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health provider is important to make sure the patient continues to improve and to take their medications.

For the first episode of depression, a patient can expect to take a medication for at least six months. With each prior episode of depression, the subsequent duration of treatment is longer, with a minimum of at least a year. Combining medication with therapy decreases the frequency of recurrences.

Should a patient develop agitation, insomnia, or mania after beginning an antidepressant, a diagnosis of manic depression should be considered. Manic depression is characterized by recurrent episodes of depression which often eventually go away without treatment. At least one episode of hypomania or mania, characterized by a minimum of four days in a row of grandiose ideas, racing thoughts, decreased need for sleep, and high-risk behaviors, is necessary to make a diagnosis of manic depression. The treatment of this disorder is quite different from that of depression, as antidepressants may stimulate mania. Mood stabilizers must be used to prevent both depression and mania, and are usually prescribed by psychiatrists rather than primary care doctors.

There are many resources available for persons suffering from depression. Many hospitals and community organizations sponsor depression support groups. Therapists can offer suggestions for self help reading and workbooks. And often, the most important resource for a depressed person is a solid support system of friends and family. Depression is a common illness. Being able to talk about it and address it openly can speed recovery and prevent relapse.

Learn more about this author, Harriet Squier.
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