FAQ - Depressive Disorder, Major
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How is bi-polar depression different from major depressive disorder?

Pretty straight forward question.

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How does one qualify for a companion animal if one has long-term GAD and major depressive disorder? ?

I would like to have a pet to relieve anxiety and depression and have been advised this is a good form of therapy, but live in an apartment that does not allow pets. I understand that if there is a doctor's order, an exception must be made or it can be considered discrimination based on disability. What is the process to qualify?

It will take a fair amount of work on your part but it can be done. First get on the ADA website and read up on reasonable accommodation. Get your doctor to write a specific order as to why you need a dog, not just that it might help. Documentation is the key. Contact the city you live in and ask for the rental rules, ask for the disabilities advocate or contact free legal services in your community. Stay away from people who want to charge you for help, most of the professionals I know work pro-bono for these cases. After you have everything well documented, which also should include the plan you have to maintain the dog( health, shots,poop) and renters insurance; go to your landlord and make a presentation. If he is not the owner ask that the owner be at the meeting. The more you can show you did your homework and that the benefits out weight the downside, the better chance you will have. Last of all, never take NO for an answer. If they say no-ask why and how can you get them to change their minds. Good Luck. Keep in touch if you need an specifics as to your community, state or what ever.  (+ info)

How much of my (soon to be ex) wife's Infidelity & deciet was related to Major Depressive Disorder?

Our marriage hit the rocks due to her & I being unequally yolked ( religiously) she believed in Christ, but she didn't show it with me. She was diagnosed with an illness (Major Depressive Disorder) and she would hit me, say the meanest things and then tell me to leave. I recently found the proof of her having an affair after at least a month of Suspiscion....She wrote in her own diary that I hit her and cheated on her & I can't figure out why would anyone lie to themselves through a devotional. She is not on her meds anymore and I don't know how long she has not been taking the Zoloft. I know I can't contribute her infidelity, forging and hot check writing all to the disease, but I fear that the lover she moved in doesn't TRULY have a clue what he is in, & I also fear his violent temper/ understanding may spark him to wail on her.
I shouldn't care anymore, but I share a child with this woman and I wish I could know how much of all this Drama is due to her illness.

I had a husband who had bipolar disorder. It was severe. He got arrested, shoplifted, embezzled from his jobs, was addicted to porn, chatted in porn chat rooms and eventually met up with the women he met on line, screamed, yelled, lied, broke things, slept for days, had obsessive compulsive symptoms, was addicted to Nyquil, alcohol, etc.

After doing an intervention and telling him he either needed to get some serious help or I would leave him, he told me no. So I left him. He has a new girlfriend now and she has two young children. I worry for them, but you MUST understand that this is her life's journey and it is no longer your place to save her or HIM for that matter. Let them be. You live your life now. I have a child with mine too and the best I can do is love her all I can, help her understand her father's illness and let them have once a week visits, but never overnight.

All of those things you are describing about her behavior are illness related. It doesn't help that she didn't seem to have a solid spiritual grounding either.

Good luck to you in the future. I hope it helps to at least know others have been through this and come through it ok.  (+ info)

I am going into the hospital voluntarily (sorta) for Major Depressive Disorder, What can I expect?

I have been dealing with this depression for 9 months and we can't find a medication to get stabilized. After one suicide attempt, and a couple of planned ones, both my doc and therapist insist that I go. I agreed, but I am going to wait until after the holiday ( so I am not completely miserable), What can I expect in there?

I was once in the same boat as you.
It's not terrible like the movies portray them.
There are no straight jackets or padded rooms.
However, if you become verbally intollerable, they might tell you to stay in a "Quiet Room" (basically, if you start insulting/threatening people liek crazy, you'll be placed in an empty room with maybe a bed).
If you become physically intollerable, they will keep you in a "Quiet Room" and perhaps restrain you, if necissary.
But when I was there, they let you choose the different ways you want to be calmed down, be it restraints, a pill, or a shot.

