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Blues music is fun to hear in a bar, but having the blues all time is no party. That's what living with depression has been described as. It can make the simple things of life seem impossible to do. Life in our high stress, fast paced life is tough enough. Going through it with depression can be a nightmare. Depression is often a medical condition, but there are sometimes physical causes that can be controlled. Only when physical causes are all ruled out as causes, is medication necessary. Medication causes troubles of its own and some believe it should only be used when there is no other option. Before going to a psychiatrist and asking about medication, its important to examine your symptoms and see if you may be clinically depressed. Some classic symptoms of depression are:

1. Not sleeping or sleeping too much
2. Lack of motivation
3. Loss of appetite
4. Irritability
5. A feeling of being overwhelmed

More symptoms and a larger overview of depression symptoms and diagnosis can be found at: mayoclinic.com/health/depressi on/

In our microwave society where we don't want to wait for anything, medication seems preferable to life changes. After all, who wouldn't rather take a pill and be done than make a lot of changes in ones life? It seems that on tv and in movies we see more and more evidence of people who are depressed taking drugs like Prozac and others to manage their illness. What we don't see as much are the real life pitfalls of medication. There are the waits at the pharmacy every month, the costs, the cumbersome pills that must be taken anywhere you vacation, and the risk of missing a few doses and falling into a dangerous state. It is an option to treat depression with medication, but what about if there are physical causes? What if these causes could be controlled by the patients actions and make the depression go away? I think this would be a much better way to deal with the depression than through a life-long dependence on medication.

So what are the physical causes of depression? There are 4 that seems to pop up on every site or in most literature I've read:

1. Stress. Stressful life events, particularly a loss or threatened loss of a loved one or a job, can trigger depression. Stress can be reduced by changing jobs, taking an extended break from ones job, or working out a stress management routine in ones life. Unfortunately for some this isn't possible or they aren't willing to take these steps. In these cases, medication may be warranted.

2. Medications.

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