What Is Clinical Depression

Q: I've been diagnosed with clinical depression. 3 weeks ago I was put on sertaline and there was improvment until today when I feel as black as the ace of spades. Can anybody tell me much about clinical depression - medication generally and how I can help myself out of this dark hole. I have noticed that this group has a Cambridge meet. I am moving there next month.

A:Get therapy, even if you have to pay for it. The drugs are effective - after a delay of at least a month - but they do not cure depression on their own. They will, however, lift it off you for a while and this will save your life - not necessarily in the sense of averting suicide, but in the sense of giving you some life back. Be warned that the initial lifting of depression is accompanied by a re-emergence of character and a strengthening of resolve that allows some depressed people to finally make the decision and carry through their suicide. At the very least, the depression will lift unevenly and sporadically, and you'll *never* have felt so vulnerable. All of the problems associated with early-stage SSRI treatment, as you will have seen and heard about in the media, arise in a failure to engage in the *treatment* of depression by careful assessment, diagnosis, counselling and monitoring. Standard clinical practice in the UK is "Take the pills and bugger off" and the usual outcome is a lifting and stabilisation of mood that lasts for about a year, in which some patients get their lives back together and the rest will slip back into deep depression after wasting a window of opportunity in which therapy might have done some good. What if Sertraline is exposing problems that were 'greyed-out' by your depression? Depression isn't 'being sad' - it's a pervasive condition and, with hindsight, you're going to be shocked when you discover just how much it's taken away from you. i suffer from clinical depression, am currently taking olanzapine, lofepramine and amitriptyline for it. my trick cyclist has suggested

that when we next meet he will consider reducing my meds and start some 'talking' therapy. i have a cpn who visits on a monthly basis now but in the early days it was a weekly occurance, if you can get one of these to help you thru the bad times i strongly advise it (some on here haven't had the same success as i have with cpn's so it seems a bit of a lottery). my cpn helped with all sorts of day to day things and was always prepared to listen to my inane ramblings ~ a real diamond :o) i also attended day hospital which helped a lot, just talking to people who'd 'done it' or were about to 'do it' made me realise i wasn't alone ~ a bit like this place really.