Category Archives: Natural Treatment For Depression:

Transcranial magnetic stimulation can treat depression

wpid Transcranial magnetic stimulation can treat depression Transcranial magnetic stimulation can treat depression David Mrazek, M.D.

Dr. David A. Mrazek is chair of the Department of Psychiatry and Psychology at Mayo Clinic, Rochester, Minn., and a professor of psychiatry at College of Medicine, Mayo Clinic. Dr. Mrazek has developed a federally funded psychiatric pharmacogenomics research program and implemented clinical psychiatric pharmacogenomics services at Mayo Clinic.

He has received numerous awards including the Award for Creativity in Psychiatric Education from the American College of Psychiatrists and the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association. He currently serves as chairman of the board of the American Board of Psychiatry and Neurology.

Dr. Mrazek has focused his current efforts on using pharmacogenomics testing to improve clinical care. One of his specific goals is to decrease the risks of taking psychiatric medications.

Latest entries Transcranial magnetic stimulation offers hope treating depression

Oct. 19, 2011

New antidepressant offers hope

Sept. 3, 2011

Sorting out the evidence for antidepressants

July 22, 2011

Perseverance can pay off in finding right antidepressant

June 17, 2011

Why do antidepressants stop working?

May 6, 2011

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HousecallAlzheimer’s caregiving Living with cancer

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Keep fighting even when depression treatments don’t work

wpid Keep fighting even when depression treatments dont work Keep fighting even when depression treatments dont work David Mrazek, M.D.

Dr. David A. Mrazek is chair of the Department of Psychiatry and Psychology at Mayo Clinic, Rochester, Minn., and a professor of psychiatry at College of Medicine, Mayo Clinic. Dr. Mrazek has developed a federally funded psychiatric pharmacogenomics research program and implemented clinical psychiatric pharmacogenomics services at Mayo Clinic.

He has received numerous awards including the Award for Creativity in Psychiatric Education from the American College of Psychiatrists and the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association. He currently serves as chairman of the board of the American Board of Psychiatry and Neurology.

Dr. Mrazek has focused his current efforts on using pharmacogenomics testing to improve clinical care. One of his specific goals is to decrease the risks of taking psychiatric medications.

Latest entries Transcranial magnetic stimulation offers hope treating depression

Oct. 19, 2011

New antidepressant offers hope

Sept. 3, 2011

Sorting out the evidence for antidepressants

July 22, 2011

Perseverance can pay off in finding right antidepressant

June 17, 2011

Why do antidepressants stop working?

May 6, 2011

Connect with others who’ve been there.Share stories. Learn. Join Mayo Clinic’s
online community. Free E-Newsletters

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HousecallAlzheimer’s caregiving Living with cancer

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Aspergers and Depression

I’m not sure what set me off in this direction in my thinking but here I am, wondering if I have Aspergers.

First, an update on life as I know it. Things have been going poorly. The economy hit me hard and one of my two sources of income crumbled away. My other source, writing, is actually doing very well. I signed a book deal – my first – in October and other gigs continue to come in even without my seeking them out. I’m making less than I was, which wasn’t much, but I’m happier in this work. So, I should be happy overall but we are talking about depression, right?

My social world continues to shrink and, although I don’t like social situations in the least, I can tell that the almost complete lack of them since I started working at home is taking a heavy toll on my overall emotional well being. I’ve considered spending two or three mornings a week working in a coffee house. I wouldn’t have to deal with anyone but just being out and among others might help.

My drinking has increased. I’m not ready to say it’s a problem yet but it’s worth mentioning.

Depression has wrapped itself completely around me. I’ve succumbed to it in recent months and have found an odd comfort in the resignation. I haven’t taken St. John’s Wort since the summer.

On to Aspergers. Like I said, I’m not sure what sent my mind down this path but I’ve been thinking about my severe social dislike and awkwardness and wondering if this might have something to do with mild autism, which is an oversimplified way to describe Aspergers. Check out the Wikipedia entry on Aspergers if you’re unfamiliar with this condition and really want to know.

I have most of the symptoms. Some points of my life that seem to really mesh well:

The speech thing – My mom tells me that I was a very late talker. She doesn’t remember my first word because I just started talking in complete sentences one day. (I’ve always thought that was odd. Wouldn’t one remember their baby’s first word or utterance regardless?) Also, in elementary school I used to go to speech therapy. I don’t remember the specific problem – I actually forgot about it until college when suddenly one day the memory came flooding back when I met the son of the woman who was my speech teacher. Weird, right?

Social situations – I’ve beat that one to death; that’s a definite check in the yes column.

Misunderstanding other’s nonverbal communication – check.

And so on.

A few points where I don’t seem to fit the condition: I think I’m a pretty good abstract thinker. My professional writing is nonfiction but I have written fiction in the past and greatly enjoyed it. I also like reading fiction and think that I’m pretty good at picking up on the subtext. However, having a degree in English literature could have given me the training to approach this formulaically.

Lack of empathy – this is the biggest reason that would make me question my having Aspergers. I think that I am hyper-aware of other people around me and their reactions to what I say. I often will stop mid-sentence because the slightest change in my listeners expression. People do think that I have an odd speech pattern and I do tend to go on obsessively about a few topics, both aspects of Aspergers.

