serotonin deficiency?

Nurses General Nursing

Published

Recently I read an article about serotonin deficiency and noticed that I've experienced about 90% of the symptoms in every stage of deficiency (including the one in which the "garbage truck" arrives, meaning that loved ones tell you that you're a burden to those around you and bring everybody down). These symptoms have been a part of my life for at least a decade and seem to flare up around PMS week and maybe even a week before.

I've suspected for years that I have a problem with depression, or possibly PMDD, and have tried to ignore it. But my family members have begged me to please go to a doctor and get some help, maybe get on a low-dose antidepressant.

Now, I'm open to seeing a doctor (once I get health insurance), but I'm torn about this. For one thing, I realize that a lot of people in my life may NOT be supportive of my decision. I go to a church that is very much against psychology and I'm afraid of being scolded, judged, or rejected if I choose this route. People might never look at me the same way again, or they might view me as having a weak or unstable personality (especially those with a "pull-yourself-up-by-the-bootstraps" mentality). There's still a stigma attached to mental illness and this could affect me negatively in the future if I'm diagnosed. But if I choose not to deal with this...it could ruin my life anyway.

For now, I'm using a chart to monitor my symptoms in case I do finally see a doctor. As an adult, I need to make my own decision, but how do I deal with other people's reactions or prejudices?

I'm not basing my comments on one person. The research is vast and there are many men and women working on brain research.

I think what bothers me is that depression is still looked upon as something you can just pull yourself out of and there is much evidence that it is a physiological problem in your brain.

That's all I'm saying. I never said don't get therapy. I never said that drugs don't have side effects.

I'm just saying do the research, get a good doc and don't let anyone make the decisions for you.

steph

Specializes in NICU, L&D, OB, Home Health, Management.
I'm not basing my comments on one person. The research is vast and there are many men and women working on brain research.

I think what bothers me is that depression is still looked upon as something you can just pull yourself out of and there is much evidence that it is a physiological problem in your brain.

That's all I'm saying. I never said don't get therapy. I never said that drugs don't have side effects.

I'm just saying do the research, get a good doc and don't let anyone make the decisions for you.

steph

Well said Steph.

Specializes in Critical Care, Pediatrics, Geriatrics.
I have to chime in here. It is totally up to the OP what she decides to do, but the diabetes analogy is killing me here. Diabetes is a absence/decrease of insulin. Glucose levels are maintained in a very specific range to maintain optimum glucose metabolism. The result of the insulin dose is measurable with fingersticks. It can be adjusted and dosage controlled in relation to a specific blood sugar.

This is not the case with ssri's. There is no way to document a serotonin deficiency, there is no test for serotonin.There is no way to "track" serotonin to maintain a "proper" level. Serotonin is a constantly changing neurotransmitter that is NOT at a single level. This "diagnosis" is made on evaluation of symptoms such as irritability, depression, anxiety etc.. which can have a multitude of causes. I'm not saying that serotonin may not be involved, but there is no way to confirm that. To draw an analogy between these two diagnosis's is not doing the OP any favors. They are not comparable.

Yes, some have success with the use of ssri's, others have a nightmare experience.The OP should know that there are no clinical trials longer than 12 weeks related to these drugs, that "discontinuance syndrome" can be extremely difficult and adverse effects can be misconstrued as a worsening mental illness. Therapy should always be the first course of action with any mental health issue.

I'm not trying to scare you, I just want to to be completely aware of the risk benefit ratio with ssri's. These drugs should not be taken lightly.

We aren't here to compare the difference in diabetes with depression. Yes they act in different ways...but they have one thing in common...they are medical diagnoses that affect one's lifestyle.

We are also not here to give medical advice or scare the poster away from any option. She specifically has a concern in addressing her medical issues because of the attitude/views of her church and would like reassurance with that.

i think what bipley and others have stated in respect to diabetes is similar to what i have always espoused and told others:

depression is a chronic condition, just like diabetes, hypertension and other chronic conditions. a diabetic receives treatment and monitoring for diabetes; a hypertensive individual receives treatment and monitoring of his/her hypertension, and so forth.... why should a person with depression not be entitled to management of their chronic condition?

to the op - if your church community is that unsupportive of your getting treatment, do they really need to know? even if you are in a one-caution-light town and the one local physician is a member of your church, there is such a thing as hippa. but i agree with others, (and i consider myself to be very religious) that i would be very uncomfortable personally within a spiritual community that would hope to deny someone much-needed treatment for a chronic condition, or that would not accept me "as i am". i personally think that god accepts and loves us all regardless of our condition...but that is for another debate, another thread.

if your spouse and/or family are unsupportive of your seeking treatment, remind them that they do not hesitate to seek treatment for other medical conditions and why should this be different?

yes, it is true that most antidepressants carry a side effect profile. ssris are probably the most tolerable overall but still can have some side effects. i personally take effexor and do very well with it, but that is just my experience. sometimes it takes adjustment to find just the right med and right dose (i had to try 2 before finding this one). again, just like any other chronic condition....and doesn't any medication of any type have some sort of side effect profile?

i pray that you get the help you need and are able to do so without the interference of others and their narrow-minded beliefs.

kim (for whom treatment and management of depression has made a huge impact in both my life and that of those around me)

Specializes in Critical Care, Pediatrics, Geriatrics.
Wow... I like this Kramer person already! I want this book. I'm quite serious, I believe it is time for a trip to amazon.com!

I do have a question though... what is it about depression? WHY do sooo many folks suffer from this? Is it something that wasn't dx'ed years ago or is it more common today? Lots of questions and likely, no answers.

