Major depression treatment guidelines

Common Questions and Answers about Major depression treatment guidelines


Avatar n tn Ritalin is a psychostimulant that is used to treat Attention-Deficit/Hyperactivity Disorder (ADHD), but is not approved by the Food and Drug Admnistration (FDA) for treatment of major depression. Transcranial magnetic stimulation (TMS) is a technique, in which localized magnetic pulses are applied to the head, directed at the left dorsolateral prefrontal cortex.
Avatar n tn I'm a 65 year old male who has been treated for depression ( slept all day on couch at its worst) for the past 6 years, seeing a shrink ( 4 different ones to find a doctor who could help) and being treated by taking many different antidepressants, right now I'm on 60 mg Cymbalta and did feel a little better. Cymbalta had the side effect of eliminating my sex drive and performance to zero. So I saw a urolgist and got my testosterone checked, it was low normal, but he still prescribed Testim.
209591 tn?1267418314 Yes I have read up on him, I really do not know what my doctor's next course of action will be, I have not heard from his office since they called with the test results. I am due to see him next Thursday, but in the mean time I am sitting here driving myself crazy, trying to figure out if I will have to go through this mess the rest of my life. Trying to figure out if I will ever get back to the way I was before Lyme Disease, I am only 25. These last 13 months have been a major eye opener.
537639 tn?1232057169 Interferon alpha is given by injection just under the skin and has a number of side effects, including flu-like symptoms, headaches, fever, fatigue, loss of appetite, nausea, vomiting, depression, and thinning of hair. Treatment with interferon alpha may also interfere with the production of white blood cells and platelets. Ribavirin is a capsule taken twice daily, and the major side effect is severe anemia (low red blood cells). Ribavirin also causes birth defects.
Avatar n tn Everyone I have ever known or heard of that got off any opiates was left with severe depression. Is this a standard side effect and how long will it last and how is it best treated? My friend's nephew just went to an addiction doctor who gave him buprenorphine injections and other scripts to get off pain pills. When he asked about an anti-depressant the doctor said "no mood enhancers for addicts." This seems unusual to me.
748543 tn?1463449675 For the past few weeks I have been throwing around ideas as to the best way to respond to this matter. You see a recent article ( Feb.3 , 2009 NY times) titled "Best treatment for TMJ May be Nothing" nearly made me clench my jaw to pieces. While well written, I found that the author, Ms. Brody, relied heavily on out dated and narrow perspective supplied to her by a small group of dentists.
Avatar n tn Since the beginning of my 3rd year infected I followed my doctor's rules and guidelines and last year I started my Peg Intron with Rebetol treatment for 48 weeks. It was hell, but I pushed through barely missing work or school. Now only three short months after the completion of my treatment we have found that it did not work. My question is what is the next step? Can you reattempt the meds? Are there other alternatives?
Avatar m tn I am here to just ask you guys if this last weekend of minor debauchery should be of major concern, or what? Is my whole treatment in jeopardy, or if I sober up do I still have a solid chance? Is it really the end of the world, or can I look forward to a happy successful recovery, so long as I stay sober here on out? Should I tell my doctor? Thanks you guys.
Avatar n tn Please let us know your first hand experiences with this new treatment for opiate addiction. Thanks. I wonder if you keep building a tolerance, rendering it ineffective, like other opiates, or if it really "holds" you. All insights will be appreciated and helpful. Thanks, and best wishes to all. freezing.
Avatar n tn Plus, even if we were, we could not make any type of diagnosis over the internet, and we would not be able to determine whether the depression is due to circumstances (disappointment), the Interferon, or to endogenous major depression. A depressed person does not need us (forum members) diagnosing the reason for the depression, or how severe the depression is. The person needs to be evaluated by a psychiatrist so the person can get the appropriate help.
173930 tn?1196341998 Both adherence to treatment and achieving an early virological response increased the probability of sustained virological response. Conclusions. In treatment-naive patients with chronic hepatitis C, host factors play a major role in determining treatment outcome and the logistic regression model is useful for predicting the probability of sustained virological response in individual patients.
Avatar m tn Hi, If anyone can suggest me the best place for treatment of Hepatitis B in India? I have tried hard but could not find a hospital is specialised for such treatment.
Avatar m tn I believe Xolair is FDA approved as an injectible treatment for asthma. Clinical trials for treatment of chronic idiopathic urticaria are happening in a few medical centres in the United States and Europe. I am surprised that your allergist would not be able to provide you with information on its availability and FDA status.
Avatar m tn org/posts/Thyroid-Disorders/Major-Changes--AACE-Guidelines-for-Hypothyroidism-in-Adults-----------------/show/1810133#post_8339341 This is a huge change in guidelines, IMHO.
