banner-depression

banner-depression

Depression

If you are feeling depressed, I would recommend exploring this through counselling & Psychotherapy.  If the depression feels severe and prevents you functioning day to day, you may also wish to get help from your GP, however please ensure you find out as much as you can about any medication they suggest for your depression.

What therapy can do is help you explore feelings of depression, find the root causes of the feeling, and support you to work your way through those feelings. I can’t take away your depression. I do see it paradoxically as a potential space for healing and change, rather than something to be medicated away.  I will support you to find ways to cope with your depression and the impact it has on your life.  This may mean making changes to your life, or finding acceptance for elements that cannot be changed.

When you are depressed, it can feel like things are hopeless and will never change.  This is seldom the case, although it may take more time than our manic culture wants it to. Depressed feelings can be a healthy response to difficulties in your life, although not ones you would normally welcome.  I will support you to explore this and make sense of it.  Often, this action alone is enough to shift those feelings of hopelessness.

Here is a link to a video talk on depression that I think worth watching: Can Depression be good for you?  While this video gets technical and intellectual at times you may find it interesting.  You may also find helpful The Recovery Letters, which are written by those recovering from depression.

When considering antidepressants to support your mental health, please bear in mind the following conclusions reached by Professor Joanna Moncrieff & Dr Tom Stockmann. Ref.; Guy, A., Davies J., Rizq, R. (Eds.) (2019). Guidance for psychological therapists: Enabling conversations with clients taking or withdrawing from prescribed psychiatric drugs. London: APPG for Prescribed Drug Dependence.

Although antidepressants have been claimed to work by reversing underlying neurochemical abnormalities, no consistent abnormalities have been demonstrated in depression, and there is little evidence that antidepressants work in this way. Antidepressants show a minimal degree of superiority over placebo in short-term clinical trials (usually eight weeks) of depression. The small difference could be explained by drug- induced effects of antidepressants, such as sedation and emotional blunting, boosting improvements on depression measurement scales, as well as methodological factors in trial design, analysis and publication, which can artificially inflate drug-placebo differences. Finally, the findings of the many short-term trials do not enlighten us about the effects of long-term treatment. Despite the fact that many people end up taking antidepressants for months and years, there is little robust research on the benefits and harms of long-term treatment.

Some psychoactive effects of antidepressants may be experienced or perceived as useful for some people diagnosed with depression. Such effects vary in strength and character depending on chemical class and composition of the particular antidepressant. For example, tricyclic drugs are strongly sedating, which might be experienced as useful for insomnia, or to reduce anxiety and agitation. SSRIs, whilst exerting weaker and more subtle effects, can induce a state of emotional numbing or restriction, which may reduce the intensity of people’s feelings. However, the fact that drug-placebo differences are so small, and easily accounted for by non-pharmacological factors, suggests that antidepressant-induced alterations may not be clinically useful. Moreover, emotional restriction and other drug-induced mental alterations may complicate successful engagement in psychotherapy.

emailchris

back2

TwitterFacebookLinkedInGoogle+

Copyright © 2020 Counselling & Psychotherapy in Marlborough, Hungerford, Ramsbury and Bedwyn. All rights reserved. Website by Web Squared.