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100 Questions and Answers About Depression, Second Edition by Ava T. Albrecht, Charles Herrick

By Ava T. Albrecht, Charles Herrick

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Your internist or family practice doctor can diagnose and treat depression, as can a nurse practitioner. They may wish to refer you to a mental health specialist, however, if therapy is needed or if a more in-depth evaluation is warranted. Most insurance plans have participants who can provide mental health services, although sometimes the choices available on a given plan are limited. , child and adolescent psychiatrists). Mental health specialists who can evaluate for and treat depression include Social workers Psychologists Psychiatric nurse specialists Psychiatrists In seeking a mental health specialist, it is important to choose someone with proper credentials and training.

Where does the evidence come from? Basically, the evidence stems from three sources: primarily from our understanding of the biologic and clinical effects of various psychoactive agents on the brain, secondarily from postmortem human studies, and finally from experimentation with animal models. Some of the evidence includes the following: • Depletion of serotonin (by other medications such as certain antihypertensives) can precipitate depression. • Patients who have successfully committed suicide by violent means have evidence of reduced serotonin levels in the central nervous system based on postmortem analyses.

When a medical specialist met with me for an unrelated condition and asked about my daily routine, he noted that I must be depressed based on what I told him. I considered this very observant and insightful on the part of my endocrinologist. Depression is not always experienced by a person as strictly an emotional state. My behavior is consistent with depression, even if I am not always cognizant of it. Looking back at what has happened to me in the past couple months, and the pattern of my daily activities, it is clear to me that I have become depressed again.

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