Avatar n tn but recent studies have shown a benefit and proactive antidepressant therapy is strongly advised in clinical practice, both from this author's clinical experience and from surveys of practitioners who manage HCV treatment. Patients with major depression may also benefit from support groups, but this should not be a replacement for pharmacologic therapy and psychotherapy.
3060903 tn?1398568723 Look for supplements that contain both EPA and DHA. What it’s for Bipolar depression and major depression. Who may benefit Omega-3 supplements may boost the effectiveness of antidepressants. These supplements may provide a stand-alone treatment option for people concerned about side effects of antidepressants, such as older adults, people with multiple medical conditions, and women who are pregnant or breast-feeding.
Avatar f tn 75); - Coronary artery disease (OR 0.90); - Mild depression (OR 0.56); - Major depression (OR 0.72); - Bipolar disorder (OR 0.64); - Schizophrenia (OR 0.71). • Factors associated with a higher likelihood of treatment for HCV were: - Liver cirrhosis (OR 1.60); - Diabetes (OR 1.07). Conclusion In conclusion, the authors wrote, "A small number of HCV infected veterans are prescribed treatment for HCV.
Avatar f tn The recommendation to avoid cannabis is especially important in patients who are coinfected with HCV/HIV since the progression of fibrosis is already greater in these patients. “Hepatitis C is a major public health concern and the number of patients developing complications of chronic disease is on the rise,” according to Norah Terrault, MD, MPH, from the University of California, San Francisco and lead investigator of the study.
Avatar f tn TSH between 5-10 and goiter warrents treatment according to guidelines. Forgot you mentioned the goiter.
Avatar m tn It should be noted that although these scales measure depressive symptoms, the Diagnostic and Statistical Manual of Mental Disorders criteria or structured clinical interview for depression must be used to confirm if major depression is present. In addition, suicidal ideation should be screened for through direct questioning of the patient.
Avatar n tn I know that the AACE upper guideline of 3.0 is too high for me. E.G. after I'd already had a major depression and panic attack due to thyroid, my TSH was at 3.5. Since you're clearly too high on TSH, your doc should order FT3 and FT4 tests. TSH may be OK for diagnosis, but looking at FT3 and FT4 is a good idea for treatment. I found that I couldn't get good thyroid treatment by going to an endo; it seems like most of them specialize in diabetes these days.
Avatar m tn The first 3 all say I have panic disorder and major depression along with chronic pain. I am on heavy duty pain meds and muscle relaxers through out the day and my doctor pulled me out of work because of the medication I am on and some paralysis that i have, He was afraid I would hurt myself or someone else and perhaps kill myself. Can someone tell me if this is normal?
175734 tn?1225138040 The Lyme disease foundation is also calling for the Canadian medical community to create its own prescribing guidelines that would include long-term antibiotic treatment. Currently, doctors follow guidelines from the Infectious Diseases Society of America, which strongly objects to continuing the drug therapy beyond 30 days, saying patients gain no benefit and may suffer potential harm.
280418 tn?1306329510 Just a random thought.... Be angry; it keeps one from feeling helpless. Depression and anxiety are definitely part of Lyme, and anything we can do to keep from sliding into that abyss is worth doing.
577132 tn?1314270126 In the one study cited twice in two different links, did the people who were studied have any previous depression or existing depression at onset of treatment or was depression non-existent in the persons who were pre-dosed with AD's? I don't know the answers to that myself, it's the questions I had posted prior to the thread being pulled. The distinction is important.
Avatar f tn It is used in cases of extreme treatment refractory depression. More of interest including to yourself is a procedure called trans cranial magnetic stimulation which appears to have less long term side effects than ECT and is effective.
Avatar f tn Patients with history of major depression with psychotic or melancholic features before the diagnosis of CFS or who are found to be actively depressed (major depression with psychotic or melancholic features) by the depression instrument used for the study (Hamilton-D and SCID) and by a medical evaluation by a psychiatrist. 3. Patients with other serious co-morbidities.. 4.
1654058 tn?1407162666 Practical Strategies for the Management of Thrombocytopenia in HCV * Thrombocytopenia is common in advanced liver disease and can interfere with optimal treatment and management * Optimal treatment for thrombocytopenia management is currently unclear due to lack of data and safe and effective treatment * Platelet transfusions required for invasive procedures in cirrhotic patients with platelet counts < 50,000 cells/µL – If concurrent coagulopathy, prolonged prothrombin time, and/or prolong
195469 tn?1388326488 Natural Course of MS The natural course of MS is highly variable and it is impossible to predict the nature, severity, or timing of progression in a given patient; however, there are a few guidelines to follow. For instance, a patient with numbness or tingling (sensory problems) tends to have a better prognosis than those with spasticity or paralysis (balance or coordination problems). Another factor that influences prognosis is age of onset.