Coping with Depression Psychotherapy may be the best treatment option for people with mild to moderate depression, jerseys according to the National Institute of Mental Health. Two effective approaches are cognitive behavioral therapy, which helps people change negative thoughts, feelings, and behavior, and interpersonal therapy, which focuses on working through moncler size guide difficult personal relationships contributing to depression. Treatment of major depression may require a combination of psychotherapy and antidepressants. "When deciding on antidepressant therapy and counseling, your doctor should look at you as an individual, and treatment should be tailored to your needs and situation," says Hadi Tajani, MD, a psychiatrist and medical director of Texas Health Springwood Hospital in Bedford, TX. and potential weight gain Although often critical Moncler Kids down Jacket Multiple Logo sky grey to a patient s mental health, most antidepressants are associated with a weight gain of at least a few pounds, according to a 2010 report in Mayo Clinic Proceedings. While the exact mechanisms for this are unclear, "it is felt that alterations in brain chemistry affecting appetite and metabolism are at play," explains David Edelson MD, an assistant clinical professor of medicine at Albert Einstein College of Medicine in the Bronx, NY. However, "how one moncler mens coats particular drug is going to affect weight will vary from person to person," says Jason E. Hershberger, MD, chairman of the department Moncler coats down Mens brown Hooded collar Nagymaros of psychiatry at Long Island College Hospital of Brooklyn. Several selective serotonin reuptake inhibitors (SSRIs), Zoloft, Prozac and Paxil, may cause some patients to gain 7% or more of their body weight, according to a 2001 study in the Journal of Clinical Psychiatry. In addition to these moncler outlet milano drugs, Dr. Edelson has seen Lexapro cause patients weight to slowly creep up by a half pound to a pound per month over 6 to 12 months or more. Moncler jackets Vanoise Men gray with hats Overall, he finds Paxil and Celexa to be the most problematic in patients. Other psychotropic drugs such as Remeron, a tetracyclic antidepressant, "have a more clear propensity to cause weight gain," says Jair C. Soares, MD, professor and chair of the department of psychiatry and behavioral sciences at the University of Texas Houston Medical School. Patients taking this drug may experience increased appetite and carbohydrate cravings. puffer jacket moncler Older tricyclic antidepressants (TCAs) such as Pamelor, Elavil, and Doxepin, and monoamine oxidase inhibitors (MAOIs) such as Parnate and Nardil are also associated with greater weight gain than SSRIs. Additionally, Dr. Edelson has seen patients who are taking agents such as Abilify, Zyprexa and Risperdal, atypical antipsychotics that are being added to antidepressant therapy, rapidly put on pounds."If you encounter weight gain while taking an antidepressant you should discuss the issue with your psychiatrist," says Dr. Edelson, adding that mental health should be addressed before weight problems. With that said, a change in antidepressants may be in order. Patients generally experience less weight gain with Wellbutrin, a norepinephrine and dopamine reuptake blocking compound. "This drug might be considered in depressed patients who are struggling with weight issues," says Dr. Hershberger. Additionally, Dr. The paper also recommends that people with depression pursue moderate intensity exercise such as walking or stationary cycling for at least 150 minutes a week. Although most available research involves aerobic activity, weight training has been linked with reduced depressive symptoms. " releases endorphins in your brain that make you feel good," explains says Leila Azarbad, PhD, a psychologist at Rush University Medical Center in Chicago. "Physical activity can also boost self confidence and energy levels."People with depression, as well as weight control problems, "should also eat a healthy diet," says Dr. Edelson, adding that eating a poor, high trans fat, or high gylcemic diet can make you feel fatigued. Whether eating specific foods can help with depression is still largely unknown and not well supported by the available scientific literature. In addition to eating healthfully, Dr. Tajani encourages portion control, eating more slowly, drinking enough water, and weighing yourself regularly. "I cope with my depression with a combination of medication, psychotherapy and exercise," says Beth, 36, who was diagnosed with the disorder about 20 years ago. She believes her medication, a combination of lithium and Ativan, contributed to an initial weight gain 10 to 15 pounds. To take care of her weight gain and her mental health, she likes to walk most days of the week. "It boosts my mood," she says, adding that she s also managed to reach and maintain her lifetime goal weight. "Weight loss on medication is possible, it just might take a little longer," says Beth. "Don t give up. Stay positive." The bottom line With the appropriate treatment for depression and a moncler coats womens thoughtful approach to your weight, feeling better is well within your reach. Most important, talk to your doctor about any concerns you may have about mental health and weight solutions are available that will put you on track to a better peace of mind

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