When The First Treatment Doesn’t Improve Your Depression

If your first treatment didn’t improve your depression, you’re not alone. About 40 to 50 percent of people don’t respond to the first antidepressant they take. The reality is that medication is limited, and a person might need to try three different medications before they get better, according to Jonathan E. Alpert, M.D., Ph.D, the associate director of the Massachusetts General Hospital Depression Clinical and Research Program. There are many reasons why the first treatment may not work. For instance, medications, such as steroids or hormones, can hinder the effectiveness of antidepressants. Even having a glass of wine can mess with your medicine. If you’re steeped in stress or having sleep problems, your depression might not lift, even if your medication is working. Adherence is another big issue (“adherence” refers to how well a patient is sticking to the treatment plan agreed-upon). Some people forget to take their medication or stop taking it because of bothersome side effects (or even improvement). People struggling with moderate to severe depression may need to take additional medications and work with a therapist. Individuals may be incorrectly diagnosed. Many illnesses mimic depression’s symptoms, such as hypothyroidism, which also causes fatigue and melancholy. Some people diagnosed with depression actually have bipolar disorder. It’s incredibly frustrating and upsetting when your first treatment doesn’t work. But it’s important to be p...
Source: World of Psychology - Category: Psychiatrists and Psychologists Authors: Tags: Depression Disorders General Mental Health and Wellness Psychotherapy Self-Help Treatment Antidepressants Bipolar Disorder Cognitive Behavioral Therapy Major Depressive Disorder Source Type: blogs