Paths to Wellness

Most primary care physicians are experienced in treating uncomplicated depression. They may prescribe an antidepressant medication alone or have the patient see a specialist as well, for example a psychiatrist or a psychotherapist.

There are many types of medications: you'll hear words like tricyclics and letters like SSRI, MAO and SNRI. Your doctor will need to know your medical history to select the anti-depressant that's most suited to you. Make sure you ask what the side effects are and how long before the pills take action. Know that people respond differently to different anti-depressants. What worked for a friend may not work for you. The first medication may not be the right one. Make sure you keep your follow-up appointments with your doctor. This is crucial. It may feel like a big deal to get there but this is an imperative step. This is where you can be responsible for your getting better. You have control on this one. The doctor is trying to help you find the type and dosage of medication that works best for you, so a follow-up is critical. Never stop taking your prescription suddenly without talking to your doctor about it first.

It's important to share information your doctor needs to help you, such as medications, "natural" treatments, alcohol and other substances you are using. A complete medical history, including medication reactions, allergies, and prior experiences with medication is important to go over.

Anti-depressants are not habit forming so don't be worried about becoming "hooked". The first prescription will almost always need adjusting - so go!

If you choose psychotherapy as treatment, make sure the person you see is experienced in dealing with depression. Psychologists, psychiatric social workers, and several types of master's degree counselors are trained to perform psychotherapy.

It's really important to be with someone who you feel will listen without judgment, someone who will not mock or reprimand. If you are not comfortable with the first person you meet with, insist that your doctor give you another referral. Repeat until you find someone with whom you feel a connection. You deserve and need a professional who can lead you to step one, replacing self-criticism with self-encouragement, and beyond.