Market studies on women, men and depression also estimate that over 100,000 Americans each year are treated with electro convulsive therapy (ECT) for their depression. Roughly 15% of all people with severe depression that require hospitalization commit suicide. Disorders related to men and depression are also very expensive. Depression is ranked as the second leading cause of disability worldwide in 1990. Depression costs in the U.S. alone are estimated to exceed $50 billion annually, including over $12 billion in direct treatment costs. The total market in the U.S. for anti-depressants is estimated to exceed $6 billion.

Several general factors may be linked to women, men and depression but the exact causes of depressive disorders are unknown, although both biological abnormalities and psychological factors are thought to precipitate this disease. Diminished synaptic concentrations of neurotransmitters, especially serotonin and norepinephrine, are implicated in the pathogenesis of depression. Most current standard therapies regarding men and depression are thought to affect either one or both of these neurotransmitter systems (1) SSRI drugs (serotonin-specific reuptake inhibitors) or (2) MAOI drugs (monoamine oxidase inhibitors) that decrease the breakdown of norepinephrine and serotonin. It is of interest to note that several antiepileptic compounds, such as carbamazepine, valproate and lamotrigine, are used as mood stabilizers and that lamotrigine and gabapentin are also used as antidepressants.

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At a second meeting last year, improvement on antidepressant study designs and monitoring for suicide risk was discussed. Now, federal officials are preparing stronger warnings giving some antidepressants to children after new analyses back a suspected link to suicidal thoughts and behavior. FDA and Columbia University psychiatric specialists have re-evaluated 25 studies involving more than 4,000 young people and eight antidepressants. When all the results were lumped together, young antidepressant users were about 1.8% times more likely to have suicidal thoughts or behaviors than patients given dummy pills. Risk varied widely from drug to drug and among studies of the same drug, but studies of Effexor showed particular risk.

At present, changes have been made in the labels for Effexor, Serzone,Wellbutrin, Celexa, Lexapro and Paxil indicating warnings which apply to both adults and children with major depressive disorder. The warnings recommend that patients be observed closely for clinical worsening and the emergence of suicidal ideation and behavior, particularly when they begin treatment and when the dose is changed. The warnings also advise families and caregivers of patients to be alert to those and other symptoms, including agitation and irritability, and to immediately let health care providers know about them.

Despite the warnings and possible risks, it should be noted that Major Depression is a serious mental illness which often responds favorably to medication, in both children and adults.

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Life was much simpler for the last two generations. Father worked; mother stayed home. This is no longer the model. Some now view families as an “endangered species.” There are more single mothers working than ever before. There is greater stress and competition for well-paying jobs. The result: long hours at work, away from the family. Children are raised with limited supervision. Thus we see more children with emotional problems derived from a lack of knowledge as to who they are and what their role is in today’s society. Similarly, adults suffer from the loss of nurturing that family time should provide.

Until recently, mental health was not discussed openly. However, there is a growing awareness that choosing therapy can be helpful, even necessary, to cope with today’s life. Psychiatric help is often sought for the entire family. Today, being healthy means not only having a sound body, but also a sound mind and spirit.

People exercise their bodies daily, yet they neglect to “exercise” their feelings and emotions. Young men are taught to hide and deny emotions. Women are reluctant to seek help in coping with their depression, anxiety, or distressed relationship. The same fitness fanatic who exercises daily, eats right and has two physicals a year will neglect the mind until a crisis is reached. Emotional problems don’t just happen, but are cumulative and they can be avoided at times with the same “daily fitness” and “annual physical” approach we use when caring for our bodies.

The Chinese say “the journey of a thousand miles begins with a single step.” Just like it’s better to maintain a healthy heart than recover from a heart attack, dealing with emotional issues is easier before the chaos of a crisis breaks. Think about “exercising your emotions” and give your mental health professional a call.

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St. John’s Wort, a perennial plant, has been used for hundreds of years to treat depression, unrest and anxiety disorders as well as nerve pain. For a long time, doctors and herbalists alike have known about its use as a sedative, but also as treatment for wounds, burns, insect bites, stomach ulcers and more. It is still used widely today and it’s effectiveness has been proven to a point where some insurance companies are now covering the treatment.

It is not a powerful drug — when used to treat depression — in the sense of bringing a quick recovery, but shows excellent long term results in many patients. The herb assists body and soul in the healing process and helps to build a solid foundation for a complete recovery.

St John’s Wort was tested in a double-blind study of 105 male and female patients in the 20 to 64 year age group, suffering from mild to moderate depression. They were divided into two groups and monitored over a period of four weeks. One group were given 300mg of St Johns Wort extract three times daily, and the other received a placebo. All of the patients had psychiatric evaluations before the start of the study and after four weeks of treatment. The results revealed that, 67% of the St Johns Wort group had responded positively to the treatment without any adverse side effects whereas only 28% of the placebo group showed any signs of improvement.

St Johns Wort is available as tea (flowers and leaves), liquid extracts and pills or capsules. It is normally taken thrice daily and it will take one week or more to notice any improvement in the condition. Treatment can be continued for long periods of time as the herb does not normally produce any side effects. But St Johns Wort can interact strongly with other medication e.g. cancer and HIV drugs, contraceptive pills and others. So it is vitally important to consult a medical specialist first before starting a course of treatment.

One effect of St Johns Wort is, that it makes the skin more sensitive to light. It is therefore important to keep out of the sun as much as possible while using the herb.

There is growing evidence to suggest that St. Johns Wort is a safe and effective, natural remedy for the treatment of mild to medium depression.

Disclaimer: The information contained in this article is presented for information purposes only. The material is in no way intended to replace professional medical care or attention by a qualified practitioner. It cannot and should not be used as a basis for diagnosis or choice of treatment.

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