be over estimated.

About the author:
Julie Frey is webmaster of http://www.bipolarsickiness.com who writes articles relating to citalopram/bipolar .

Postpartum Depression is a type of depression that a mother experiences immediately after childbirth. It is more serious and lasts longer than ‘baby blues’.Postpartum depression occurs in approximately 10 percent of childbearing women.

Depression can be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for short periods. But true clinical depression is a mood disorder in which feelings of sadness, loss, anger, or frustration interfere with everyday life for an extended time. Depression can be mild, moderate, or severe. The degree of depression, which your doctor can determine, influences how you are treated.

Around ten to twenty percent will experience major depression symptoms following the birth of their child. These symptoms–anxiety, irritability, insomnia, feelings of guilt, difficulty concentrating, persistent weepiness or sadness–are persistent and intense as compared to the milder “baby blues”. Onset of symptoms is usually within the first six weeks antepartum. These symptoms can last a year or even longer, although three to six months is the average. Hormones are also thought to play a role in this type of postpartum depression, but family and patient history of depression, lack of support and negative life events are risk factors as well. Postpartum depression responds well to antidepressants and therapy.

A form of severe depression after delivery that requires treatment. It is sometimes said that postpartum depression (PPD) occurs within 4 weeks of delivery but it can happen a few days or even months after childbirth. A woman with PPD may have feelings similar to the baby blues — sadness, despair, anxiety, irritability — but she feels them much more strongly than she would with the baby blues. PPD often keeps her from doing the things she needs to do every day. When a woman’s ability to function is affected, this is a sure sign that she needs treatment.

Postpartum psychosis, which is a much more severe and dangerous form of postpartum depression is extremely rare and only affects about 3 women in every 1000. Very rarely – in about 1 or 2 out of 1,000 previously-normal women – the depressive symptoms precede an acute psychosis. Most of the psychoses appear within two weeks of childbirth and disappear within two months, although they can continue longer. Signs of postpartum psychosis usually occur within the first few weeks postpartum. In some cases childbirth may result in low thyroid levels, which may also be a cause of depression.

As with premenstrual syndrome, very little is known about psychiatric illnesses that develop following childbirth and whether or not they differ from depressions and psychoses that occur at other times. In addition to the dramatic hormonal shifts that take place following childbirth, stressful life events, marital problems, fear of mothering, overly high expectations of motherhood, and lack of social supports may influence whether a woman progresses from the blues to a clinical depression.

Postpartum psychiatric illness was initially conceptualized as a group of disorders specifically linked to pregnancy and childbirth and thus was considered diagnostically distinct from other types of psychiatric illness. More recent evidence suggests that postpartum psychiatric illness is virtually indistinguishable from psychiatric disorders that occur at other times during a woman’s life.

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Depression exists in the emotional part of the brain. Brainswitching uses basic mental exercises to switch the neuronal activity from the emotional part of the brain (the subcortex) to the thinking part of the brain (the neocortex) which does not have the capacity for depression.

The symptoms of depression are really very difficult to understand. This is because you will never come to know if you do not remain patient and attentive. The depressed person will never ask for help. Whether of any type, depression has some common symptoms experienced by all patients. These include feelings of sadness, Hopelessness, sleepless nights, worthlessness, high degree of irritability and overreaction to some situations. You feel that you are not worth living in this world and do not want to go out and socialize. You may also bring down the productivity at work.

There are several different types of depression (mood disorders that include depressive symptoms):

Major depression is a change in mood that lasts for weeks or months. It is one of the most severe types of depression. It usually involves a low or irritable mood and/or a loss of interest or pleasure in usual activities.

Dysthymia is less severe than major depression but usually goes on for a longer period, often several years. There are usually periods of feeling fairly normal between episodes of low mood. The symptoms usually do not completely disrupt one’s normal activities.

Bipolar disorder involves episodes of depression, usually severe, alternating with episodes of extreme elation called mania.

Causes

Improper sleeping patterns are both the cause and consequence of depression. So why does depression cause insomnia? The answer lies in the fact that people suffering from depression have a difficult time controlling the different mood and sleep hormones. The hormones you need to improve mood and energy are not the same ones you need to help you sleep.

Long-term High Stress Level In this situation, the patient is depressed but can’t quite put their finger on the cause, the “I’m depressed but I don’t know why” condition. Imagine running a video tape of your life, reviewing the past 18 months. Look at the stress you’ve been under, the amount of responsibility, the number of pressures, and the number of hassles. In actual clinical practice, this cause of depression is seen more often than sudden loss. This type of depression creeps up on you. When this type of depression is experienced, the patient offers comments such as: “I don’t know what’s wrong!” “I don’t know how I feel.” “My feelings are numb.”

Physiological Symptoms of Depression

Many depressed people can actually feel a change in their bodies. For some it is a churning feeling, particularly in agitated depression. Others experience a sensation of heaviness with lethargy and even physical pain. Some have difficulty digesting food.

One thing common to almost every form of depressive illness is treatability. The approach may vary depending upon the nature and severity of the illness but the prognosis is usually excellent – so long as the sufferers are prepared to take an active part in their own treatment. In fact most types of therapy are based upon the client’s own choices and participation.