So, I took the Autism Spectrum Quotient test this morning and scored a 30 which is rated as above average. I always feel like I’m screwing up these self administered tests, though. I’d just spent an hour or so reading about Aspergers so I recognized the symptoms behind the questions. I realized that I was overcompensating and trying to not be to eager with a “yes, yes, that’s me exactly” sort of response. So did I drive my real score down? Who knows.

What will I do with this new information? I have no idea. Probably nothing. However, it does make me feel even more justified in refusing the social anxiety medication that was prescribed to me years ago. It might have treated a symptom but not the problem if I do indeed have Aspergers.Labels:asperger,depressionpostedSaturday, November 21, 2009

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Being grateful: Giving thanks helps with depression

wpid Being grateful Giving thanks helps with depression Being grateful: Giving thanks helps with depression David Mrazek, M.D.

Dr. David A. Mrazek is chair of the Department of Psychiatry and Psychology at Mayo Clinic, Rochester, Minn., and a professor of psychiatry at College of Medicine, Mayo Clinic. Dr. Mrazek has developed a federally funded psychiatric pharmacogenomics research program and implemented clinical psychiatric pharmacogenomics services at Mayo Clinic.

He has received numerous awards including the Award for Creativity in Psychiatric Education from the American College of Psychiatrists and the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association. He currently serves as chairman of the board of the American Board of Psychiatry and Neurology.

Dr. Mrazek has focused his current efforts on using pharmacogenomics testing to improve clinical care. One of his specific goals is to decrease the risks of taking psychiatric medications.

Latest entries Transcranial magnetic stimulation offers hope treating depression

Oct. 19, 2011

New antidepressant offers hope

Sept. 3, 2011

Sorting out the evidence for antidepressants

July 22, 2011

Perseverance can pay off in finding right antidepressant

June 17, 2011

Why do antidepressants stop working?

May 6, 2011

Connect with others who’ve been there.Share stories. Learn. Join Mayo Clinic’s
online community. Free E-Newsletters

Subscribe to receive the latest updates on health topics. About our newsletters

HousecallAlzheimer’s caregiving Living with cancer

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Is Self-Help Even Possible for a Depressive?

I don’t know if that question can be accurately answered as a general rule, but I’m starting to come to the conclusion that, at least for this depressive, the answer is no.

The last few months have been a bad time for me. I want to say the worst ever but its hard to compare a current period with those of the past. I tend to lie to myself and can usually convince myself that things were better than they were. So, it could be that things now are just as bad as they ever have been but just now, down here in this pit, I can’t imagine that they were ever worse.

One thing’s for certain. I’m self-medicating with alcohol a lot more than usual. Comes with the territory, I suppose, of being a work at home writer. To a certain degree it doesn’t matter if I drink, professionally speaking. Nevertheless, I need to slow down in that regard. I have no specific plans as to how I’ll slow down but I need to. Maybe I’ll cut out spirits at home. That should probably put me back where I need to be. Okay, I’m saying this now. No more distilled alcohol at home. Beer and wine will continue to be okay; booze by the bottle is out. Hold me to that.

But that doesn’t address the larger problem. These days I really, really hate myself. I don’t know if low self-esteem and self-loathing naturally come with depression but in my case they are part of the same lovely package. And these days the self-hate is very strong within me. Some days I wake up and am instantly overwhelmed with a grand, undefined disappointment in myself. By mid-morning it festers into a real, seething hatred that leaves me shuffling around the house, grumbling to myself about how horrible I am.

And my marriage isn’t doing great either. No surprise there, I suppose. How lovable can I be, slurping down booze and grumbling about how much I suck? My wife remains mostly upbeat about life – more about that later – but she can’t seem to stand to touch me. I don’t really need to say more than that, do I?

Professionally, things continue to improve, which is kind of a surprise. Being a freelancer takes a certain amount of self-sales. It doesn’t track that I could sell something which I so totally loathe but I do. Gigs continue to roll in and, I don’t think I’ve mentioned it here yet, I got a book deal a few months back. I know how annoying this must be if there are any aspiring writers that read this blog – how can I have a book deal but spend my time whining? Well, I think that’s part of the problem.

I’ve discussed this before; the more responsibility I have, the more incapable I feel. Trust me, being under contract to write a whole book is a heaping helping of responsibility. Even though I’m working on it apace, more or less, I still feel panicky the closer I get to the deadline. That’s partially why I’m up blogging at 2:30 in the morning instead of sleeping – I woke up worrying about the book. So, the more incapable I feel, the more I hate myself and the more I hate myself the more depressed I get.

But there’s one possible bit of light at the end of the tunnel. Like many writers, I’m on my spouse’s health insurance. She recently started a new job so we get new health insurance in June. I haven’t seen the policy yet but I’m hoping that it will cover mental health – something we’ve never had before. If it does, I think its time I seek professional help.

Typing that out loud for the first time made me cry just a little. Pathetic.

Anyway, yes, I’m ready to give up on self-help. DIY solutions take a certain amount of motivation and depression is a great killer of motivation. Self-help depression therapy seems like a self-defeating proposition. At least, I think it is for me.

So, here’s hoping the new insurance policy will cover my brain. I’m not sure what I’ll do if it doesn’t.

Labels:alcohol,depression,health insurance,therapypostedSaturday, April 24, 2010

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