If you aren't a threat to yourself or to others, then things should be fine.
Most of the staff are perfectly nice and care for your well being. They are there to help.
You will first be evaluated so they can place you in the right unit. Once you get your room, they will do a "safety check". They want to make sure you don't have things that you shouldn't have (anything sharp, drugs, weapons, etc).
You may or may not have a roomate. Hopefully, if you have one, yours will be nice enough.
Most people are there for depression, self injury, suicidal thoughts, anger problems, and anxiety. Every so often you may come across someone psychotic, but that doesn't mean that they are necissarily dangerous to you or to anyone else.

What do you do there?
Well, my routine went a little like this:

Check-in Goup (staff check up on how your feeling)
Transition (time in which you stay in your room)
CBT Group
DBT Group
Check-in Group
Meet with psychiatrist
Perhaps meet with assigned psychologist
Med Ed Group
Check-in Group

You sometimes got priveleges for good behavior.
There are certain things that you cannot have, such as candy, a radio, things like that.
So (I don't know if this will be true for where you go), sometims you got those priveleges.
Other times, priveleges are taken away. There are a lot of rules in these hospitals, mainly to keep everyone safe, though some may seem like they have been put in place just to torture you (you can only have certain types of brushes, for example).
However, this may not be true for your unit.
I was placed on both the Adolescent Unit and the Eating Disorder Unit.
The Eating Disorder Unit allowed you to have hair straighteners, earrings, makeup, things like that...while the Adolescent Unit allowed you to have none of those things.
So it all depends on where you are placed.

Anyway, if you break any of these rules, then your priveleges will be taken away. You may be only allowed out of your room at certain times, you may not be allowed INTO your room at certain times of day, depending on the circumstances.
You may not be able to eat with the other patients, you may not get to attend gym, you may not be able to play any games or watch TV or anything like that. You may have to stay in the Quiet Room all day, if you're "bad enough".

But you don't have to worry about any of those things as long as you do what you are told.

I think I have rambled on enough.
Hope I could help you out.
Stay safe, please, and hang in there.  (+ info)

A friend with major depressive disorder and sometimes he is withdrawn and avoids communication what can I do?

I live far from him like 800 miles but he's my best friend so I try to keep in contact with him as much as I am able to. I try to offer advice and make him feel better I just sometimes think I am not doing the right thing. Any advise?

Since you live so far away, I think it is best to try to stay in contact with that person as much as you can. Really, when you call of write, you are showing that person you care about them, and that is very important with people who have depression. The more he withdraws and avoids contact, he will just keep getting more and more depressed. If you know anyone who lives near your friend, I would strongly suggest having them go visit also. You are do the right thing, and it shows how caring you really are. Keep up the great work! Best of luck to you and your friend. P.S. I am in Arizona, so if your friend is over here, I would be more than willing to introduce myself and try to help in any way. I often get depressed and I know how much that helps me when I am in need.  (+ info)

Is there enough research material to write 5000 words on major depressive disorder?

I have to pick my own topic to write a 5000 word essay, and don't really know how much information/depth I will need/can get?

Ask your professor or a school librarian if you have access to any online journal/periodical databases such as Gale. There you will find information that is both easily accessible and very accurate (as long as it is relatively recent, medical stuff always needs to be.) That is really the best way to do a research paper, since I'm assuming you need sources. & yes, there is enough research material to write much much more than 5000 words, you'll be fine ;)  (+ info)

Major Depressive Disorder: How do you make the pain go away?

I am in therapy.... I don't want to die but I feel like it's the only way out...How do you deal?

If you are comfortable giving more details you may receive better responses.

Based on what you say I strongly recommend you share your feelings of hopelessness with your therapist or therapy group . Perhaps here you can get a couple of people in place that you can call should the urge to escape from life become too overwhelming for you. You can also call suicide prevention.

You have got to find a way to address the pain, it truly is your way out, so make sure you continue therapy. Also your doctor will be able to prescribe medicine specifcally for the depression.

I hope you choose life not death.  (+ info)

Can a Major Depressive Disorder and a Generalized Anxiety Disorder be cured?

