Wednesday, October 23, 2019
Depression Treatments
College Writing II 13 September 2012 Depression Treatments Depression is a mental illness affecting millions of people, not just in the United States, but also the world. According to Marcia Clemmitt, itââ¬â¢s ââ¬Å"loosely defined as a mental and emotional disorder with symptoms of constant sadness, lethargy, irritability and a loss of interest and pleasureâ⬠(575). Depression can be linked to stressful life events, such as family issues, sexual assault, or losing a loved one.Liubov Kavaliauskiene, Virginijaà Adomaitiene, and Rimantasà Peciura add that depressionââ¬Å"disrupts the working capacity of the ill person for a long time, complicates the lives of his/her family members and requires additional money for social care servicesâ⬠(92). If left untreated, depression may lead to irrational violence, drug and alcohol abuse, and suicide. Depression treatment options have become widely available over time, ranging from medicine to Web-based therapy. However, issue s with treatment costs have erupted since many depression patients relapse (Kavaliauskiene et. l. 92). Situations like these make determining the best way to treat depression unclear. The CQ Researcher article ââ¬Å"Treating Depressionâ⬠was written by Marcia Clemmitt and published on June 26, 2009 as Volume 19, Issue 24. Clemmitt, a former high school teacher, has worked for ââ¬Å"The Scientistâ⬠and ââ¬Å"Medicine & Healthâ⬠. She has earned degrees from St. John's College, Annapolis, and Georgetown University. She currently writes social policy articles on CQ Researcher, such as ââ¬Å"Public Works Projectsâ⬠and ââ¬Å"Preventing Cancerâ⬠.The second article, titled ââ¬Å"Medication Rationality in treating depressionâ⬠, was found using Academic Search Complete. The study was published by Acta Medica Lituanica as Volume 18, No. 2 in 2011, and written by Liubov Kavaliauskiene, Rimantasà Peciura, and Virginijaà Adomaitiene. All three work for the Lithuanian University of Health Sciences, but theyââ¬â¢re part of different departments. Peciura and Kavaliauskiene are affiliated with the Department of Drug Technology and Social Pharmacy, while Adomaitieneââ¬â¢s affiliated with the Department of Psychiatry. Treating Depressionâ⬠introduces depression, discussing symptoms, causes and effect on society. It also explains limits depression patients face in finding help for their disorder. In 2008, Congress passed a law resulting in a rise in insurance coverage and access to mental-health services (Clemmitt 573). However, some depression patients havenââ¬â¢t benefited since they lack insurance and rely on scarce public-health care programs. Psychiatric help and reliable antidepressants are also scanty since people are different and take different medications.Despite the fact, Clemmitt insists treatment options have improved since ââ¬Å"most primary-care physicians screen for depression and prescribe medications (581). â⬠Itââ¬â¢s great news, but if patients donââ¬â¢t improve after being examined and treated the first time, itââ¬â¢s likely they wonââ¬â¢t try another way to improve their condition. The first modern antidepressants, tricyclics, were created in the 1950ââ¬â¢s (Clemmitt 588). They supposedly made a patient happier and allowed them to be successfully treated as an outpatient by helping their brainââ¬â¢s chemical balance function properly.However, the drugââ¬â¢s considered controversial due to questionable side effects. Clemmitt notes that safer options, like selective serotonin reuptake inhibitors and cognitive behavioral therapy are available. The article shows that depression needs to be treated aggressively with quality treatment and the importance of preventing future cases. ââ¬Å"Medication Rationality in treating depressionâ⬠covers depression treatment methods used by Lithuanian doctors. Costs of treating depression patients have been burdensome s ince many of them have relapsed, as mentioned before.The study has had a goal to ââ¬Å"evaluate the use of anti-depressants according to the opinions of three groups of specialists (family doctors, psychiatrists, and pharmacists)â⬠(Kavaliauskiene et. al. 92). The specialistsââ¬â¢ opinions were evidently used to determine several different options for managing depression treatment costs better. This may have been begun like this since family doctors, psychiatrists, and pharmacists all have different professions in the medical field. Therefore, itââ¬â¢s assumed theyââ¬â¢ve different thoughts on using anti-depressants.Several findings could be drawn from the study with use of critical data on depression cases and information gathered from interviews with Lithuanian ââ¬Å"specialistsâ⬠. Kavaliauskiene et. al. noted a combination of individually selected medicines and psychological help is needed to treat depression, not just medicine (96). Also, they suggest that e ven though depression treatments are ââ¬Å"handled differently by different professionals (96),â⬠psychiatrists and family doctors should review causes of depression, work with pharmacists, and learn about new antidepressants (96).Doctors need to be trained to correctly recognize depression and to know when to send patients to a psychiatrist (96). If all of these conditions are properly met, treating depression patients is manageable. Looking at the two articles, quite a few conflicts and commonalities appear between them. Kavaliauskiene et. al. mention that ââ¬Å"relapse rates in depression may range from 20% to as high as 44%â⬠¦ with a maintained use of selective serotonin reuptake inhibitors. In contrast, with tricyclic antidepressants, relapse during the ongoing treatment to maintain remission is relatively rareâ⬠(93).This conflicts with Marcia Clemmittââ¬â¢s suggestion that SSRIââ¬â¢s could be more effective than the tricyclics drugs, because the latter h as questionable side effects, such as ââ¬Å"increased heart rate, blurred vision, and weight gainâ⬠and ââ¬Å"could be fatal in overdosesâ⬠(590). At the same time, however before mentioning the side effects, Clemmitt mentioned how the tricyclic drug effectively fixed chemical imbalances in the brain to make patients feel better. This indicates an ambiguity with the sources on the topic of treatments.An instance of a commonality between the sources relates to a depression patientââ¬â¢s motivation to get treated. If a depression patient doesnââ¬â¢t improve with the first round of treatment, they will likely never seek another way to be cured, according to Marcia Clemmittââ¬â¢s data. (581). This is supported with a solution presented by Kavaliauskiene and his colleagues, saying to treat relapsing patients more attentively and to act quickly if no signs of improvement are present. They may have been given the wrong diagnosis or wrong type of medication (96).It seem s from these examples that the sources are more similar than they are different. Though they agree on certain topics, the perfect depression treatment is still unknown. Additional research may help one understand what the best approach to properly treat depression patients is. Works Cited Clemmitt, Marcia. ââ¬Å"Treating Depression. â⬠CQ Researcher 19. 24 (2009): 573-96. CQ Researcher. Web. 6 Sept. 2012. Kavaliauskiene, Liubov, et. al. ââ¬Å"Medication Rationality in treating depressionâ⬠Acta Medica Lituanica 18. 2 (2011): 92-96. Academic Search Complete. Web. 6 Sept. 2012.
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