Nursing & Depression - page 19

While visiting in the lounge one day, we discovered that every nurse there was on an anti-depressant. I have had 'Treatment Resistant Depression' for about 20 years--as long as I've been a nurse. ... Read More

  1. by   micro
    Just contemplating the meaning of life, life, and life.
    Just rambling on.

    I am very impressed with this thread and the threaders that are knowledgeable and also sharing enough to be themselves to post of their own experiences to help in educating, breaking the stigma of mental health issues, mental illness, and to let another person "who may be suffering" that they are not alone.

    I, for one, am thankful that the medical profession has started to and in some areas and practices are out of the dark ages, where such is not talked about and it is only the case of the "vapors", etc.

    "Singing the blues" for me is and can be a good day.......and a day when I know that medication is working and life is going all right. That is me, in an almost "normal" state of wellness. People are people with their variabilities and different personalities.

    Severe depression is being unable to stand up, hardly able to have the energy to turn over in bed, fear of anything and anybody, isolation. The list goes on. Medication is the only way to start the healing of this dangerous and serious disease process.

    And in my case, this depression is definitely biochemical/physical and also tied into hormonal conditions(thyroid, postmenopause), alcoholism(another disease process that the stigma is out there about), childhood "crap"(time to get over it), and I also agree with the theory that there is also a genetic predisposition, in my case for depression.


    Today, I am doing all right. Okay is very good for me. Prozac is my antidepressant. Only because I feel the need to help to break the stigma I am taking the "risk" of breaking my personal anonymity. One day at a time.

    Way to serious these days.......time to lighten back up. Not so easy, but I is okay.............
    Hey, did you hear the one about
    nope it ain't that easy, but the moments are very nice.........

    everyone,
    good days at work, school, life.........
    much love and peace,
    micro
  2. by   Youda
    Originally posted by psychnurse.com
    Youda- ativan is not a narcotic- Just because the DEA classifies as such is meaningless- The DEA has no place in nursing! I personally resent having to "count for" them each shift change, as it takes time away from the bedside...
    OK. I hear you. But, I need a reference source here. Can you give me somewhere to look it up? I'm glad to learn anything new! Thanks!
  3. by   Youda
    There's some interesting new research being done on depression. Several are talked about in an article called:
    A New Paradigm for Treating Depression in the Primary Care Setting. You can read the article online at
    http://www.medscape.com

    Some new information about the causes of treatment-resistant depression, symptomology, etc.
  4. by   sanakruz
    Last week was Nat'l Depression Awareness week-( which I guess is why this thread is packing such a punch?) there is still too much stigma out there which stops people from getting help; especially people from cultural backrounds that are, well, macho. If only pulling one's self up by the bootstraps worked!!!! Of course we treat the whole person; but these new meds are very effective and generally well tolerated. The latest SSRI to be marketed is called Lexapro- new this month- Anybody seen it prescibed yet?
  5. by   cargal
    Just want to add my two cents to those of you who are bringing this information to the top. Thank you. This information is so valuable to all of us. Haven't heard of Lexapro yet; so glad to be on a site that brings us up to date and up to the minute. Youda, couldn't see your article, do you have a direct link?
    T/Y
    Any one with CFS? My daugter was diangnosed as depressed, in her third year at a major medical university, taking no summers off and working year round- quite a lot for a nineteen yo. States she is very tired, I realize this may be a symptom of depression, but could the depression be a symptom of CFS? Is there definitive labs for it? Is this Epstein Barr?
    Again, you all rock -
  6. by   Youda
    To access the articles, you have to be a registered user at http://www.medscape.com That's why I didn't link directly to the article; it wouldn't have worked if you haven't registered.

    It's well worth registering, though. There are several articles on depression and other psych-related articles. All articles have expirations dates, so you can sure it's timely and recent information. And the BEST PART is that after you read any of the articles, you can get FREE CEU's for reading it!

    Register, then click on CME (continuing medical units -- the site also has CME's for physicians), but will show what CEUs are available for nurses, too.
    Last edit by Youda on Oct 14, '02
  7. by   micro
    free CEU's for reading and learning more.....
    now that rocks.......
    thx Youda

    cargal,
    Hey, you have quite a great daughter there. Doing much for a nineteen year old. You are right on. Check out all the other things that could be leading to the Sx, but it also sounds like at least some situational depression.......something to look out for.

    Hey, all.

    Gotta run, keep threading on.

