Hello butterfly and jesticle,
yes a lot of people on ad medication experience disappointment with the drugs, because drugs can only mask the symptoms and not 'cure' the underlying causes of depression.
But it would be a mistake to believe as so many people do that if drugs donât work, psychotherapy will!!
Most people with chronic depression do have chemical imbalances and they cannot be treated by talk therapy, just as you cannot cure diabetes with talk therapy. It is a biological disease!
Where main stream medicine and psychology fail us is in not being able to treat the underlying biochemical abnormality responsible for depression without recourse to drugs.
Depression is mainly due to the bodyâs inability to produce the right kind of neurotransmitters such as serotonin. Depression is a serotonin deficiency disease and hence we need to find ways in helping our body produce sufficient amounts of serotonin to make us feel happy and relaxed when we normally should.
This cannot be done by single miracle drugs, because human biochemistry is far more complex than what can be handled by simple chemicals pushed down our throats.
If you study the biochemistry for how neurotransmitters are synthesized in our body you soon come to realize that neurotransmitters are produced form nutritional forerunners, from ingredients found in the food we eat.
Serotonin is produced from tryptophan- a nutritional amino acid (protein unit) - found in food. It requires also vitamin b6, zinc and magnesium to complete the conversion. Hence people on the wrong diet are often vulnerable to depression. There are many other nutritional factors that interferes with serotonin synthesis.
This goes to show that depression is a nutritional disorder, a concept that can upset a lot of people who firmly believe that depression is a mental disorder, controlled by a dysfunctional mind. They further mystify the problem by claiming that depression is a multidimensional, complex illness affected by many 'other' factors, that cannot possibly be cured by a 'one cause' remedy like nutrition. Of course this is a good excuse for not being able to 'cure' depression.
These people have problems understanding that if you have a chemical abnormality in the brain, you will have âabnormal psychological experiencesâ that they then confuse for causes of depression instead of symptoms.
A major element in the synthesis of neurotransmitters is the presence of biological energy again derived form the sugars we eat. If there is an obstruction in the absorption and metabolism of sugars into energy, the brain cannot produce neurotransmitters. In this case the brain will trigger the release of stress hormones, that are responsible for most of the symptoms in mental illness.
Thus depression can be treated without recourse to drugs, and psychotherapy may be useful only after treatment of the biological causes of depression.
It is a matter of a shift in paradigm, science and education of both patients and therapists before we can see any progress in treatment.
Jurriaan plesman, ba (psych) post grad dip clin nutr