8 Steps to Take When Considering Antidepressants
There are several steps you should and shouldn't take when considering whether to start an antidepressant. These apply no matter what kind of attitudes you already have about depression and antidepressants.
Find a pro.
See a healthcare professional who has a strong background in diagnosing and treating depression. A friend, a family member, or a counselor may have suggested that you're depressed, but to get the right help, you need to be evaluated by a professional with years of mental health experience.
Challenge authority.
Ask questions and challenge your doctor on the diagnosis and treatment recommendations. This may sound odd coming from a psychiatrist. But if your doctor recommends that you take antidepressants, it's essential that you find out why you should follow his or her advice. A skilled professional should be able to explain her diagnosis and recommended treatment.
Seek other opinions.
Get second and third opinions if you're not convinced you're getting the right care. Since diagnosis and treatment of mental health problems is generally based on symptoms rather than objective tests or physical findings, it's wise to get another professional's perspective. Make sure the second clinician is well-trained, unbiased, and willing to provide a second opinion without treating you.
Open your mind.
Educate yourself and be open-minded about mental health conditions and treatments for them. Always be a proactive and informed consumer when it comes to your health. You can get up-to-date and reliable depression information at these websites: www.takingantidepressants, www.webmd.com, www.nimh.nih.gov, and www.ifred.org.
Get a workup.
Get a good medical examination, because common medical conditions and medications can mimic depression. Anyone diagnosed with depression should have a thorough physical exam to make sure there are no other medical problems that could be causing or worsening their symptoms.
Don't self-diagnose.
While some people resist the idea that they have depression, others may be too willing to diagnosis themselves. Information about depression is all over the media, from antidepressant commercials on TV and print media, to reality TV and talk shows. Don't make the decision without the evaluation of a professional with years of experience.
Don't treat yourself.
Many people are reluctant to see a doctor because of the time, expense, and privacy concerns. But the consequences of not getting help or trying to determine your own course of therapy, including medication, could lead to far more expensive, embarrassing, and dangerous problems.
Be a skeptic.
Don't believe everything you hear or read about depression. People have a tendency to access resources and people that validate their preconceived idea about a subject. Get all the facts from reliable sources before making a decision about your mental health and well-being.
About the author
Michael Banov MD is a Harvard-trained, triple board-certified adult, adolescent, and addiction psychiatrist and medical director of Northwest Behavioral Medicine and Research Center in Atlanta, Georgia.
More detailed information on how to determine the right time to quit antidepressants -- as well as how to do it safely -- is in Dr. Banov's new book, Taking Antidepressants: Your Comprehensive Guide to Starting, Staying On, and Safely Quitting (Sunrise River Press, 2010).
Find out more at www.takingantidepressants.com

Comments
m.c.
Thank you Michael for this article , and i agree thjat people should be tested for Medical Symptoms first and for all, as i knew of a lady who was mis-diagnosed with Depression, when it was discoverd in the end, when it was too late that in fact She was Really simply lacking in Iron, She died soon after receiving Shock-treatment, m.c.
J Martin
Excellent article. Thank you for posting it.
I would like to share my semi-informed opinion about the treatment of depression.
I am not in the mental health industry, but I have been an avid follower of the mental health industry since I minored in Psychology during my undergraduate degree. Furthermore, my Grandmother was diagnosed with depression and prescribed morphine and other medication in an effort to control her depression many years ago. Due to this experience I am very skeptical of medication to treat depression in general. In fact, I believe that part of the problem is that both patients and the doctors respond to easy solutions and writing or taking a prescription is an easy and relatively cheap (at least from an effort point of view) solution. In my opinion, what is often required to truly alleviate depression is behavior and thought modification and/or personal counselling. Both of these methods require time and effort on both the patient's and the health professional's part but last longer and have less side-effects.
It will be very difficult to make a transition to this form of treatment given how entrenched medication has become in the treatment of depression but the benefits would far exceed the costs in terms of reducing human suffering.
ms
Therapy is a big hoax. I saw at least 10 of them, including the famous Milton Erickson and none of them helped me at all. They can talk a good line but don't help anyone. I have PTSD from the abuse in the government schools and since my daughter had been going to a therapist for quite awhile when she committed suicide, I just looked up a way to treat it myself and about 3 years ago when I was suicidal and have no problem as long as I use my wild yam cream.
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