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If you’ve ever found yourself filled with such anxiety that you can’t function you may have SAD or social anxiety disorder. It could be triggered by having to speak at a public event. Or any situation where you have to appear in front of a group of people. Or it could be triggered by a simple trip to the mall. No matter the cause, millions of people suffer from SAD, mostly in silence.

Social anxiety is the abnormal, excessive, and unreasonable fear of common social interactions. It is the anxiety of being judged by others. Social anxiety is a general fear of being around people and having to interact with them. Over 15 million Americans suffer from this disorder which manifests itself in feelings of inadequacy, embarrassment, nervousness, and anxiety to the point where they can’t function normally in public situations.

SAD sufferers typically have low self esteem and an overriding fear of rejection. SAD can also prevent sufferers from forming personal relationships with others and cause tensions in existing relationships because of their fear of being embarrassed in social situations. They can become house hermits walling themselves off normal social contacts with people. They can be acutely aware that their symptoms are irrational and yet be unable to do anything about them.

Social anxiety, also known as social phobia, is not very well understood by the general public or even health care professionals. It is often confused with shyness because shy people often fell uncomfortable in public situations and uneasy around people as well. But shy people don’t necessarily experience the intense feelings of anxiety that a person suffering from SAD will. Also, people who have been diagnosed as having social anxiety are not necessarily shy.

Another reason that social anxiety disorder can be difficult to diagnose is that it’s physical symptoms vary among different people. Some common symptoms are blushing, nausea, trembling, dry mouth, twitching, hot flashes, and sweating. In full blown episodes of anxiety, the psychological dread can result in a sense of panic so extreme that it may trigger a panic attack.

There is no single known cause of social anxiety disorder, but some studies indicate that social anxiety disorder may be triggered by a chemical imbalance caused by a lack of serotonin in the brain.

The most common treatment for those suffering from social anxiety disorder is cognitive behavioral therapy or CBT. In this therapy, the therapist works closely with the patient both to help him identify his fears and to provide him with coping mechanism to combat them. CBT also is helpful in improving the self-esteem and social skills of the sufferer. CBT has been effective in treating many but not all patients.

In cases where CBT has not been effective, drugs such as Paroxetine may be prescribed for social anxiety symptoms. Other types of prescribed medications that have been used to treat SAD are antidepressants such as Paxil, Librim, Valium, and others.

Unfortunately many SAD suffers often never seek the help that could alleviate their symptoms because they either don’t realize that they have the disorder or they don’t realize that help is available for them.

About the author:
Karen Larsen is a writer for http://www.anxietyinamerica.com who writes on subjects such as the anxiety disorder test – what to expect and other disorders. You can find more about anxiety disorders at her web site.

The general definition of depression is a psychological disorder that affects a person’s mood changes, physical functions and social interactions.

Depression is an illness in which factors such as genetics, chemical changes in the body and external events may play an important role. is a psychological condition that changes how you think and feel, and also affects your social behavior and sense of physical well-being.

Depression Symptoms

There are lots of reasons for a person to get depressed but you can easily identify the symptoms of depression and help the person to overcome it. Few symptoms are easily identifiable .The symptoms like Over weight or loss of weight, insomnia or excessive sleep can be the symptoms of depression.

Although it is often classed as ‘mental illness’, clinical depression often has as many physical symptoms as mental. The feelings or emotions that are depression symptoms actually begin to cause the physical effects. How this happens is a vital part of understanding depression and the symptoms that come with it.

Depression Causes

There is no single cause of depression. Early life experience, genetic predisposition, lifestyle factors, and certain personality traits all play a part in causing depression. Something that causes depression in one person may have no effect on another.

The causes of depression are many. Depression is a complex disease that can occur as a result of a multitude of factors. For some, depression occurs due to a loss of a loved one, a change in one’s life, or after being diagnosed with a serious medical disease. For others, depression just happened, possibly due to their family history.

Depression Remedies

Herbal remedies are used by many people suffering from anxiety or depression. It is therefore important to know whether they generate more good than harm. A systematic review of the published literature revealed trial data for Ginkgo biloba, Lavandula angustifolia, Hypericum perforatum, Valeriana officinalis, Crataegus oxyacantha, Eschscholzia californica, Matricaria recutita, Melissa officinalis, Passiflora incarnate and Piper methysticum.

Relaxation and meditation are also effective measures in the treatment of depression. The best method of relaxation is to practice shavasana or the dead pose. Meditation involves training the mind to remain fixed on a particular external or internal location. Mediation helps to create balance in the nervous system. One of the Effective Home Remedies for Depression.

Depression Treatment

Psychological treatment of depression (psychotherapy) assists the depressed individual in several ways. First, supportive counseling helps ease the pain of depression, and addresses the feelings of hopelessness that accompany depression.

Depression is not a disease, which you can leave untreated no matter what is the intensity of depression it needs treatment. As depression is a recurrent illness, it is suggested that successful short-term treatment be pooled with ongoing, maintenance therapy. A person suffering from depression can have chronic mental illness that requires medication and psychiatric therapy together.

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