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episodes of depression sweep over me

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Hello,
I write this at a fairly 'normal' moment but i've already had a couple of moments of despair just this morning. In April I came out of a long term (2 and a half years) abusive relationship and moved back home, the week I did, my little sister died. It was blow after blow but I have tried to remain stronng and dignified throughout and went back to college to complete my exams as usual. I thought I was doing pretty well. Until about 2 weeks ago. Nothing around me changed really so I can't explain it, I just keep having serious episodes of depression sweep over me. When i'm happy i'm fine, but when I become sad & fearful, I break down in tears, find it hard to breathe or function and oftenn think of suicide as a relief. I guess the point of this post is i'm wondering if this is a clinical mental disorder (depression) or just sadness. Psychological or actually physiological? Either way what are my next steps to take & try and calm this? I don't want to feel this way, i'm desperate.


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replied July 4th, 2011
Depression Answer A24653
Hello,

Welcome to the ehealthforum and I am really glad to help you out. Your concern is regarding the mood swings and other symptoms that you are having. From your symptoms, it seems that you are having depression. It is not only characterized by sad and/or irritable mood but by neurovegetative symptoms like crying spells, body aches, fatigue, difficulty concentrating, low energy or libido, as well as problems with eating, weight, or sleeping.

I would suggest that you consult a psychiatrist and start with antidepressants. Most of them belong to the class of selective serotonin reuptake inhibitors. Other drugs like tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs) are also there, but SSRIs have fewer side effects and are generally well tolerated. I sincerely advice you to follow up with a good psychiatrist and take the medicines prescribed regularly. Cognitive behavior therapy and psychotherapy are also useful. Patience is required because the treatment of depression takes time and sometimes a combination of treatments may be required.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.




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