    Love and peace all,
    micro
  8. by   vemiliob
    It seems as if there was a link between subjects of discussion. A general complaint behind everybody's words (including myself). I mean, not only on this issue, but on other themes apparently not related. I mentioned it already; "it is in our genes". Our millennial past of slavery, prostitution and religion condemns us. The problem comes not from management or patients or public ideas about us. "It is not a situation but the pressure we put on ourselves under this situation what stresses us, because we carry an unconscious stigma. To be free of depression we must be free of stress, and for that.... we must annihilate our past
  9. by   VivaLasViejas
    Free of stress.....yes, that would be the ultimate solution! Unfortunately, there is no such thing in modern life, so the best we can expect is to be able to deal with the stress we have without losing our minds. Achieving, and then maintaining, this delicate balance is a lifelong struggle which is made all the more difficult by mood disorders such as depression. It's not that it can't be done---only that we who suffer from these afflictions must work harder than the so-called "normal" population to achieve anything approaching normality, IMHO.
  10. by   mario_ragucci
    I tell you this, if Labs, Clinicals, Lectures, 24 hrs a week of CNA med surg, plus study and keeping Mario happy isn't stress enough to cause depression.....what is? I walk a tightrope of cerebral overload from bigger and bigger waves of nursing data. Just because I mention nontraditional mental methods of maintaining adequate physical wellbeing DOESN'T/SHOULDN'T make me open season for depressed people.
    And I admitt that when I am mentally tired and weary from a full plate of life, exercising isn't appealing. You have to be mentally steady to sweat, so don't pigeon hole me as some Richard Simmons guy barking about fitnesss. When I do overcome the propensity of an object at rest who likes to stay at rest, and do my one hour of physical fitness a day, I am proud of myself, and i am the only person can ever be proud of me. But when i pity myself, there is no worser feeling.

    For the record, you gotta do something. What are you gonna do? You have to do something about your depression. I never intended to harm anyone by explaining a way I do things. Please do not paint me as someone who doesn't understand just because I am trying to motivate. What am I supposed to do? Now get your belly on the deck and give me 20 good ones :-) Lol. I'm sorry
  11. by   cargal
    Mario,
    you ask what is enough to cause depression? Everyone is different, everyone's coping mechanisms are different. So is their history. Let me answer your question, what is enough to cause depression, the list being not all inclusive. I welcome any additions to the list. Here goes: divorce, death of a loved one or partner, loss of a job, loss of a role, history of physical or mental, or sexual abuse, rape, SAD, chronic fatique syndrome, fibromyalgia, hypothryroidism, Ca, progressive diseases, alchoholism or drug addition or abuse, hormonal imbalances, grief, constant stress of job, or school without a support system, etc.
    You are not open season for depressed people, you are open season for those of us not suffering from depression too!
    BTW, you state you have been in the military, but I saw on a thread in the War and Terrorism discussion that you admit you were never in the military, I am confused about all this. Will you let me know what is please?
  12. by   sphinx
    Mario, to be perfectly honest, you seem like a pretty decent guy. From my perspective, I don't see you as having had "open season" declared on you you by a bunch of depressed people based on your alternate ideas (ie imagery and exercise)as ways to combat depression. Rather, it seems that many of us have merely been pointing out that while these methods have been proven to be helpful, that they tend to be more helpful in milder forms of depression. When you are in such a severe depression that you can barely make it out of bed, exercise "aint gonna happen", and while imagery can be soothing, it does only go a short way for someone in a severe state of depression (I for one, cannot achieve it at all, ever, but that's me). Count yourself lucky, you are someone who can go through stress and not let it break you....yeah, it feels crappy, but it the end, you come out ok. It's not that way for everyone. And I can't speak for anyone else, but I don't "paint you as someone who doesn't understand" because you are "trying to motivate". Rather, I paint you as someone who doesn't understand, because you've never been in that dark, dark place. And Mario, you don't want to be there. Believe me. And for the record, please don't make general assumptions and say "you gotta do something". A lot of people may not be trying to help them selves....but most of us are. We come here to talk and vent and be understood, while meanwhile, when you can't see us, we are living our lives....fighting for our lives, the best we can. We take meds, see psychiatrists, therapists, we try and exercise......I've been hospitalized, been in partial hospitalization, IPRT, have had ECT...*I* for one have tried. So *please*, please, I beg you, don't assume we are not out there trying.
    oh, and BTW, I do NOT mean this as an "attack". I can see where you are feeling attacked lately. That must feel awful. I just want to let you know how thing are from *MY* point of view.
    Last edit by sphinx on Oct 16, '02
  13. by   mario_ragucci
    Thank you great people spinx and cargal. You are great people. I learned early on from the books that clinical depression is a serious thing. And I must come clean about exercise. Lately, i have not been able to do it every day. Maybe 4/7 if I'm lucky. And I smoke cigarettes sometimes, so I could never come off as being a goodie-goodie, hewd cast any stones about what you will do. Just to get that out.
    I think some peoples depression is situational, meaning, the situation they are in is the etiology of their depresion [environment]. There are straight away genitic predispositions, yes. But, wheel never know about the situational ones. You know what I am talking about. I got "depressed" when my ankle broke, it was a real depression because I felt like I was closer to death, a part of me died, physically, and my body can break and all that. 3 years later and my ankle is all bettter, but at the time, I was off my rocker for a good 18 months waiting for it to heal right/worry.
    I'm sure, too, many couples can get "depressed" over commitments and on and on.
    Not being able to exercise isn't all that bad. People are evolving to be more in one spot, not like the old days of jocko-homo, or homo-erectus, when those mammals were always depressed by the environment. It's always good to be alive (fake it :-)

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