I have both that's why I'm asking.
I'm currently taking Abilify 10 Mg. and Zoloft 50 Mg.

Cured? No..I don't think "cured" is the word...successfully MANAGED...YES...I have GAD and was diagnosed in 1999..I am on meds, and have been successfully treated since that time...I have no return of my symptoms as long as I take my meds as directed.
I have a rich, full and happy life.
I honestly don't think there is a "cure" (since a lot of times, the symptoms are from a low seratonin in the brain-which mine is-..which the meds "correct"..a lot like a diabetic needing insulin)...
If you are currently doing well on your meds, I wouldn't worry. There is no shame in needing help...
Get out there and make YOUR life worth living...  (+ info)

Living with Borderline Personality Disorder and Major Depressive Disorder?

What helps you get threw day to day life when you have these two disorder's? What are some on the destructive behavior's you have and how you cope with them? I have both disorders and am just looking for some similar people who can shed some light at the end of the tunnel...

Although Borderline Personality Disorder is less well known than bipolar and
schizophrenia it is more common, affecting 2% of adults in the US and accounting
for a whopping 20% of psychiatric hospitalizations in the US. Completed suicide
rates in BPD is an incredible 8-10%. All that having been said, borderline
personality disorder is not a death sentance. There is strong research which
suggests that often symptoms of BPD decrease as the sufferer ages from a
teenager to a young adult and their brain fully develops. With early
intervention, likelyhood of recovery is also increased

With borderline personality disorder it's really hard to find good therapists
because everyone's either scared of the label or isn't experienced enough to
help you. One of the most effective treatments for Borderline personality
disorder is a type of therapy called DBT (Dialectical Behavioral
Therapy). DBT was developed by a psychologist who had borderline her self. She
found in her own recovery, and in treating her patients, that CBT (cognitive
behavioral therapy) was too oriented on change for borderlines, leading them to
feel invalidated and have a high risk of dropping out of treatment. DBT is a
balance of acceptance and change. The tag line is that DBT teaches you to "Build
A Life Worth Living". And two uniquie focuses of DBT include training on
dialectical thinking (seeing both sides to every story) and mindfulness ( living
in the present, concepts are most highly pulled from Zen Buddhism, but are not
at all religious in nature.) It teaches you skills in distress tolerance (which
is crisis survival), interpersonal effectiveness (how to improve your
relationships), mindfulness ( living in the present moment, meditation type
stuff), and emotional regulation (how to prevent yourself from going into crisis
to begin with..basic taking care of yourself kind of stuff). DBT is developed
for TEAMS of clinicians working together, and includes: individual
psychotherapy, group skills training, phone coaching, and consultation team-
which is when the clinicians meet to discuss cases and support each other.
Although consultation team does not directly impact that patient, it is seen as
a manadory component of DBT, and you should seek a DBT group or center, not an
individual DBT Clinician if at all possible.

DBT is very very different than standard psychotherapy, which tends to be a
processing therapy. While in standard therapy you may spend many many sessions
focusing on whats wrong, DBT is constantly redirecting you towards focusing on
solutions. and in absense of concrete solutions, acceptance, so you decrease

I think it is important to emphasize that \DBT is not a magical cure, nothing is.
And it can take a lot of perserverence to continue to incorperate skills into
your daily life when you aren't seeing a dramatic increase in mood. Most DBT
outpatient therapies need a time span of 1-2 years in therapy for full benefit.
It is not meant to be a life long treatment, although you could use it that way.
But for someone who is intelligent, and is determined to make the best of what
they have been given DBT is an excellent choice.

If you are interested in doing some work in DBT on your own, I would
suggest the "Dialectical Behavioral Therapy Skills Workbook" its green and is
published by New Harbinger Publishers. Here is a link to their original one,
they also have recently published variations of it, and one of them I know is
for Bulimia.


Medication can help treat some struggles relating to BPD, but behavioral therapy
is considered much more effective.  (+ info)

What is the best medicine to take for Major Depressive Disorder?

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