Risk factors: Gender. more common in women due to changing hormones possible increase in women seeking care.
Exposure to violence, genetics 2 to 3x chance if in family, divorce more for males,
Major depressive disorder 6.7% of adults main reason for disability.
Age of onset average 32.5
Adolescents 13% especially females.
Older adults especially with another Chronic condition
Depression is not a normal part of aging.
Major Depression
Single or reoccurring episode
Must have at least 5
sleep disturbance, appetite, low self-esteem
difficulty thinking or concentrating
worry, preoccupation feelings of hopelessness
rule out bipolar, hypothyroid, and other health problems.
Adjustment Disorder- after a stress-er, ie baby, home, break up, job
Psychotic Depression is when someone is seeing something that is not there.
Post Partum
Seasonal
Premenstrual dysphoric disorder
PTSD, Pain disorders,
Transient depression -very common
Medications commonly prescribed
SSRI's
ie Lexipro
Activates our serotonin longer. take 2 to 8 weeks to work.
side effects
suicidal to be watched for in early stage, sexual dysfunction
interact with blood thinning drugs, tryptophan does interact.
st. Johns wort, yohimbe increase serotonin
SNRI's norepinephrine
Cymbalta, Effexor
side effects same plus heart palpitations
safe for pregnancy class c
Tricyclic,
Elavil inhibits the mechanism that removes the neurotransmitters as well as dopamine.
dry mouth, eyes, constipation,
bad interaction with cold or allergy medicine
MAOi's Mono Amine Oxidase inhibitors.
a lot of compounds with a lot of side effects
no cheese, red wine, birth control, pain medication, caffeine
all can cause a hypertensive crisis,
Remiron, antagonizing seritonin receptors.
Wellbutrin, inhibits norepinefrin and dopamine not serotonin
antipsychotics
Severe fatigue, constipation, black box warning for the elderly
herbal help
St. John's Wort The flowering tops
the active constituents Hypericum
Bitter, Cooling
Anybody that has had prolonged periods of stress. antidepressent and anti anxiety
anti herpes or shingles
topically in is Anodyne a nervous pain, neuralgia, tingling,
mechanism of action
keeps serotonin and dopamine more available
studies have shown that it works as well as paroxetene with out the negative effects.
study on mice, induced depression in the mice and that changed the genes in the mice.Hypericum has been proven to undo this
Interacts with ssri's
causes us to break down other drugs faster that could be bad.
Good for someone with an overwhelmed system. Depression and Anxiety. Not Major Depression
Lavendula Lavender- the flower and the leaf
nerve tonic and antidepressant, anti spasms, good for digestion, anxiety.
study showed that just smelling lavender helps.
Turnera Diffusa Damiana- Passionflower
aromatic and warming
afrodisiac,
antispasmotic,
antianxiety
no interactions, safe
vitalizing and relaxing
Rose, the flower drying and cooling
astringing dries up liquids.
strengthens circulations
studies showed rose essential oil helped sexual dysfunction
opens the heart and helps people set good boundaries
for grief
can smell for ext. or internal
Ocimum tenuflorum
Holy Basil Tulsi aromatic dry and warming
adaptogenic, antidepressent, antimicrobial
enhances memory, slight contraceptive effect, no pregnancy
help to connect with divine
Rhodiola Rosea root, astingent
Antioccidant, vitalizing, and calming
grief, anxiety
mimosa of silk tree Albizzia
he hwan pi, or hua drying or cooling helps us fall asleep quicker, possible anticancer
possibility for a manic episode, not for bipolar, not for yin deficiency
good for people who hold their anger inside.
other herbs to consider
lemon balm
Maca
hawthorn root
rosemary
betony
Gotu Kola
consider omega 3's dha, folates, minerals, vitamin d, amino acids,
Recommend Cognitive Behavioral therapy
herbs can be used with pharmaceuticals
