Nursing & Depression - page 33
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
Dec 8, '02I have found that nurses tend to be basically co-dependent by nature. We come into nursing to feed this need we have to "fix" people. I imagine that depression is something that goes along with this basic personality type.
If depression is not real, then why do I have a life to be envied, but I feel like I am worthless for days at a time?
Dec 8, '02Hello sister nurses. Let me recommend the "psychopharmacology tips" website to y'all. Once there, take a look at the Psycho-Babble bulletin board. Here's a link: http://www.dr-bob.org/babble/ - just scroll down to find the discussion. Lots of interesting discussion on the topic at hand, lightly moderated by a very experienced psychiatrist - in Chicago, is he? University affiliated guy. I take a whole cocktail of meds, it's taken me about eight years to refine it, and I'm doing pretty well, although depression is always a moving target, and a pain in the ass. I've been in the ICUs for 19 years, and a lot of the time I actually enjoy the job. Of course, then there's the rest of the time...fwiw, I actually think that the fish oil thing works, although variably from one brand to the next. Strange. I use Natrol. The science behind it, or at least the studies seem to be fairly unanimous, although ymmv.
Dec 8, '02To all who support each other at allnurses.com on this thread. Please utilize the ignore feature. It will make your life a little less bothersome, and we all need that. It's kinda like not looking at roadkill. Love and peace,
Dec 8, '02geez Carrie, didn't realize this board even had an ignore feature!!!!!! thank goodness!!!!
yeah, to me, it's like looking at a train wreck, you try to not look, but you just can't help it......I love ignore/killfile/block. Thanks for the heads up. Shall help with the irritation factor. Some "people" can really raise my hackles, and bring out the nasty side of me.
Dec 8, '02Originally posted by Rainagrey
Hello sister nurses. Let me recommend the "psychopharmacology tips" website to y'all. Once there, take a look at the Psycho-Babble bulletin board. Here's a link: http://www.dr-bob.org/babble/ - just scroll down to find the discussion. Lots of interesting discussion on the topic at hand, lightly moderated by a very experienced psychiatrist - in Chicago, is he? University affiliated guy. I take a whole cocktail of meds, it's taken me about eight years to refine it, and I'm doing pretty well, although depression is always a moving target, and a pain in the ass. I've been in the ICUs for 19 years, and a lot of the time I actually enjoy the job. Of course, then there's the rest of the time...fwiw, I actually think that the fish oil thing works, although variably from one brand to the next. Strange. I use Natrol. The science behind it, or at least the studies seem to be fairly unanimous, although ymmv.
I haven't run across the fish oil in any reading. Could you please say more about it? What brands? Why it helps, etc.? THANKS!
Dec 8, '02Youda,
I have seen lots of info out there for Omega three fatty acid fish oils for depression. Try a google search. I keep meaning to get some, they also fight CAD. Seems like a great supplement for all. Gotta go fight the Mall .
Dec 8, '02I'm on a quasi-vegetarian diet (I allow fish and poultry, no red meat). So you're saying me eating all this fish actually helps depression, too? Cool!
Thanks, Cargal. Will read more about this later today.
Dec 8, '02Yes Youda, something to do with the make up of neurotransmitters if I remember correctly!
Going Mall crawlin, really!
Dec 8, '02Couple of studies I've seen reported, one from Israel, all with significant improvements on the HAM-D thing. I was impressed enough to try it, and I was surprised that it seemed to actually work. One guy at Harvard named Andrew Stoll has gone commercial with a website and a product, I think called Omegabrite. I like the Natrol capsules myself. Pretty purple bottle cover too. One study said the patients took something like 10 grams a day of the fish oils - I take maybe 2 grams total.
Dec 9, '02Sphinx, thanks for waking up this thread.
I loved Mario's advice - it is good advice for those who can do it. It took a lot of meds to get me to the point where I could exercise, eat right, etc. - too depressed. But, when my depression improved enough, I started to do these things and have been seeing improvements, less need for meds???
If I had my druthers, no meds at all. Depression lifting tooking lots of med changes and combinations. For years able to improve to "Moderate to severe" level, not great but beats suicidally depressed. Finally got combination that brought me to not depressed, sometimes mildly depressed - feels like a miracle.
Now, able to let my body and common sense work.
I think I'll try eating fist, too.
Dec 9, '02Oh. One addition.
Worked as an NP with HIV patients. Such polypharmacy!! I would go through meds, looking for ones I could eliminate.
Antiretrovirals - Ideally three, otherwise becomes resistant. Now they have a single pill - with three drugs. It's still 3 drugs.
Bactrim - I'd love to stop it, but with tcells less than 200, past hx of pneumocysitis, I can't.
Acyclovir - I'd love to stop once a day but if I do they will have an outbreak - and end up taking more pills (Finally decided to ask - how many outbreaks in 6 months? Went prophylactic or treat outbreaks according to number of pills would be less).
Tricor - If I stop that, cholesterol goes up and triglycerides go to 1000. Even with diet.
Neurontin - They can't walk otherwise, thanks to peripheral neuropathy.
Right there, seven drugs. Can't stop a single one without all sorts of other problems. Some are so resistant they need four antiretrovirals. Some need antifungals every day (I know the Bactrim contributes, but pneumocystis will kill them). IF they end up with TB, MAC, other infections, they need more drugs. Otherwise, they die.
Someday we will know more, need fewer drugs. Someday we will cure. All we can do now is keep them alive until someone figures out how.
Many of the patients on these drugs have had the disease for ten or twenty years. They don't like it, but they don't complain. They have seen the alternative happen to too many of their friends.Last edit by abrenrn on Dec 9, '02
Dec 9, '02I am also on antidepressants which I beleive is because of Nursing, I have been a nurse for 3 years and on antidepressants for 2 and a half! I don't know about others, but I go to work everyday and try my best to not let my emotions and personal life show, I knew I was depressed and needed something when in the middle of the hallway with at least five people trying to ask me something and four more waiting on me, I broke down, went to the bathroom and cried for at least ten minutes. All the nurses I work with take antidepressants also.
Dec 9, '02This week I just seemed to lose all my self confidence I've rediscovered the past 6 months. So very frustrating.
Maybe my return to work was not such a good idea...<sigh> With a kid in college it sure sounded good at the time...Hard to know if it's Christmas blues kicking in, or a backslide.
Sassy... today I sure can relate to the overwhelmed feeling...(((HUGS)))
I guess in retrospect I let myself get panic stricken about all the meds my doc had me on for awhile. I just felt so zoned I couldn't find myself anymore. Ya'll are right of course....multiple meds are needed in many many cases and psychiatric meds should be looked at no differently than other types of meds in controlling a patient's symptoms and helping them to live a normal life.
Well, I'm off to work...in spite of a particularly strong urge to crawl back into my warm bed and call in a resignation later.
Luv ya'll! (and I'm on the stinky fish oils too...I hear walnuts are a good alternative???)