I have taken Prozac once. After a major fire and issues I don't even care to discuss, I dealt with PTSD. A few weeks of Prozac and I was like a new woman. What did folks do before SSRIs?

IMO, I think this issue is two fold...due to our fast-paced, stressful lifestyle more and more people are suffering because their body is in a constant fight or flight mode and just starts to wear down...also, depression has become more and more (but not totally) accepted in the medical community as a real dx. The get over it and pull yourself up by your boot straps mentality is starting to fade. I believe that sometimes it is misdiagnosed or mismanaged. I don't think all depression can be corrected with therapy nor can all depression be corrected with meds. It is such an individual disease as is all mental illnesses, because it is a multi-faceted problem. It is also progressive. I have taken Lexipro, Celexa, Amitryptaline, Effexor XR, and Wellbutrin...some worked,some did not, and with therapy and the right combo of drugs, I am a new woman. What works for me may not work for someone else. But the OPs church should NOT place a stigmatism on her because there is too much research out there that proves depression is a real illness with real solutions.

Specializes in Critical Care, Pediatrics, Geriatrics.
it's a shame to look at them as being a burden. another way to look at this, is to realize that by telling your relatives what you are doing is only going to make them feel stressed out and upset. and you don't want to do that, do you?

i think this is poor advice. accept it if you will, but i already feel that you are suffering with these thoughts and fears already and that is what has kept you from seeking treatment. you do what feels right to you, don't feel shameful or like you are a burden to others simply because you are struggling with an illness and getting treatment. don't try and take on the whole world on your shoulders...share your experiences with those who are close with and trust so that you may have their hugs, love, and support to hide your issue is to continue to be in denial.

Specializes in Pediatrics :).

Just my personal experience...meds made me more receptive to talk therapy. Not saying that I enjoyed the talk therapy, but I felt willing to give it a shot after I started pulling myself from the gutter. Everyone is different and will respond differently to treatment, I agree with that completely.

As witness to suicide of a close family member, I completely believe in treatment. She never sought treatment, was actually in denial...always thought that depression, mental illness, etc. was really just a character flaw. She finally gave up on life, but had she explored her options a bit more, she may still be here. It's not a character flaw or sign of weakness, no matter what anyone tells you.

Know your options, put them to good use, and to hell with what anyone else thinks. The people who judge you for having a mental illness obviously have NO experience with it. (Might be a good teaching opportunity) Good luck!

Know your options, put them to good use, and to hell with what anyone else thinks. The people who judge you for having a mental illness obviously have NO experience with it. (Might be a good teaching opportunity) Good luck!

Well, I think this is the bottom line. Very well said.

To the OP - please do what you need to do to take care of YOU. Whether you start with a psychiatrist, your family physician or a psychologist, please seek the assistance and advice of a professional face-to-face and never, ever question your RIGHT to be treated for something that is causing you to feel a way you do not need to feel. And those who do not support you through something like this aren't likely to be largely supportive about other things in life, either.

Amanda

But to tell anyone that medication is the answer and therapy isn't is naive.

Actually, it isn't. Have you researched legit sources regarding psychotherapy? The difference between psychotherapy and a placebo is ... nothing. Therapy is as effective for TRUE depression as it is for diabetes. Both are biological problems and discussing it is ineffective.

Baseing your advice on one researcher is scary.

If that was the least bit accurate, you would be correct. In no way did I infer my opinion is based on one scientist. I was quite clear, read the post again. I merely mentioned that I know someone that does this sort of research and his research is interesting. In NO way did I infer he is what I base all my opinions on. That is a fallacy in a mega huge way.

There is new information coming out on ssri's daily and to ignore the new findings is not doing a service to our patients.

I agree. However in no way did I do this.

I don't deny mental illness. I don't deny depression. I do believe that these drugs are horribly overprescribed by doctors without proper evaluation.Yes, they are lifesaving in some instances, in others they are not.

And I happen to agree with you. But in reading your post one could never assume such. You have taken simple honest comments and made HUGE assorted assumptions and that is just plain wrong, not to mention dishonest.

To the OP. Find a good psychiatrist. Ask the questions and if you decide that ssri's are needed in your situation start taking them totally informed.

Considering the OP explained that her religion looks down on those who seek help, do you honestly think your advice is beneficial? Perhaps in some cases we need to start wayyyyyyyy back at the beginning.

I'm not basing my comments on one person. The research is vast and there are many men and women working on brain research.

I think what bothers me is that depression is still looked upon as something you can just pull yourself out of and there is much evidence that it is a physiological problem in your brain.

That's all I'm saying. I never said don't get therapy. I never said that drugs don't have side effects.

I'm just saying do the research, get a good doc and don't let anyone make the decisions for you.

steph

YEA STEPH! Yeah, good post!

IMO, I think this issue is two fold...due to our fast-paced, stressful lifestyle more and more people are suffering because their body is in a constant fight or flight mode and just starts to wear down...

I don't know if I can agree with this and I will explain why. I think in any given time frame people have issues to deal with and for THAT particular time frame, they seem just awful.

It was only 100 years ago that people had a large family. The reason is simple, most children died. Between disease and injury you were lucky if 3 of your 12 children survived. In those days you had to have a large family in hopes that some would survive because your children WAS your retirement. If you had no children to take care of you, you were sunk. There was no Medicare, there were no LTC facilities. Your children cared for you, you figured it out on your own, or you simply died.

Yes, today we have a fast paced and often times stressful lives. So how does this differ from losing the majority of your children to death?

Each century brings us new challenges to deal with. I don't believe that today is more stressful vs. yesterday. It's merely stressful in different ways.

Specializes in Home care, assisted living.

This is a test post. I can't seem to post to the board today.

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