Tag: counseling

All About Meds for Depression

Depression is commonly treated with antidepressant medications. Antidepressants work to balance some of the natural chemicals in our brains. These chemicals are called neurotransmitters, and they affect our mood and emotional responses. Antidepressants work on neurotransmitters such as serotonin, norepinephrine, and dopamine.

The most popular types of antidepressants are called selective serotonin reuptake inhibitors (SSRIs). These include:

  • Fluoxetine (Prozac)
  • Citalopram (Celexa)
  • Sertraline (Zoloft)
  • Paroxetine (Paxil)
  • Escitalopram (Lexapro).

Other types of antidepressants are serotonin and norepinephrine reuptake inhibitors (SNRIs). SNRIs are similar to SSRIs and include venlafaxine (Effexor) and duloxetine (Cymbalta). Another antidepressant that is commonly used is bupropion (Wellbutrin). Bupropion, which works on the neurotransmitter dopamine, is unique in that it does not fit into any specific drug type.

SSRIs and SNRIs are popular because they do not cause as many side effects as older classes of antidepressants. Older antidepressant medications include tricyclics, tetracyclics, and monoamine oxidase inhibitors (MAOIs). For some people, tricyclics, tetracyclics, or MAOIs may be the best medications.

What are the side effects?

Antidepressants may cause mild side effects that usually do not last long. Any unusual reactions or side effects should be reported to a doctor immediately.

The most common side effects associated with SSRIs and SNRIs include:

  • Headache, which usually goes away within a few days.
  • Nausea (feeling sick to your stomach), which usually goes away within a few days.
  • Sleeplessness or drowsiness, which may happen during the first few weeks but then goes away. Sometimes the medication dose needs to be reduced or the time of day it is taken needs to be adjusted to help lessen these side effects.
  • Agitation (feeling jittery).
  • Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex.

Tricyclic antidepressants can cause side effects, including:

  • Dry mouth.
  • Constipation.
  • Bladder problems. It may be hard to empty the bladder, or the urine stream may not be as strong as usual. Older men with enlarged prostate conditions may be more affected.
  • Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex.
  • Blurred vision, which usually goes away quickly.
  • Drowsiness. Usually, antidepressants that make you drowsy are taken at bedtime.

People taking MAOIs need to be careful about the foods they eat and the medicines they take. Foods and medicines that contain high levels of a chemical called tyramine are dangerous for people taking MAOIs. Tyramine is found in some cheeses, wines, and pickles. The chemical is also in some medications, including decongestants and over-the-counter cold medicine.

Mixing MAOIs and tyramine can cause a sharp increase in blood pressure, which can lead to stroke. People taking MAOIs should ask their doctors for a complete list of foods, medicines, and other substances to avoid. An MAOI skin patch has recently been developed and may help reduce some of these risks. A doctor can help a person figure out if a patch or a pill will work for him or her.

How should antidepressants be taken?

People taking antidepressants need to follow their doctors’ directions. The medication should be taken in the right dose for the right amount of time. It can take three or four weeks until the medicine takes effect. Some people take the medications for a short time, and some people take them for much longer periods. People with long-term or severe depression may need to take medication for a long time.

Once a person is taking antidepressants, it is important not to stop taking them without the help of a doctor. Sometimes people taking antidepressants feel better and stop taking the medication too soon, and the depression may return. When it is time to stop the medication, the doctor will help the person slowly and safely decrease the dose. It’s important to give the body time to adjust to the change. People don’t get addicted, or “hooked,” on the medications, but stopping them abruptly can cause withdrawal symptoms.

If a medication does not work, it is helpful to be open to trying another one. A study funded by NIMH found that if a person with difficult-to-treat depression did not get better with a first medication, chances of getting better increased when the person tried a new one or added a second medication to his or her treatment.

Good source for personal research: http://www.nimh.nih.gov/index.shtml

Healthy Place on Depression Meds: http://www.healthyplace.com/depression/antidepressants/list-of-antidepressants/menu-id-68/

And Buzzle’s List:  http://www.buzzle.com/articles/depression-medication-list-of-antidepressants.html

Living as a Sexual Abuse Survivor

The problem of childhood sexual abuse is not new. Millions of adults bear the emotional scars, and continue to secretly carry the emotional burden, of abuse that occurred twenty, thirty, or even forty years ago. It is common for clients in their 40’s to come to counseling and say “I have never told this to anyone before…”.

Children are, by nature, innocent, trusting, and vulnerable. When a child is abused, the abuse is NEVER the child’s fault, but children — in an attempt to use their limited understanding of the world to make sense of what has happened to them — almost always believe that they either caused or deserved the abuse. Many of them carry their misguided sense of shame and guilt into adulthood. Many successful, seemingly well-adjusted adults continue to suffer the far-reaching effects of abuse: low self-esteem or lack of confidence, difficulty trusting others, isolation, or alienation, depression, anxiety, anger, chronic relationship problems, difficulty with emotional or physical intimacy, promiscuity, self-injury, alcohol or drug use, or overeating.

A history of childhood sexual abuse does not automatically mean a life full of suffering, however. The extent to which abuse affects an individual varies significantly, depending on the severity of the abuse, the duration of the abuse, and the relational context of the abuse (who the abuser was). Many people who were abused as children struggle with spiritual isses as well as the psychological and emotional ones. They may question how a loving God could allow something like that to happen to a child, may be angry with God for allowing it to happen, or may even believe that God intentionally inflicted the abuse on them as punishment. Part of the healing journey may include looking at these spiritual questions and finding a deeper spiritual understanding of yourself, God, and the world.

Regardless of how childhood abuse has affected your life, you can experience both healing from your past and growth for your future. If you have been silently suffering the pain or shame of past abuse, a confidential relationship with a caring professional counselor can help you find freedom and relief. If painful memories from the past are robbing you of a life of happiness and meaningful relationships, counseling can help you face the past, find healing in the present, and claim abundant life for your future.

Sexual abuse can effect a marriage is so many ways: emotionally, spiritually and sexually. Sexual abuse is traumatic not only for the survivor but also for the survivor’s spouse if he/she doesn’t understand the impact of sexual abuse. I believe sex is a huge part in healing also. Having a healthy sex life after being sexually abused can happen. Separating the abuser from someone who loves you is a part of healing. Un-training yourself from what your abuser taught you is what it takes to make this happen. Your body is just that “your body” and you have the say in what does or doesn’t happen.

My sexual abuse is only part of me, not my whole life anymore. Victims and survivors have to change the way society deals with and handles sexual abuse. The truth shall set you free, the truth of sexual abuse. Once the truth comes out it sets you free of the bondage you have been in for so many years. Stare your sexual abuse straight in the eyes and let it know “you don’t scare me anymore”. It is such an awesome feeling!!

A question to ask oneself is, “Do you see yourself as God sees you?” God sees you as a child He made for a specific purpose and not one of those purpose’s was for any one of His children to be abused in any way, shape, or form. Reach out to Him and let him replace your pain with joy, your shame with sharing, your anger with forgiveness, your ugliness with beauty and your silence with your voice.

Source- New Reflections Counseling:  http://www.newreflectionscounseling.com/

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