What Your Doctor Might Be Missing About Your Depression
If you’re feeling depressed, you may go to a psychologist, psychiatrist, or your primary care physician (who prescribe 85% of psychiatric medications), who will ask you to describe your symptoms. In most cases, your doctor will listen, do a brief examination, then look for symptom clusters. Based on this, they’ll give you a diagnosis and treatment plan, usually involving one or more psychiatric medications.
For example, you may say, “I’m depressed.” Your doctor will then label you with a diagnosis that has the same name as your symptoms—depression, in this example—without taking any biological information into consideration. And you’re likely to walk out with a prescription for antidepressant medication.
Unfortunately, antidepressants are often ineffective. Approximately one-third of people with depression don’t respond fully to treatment with antidepressants, according to a 2015 study in Dialogues in Clinical Neuroscience.
What’s the problem?
Symptoms don’t reveal anything about the underlying biology of the problems people have. All other medical professionals look directly at the organs they treat, but psychiatrists are taught to assume what the underlying biological mechanisms are for illnesses, such as depression, without ever looking at the brain. Because of this, the root causes of depression are often missed.
Here are 8 facts about depression that traditional medical professionals may miss.
1. Depression isn’t just 1 thing.
Brain SPECT imaging studies show that depression isn’t a simple or single disorder. In fact, there are 7 types of depression and anxiety. Giving everyone the same treatment will never work. You need to know your depression type.
What you need to know: Getting a brain scan can help determine which type of depression you have so you can get the most effective treatment.
2. Head trauma can cause mood disorders.
Mild traumatic brain injury is a major cause of psychiatric problems, but very few people know it. Head injuries, even minor ones, increase the risk of depression, according to research in Frontiers in Psychiatry. At Amen Clinics, 40% of patients had a significant brain injury prior to seeking help. Most of them didn’t connect the injury to their psychiatric issues, and many didn’t even remember hurting their head.
What you need to know: A brain scan can reveal damage from a past head injury that may be contributing to feelings of depression.
3. Chronic inflammation is linked to depression.
Just as inflammation can ravage your body, it can also damage your brain and mind. It has been associated with a wide range of neurological and psychiatric illnesses, including depression. If you’ve been treated for major depressive disorder without success, it may be time to look at inflammation as a possible root cause.
What you need to know: Have your doctor check your inflammation levels with tests for C-reactive protein, homocysteine, and the omega-3 index. Avoid eating pro-inflammatory foods (such as corn and soy). A 2015 study in Brain and Behavior has found that some anti-inflammatory medications (such as aspirin and ibuprofen) and nutraceuticals (such as omega-3 fatty acids and curcumin) have been found to decrease depression in people who have evidence of persistent inflammation.
4. Depression may be a symptom of underlying infections.
Infectious illnesses including Lyme disease, streptococcus (strep throat), toxoplasmosis, syphilis, helicobacter pylori (H. pylori), HIV/AIDS, herpes, and others are a major cause of psychiatric problems like depression that few medical professionals recognize.
What you need to know: If you or a loved one’s depression is not getting better with standard treatment, consider testing for (and treating) infectious diseases that commonly affect the mind.
5. Neurohormonal imbalances can produce symptoms of depression.
In particular, fatigue, difficulty concentrating, brain fog, moodiness, and lack of motivation are common symptoms when neurohormones—such as thyroid, estrogen, progesterone, or testosterone—levels are abnormal.
What you need to know: Have your doctor check your hormone levels and balance them if necessary.
6. Diabesity is tied to depression.
Diabesity is having high blood sugar and/or being overweight or obese. Obesity is associated with a greater risk of depression. According to 2016 research in Current Diabetes Reviews, depression and anxiety are 2-3 times higher in patients with Type 2 diabetes than the general population.
What you need to know: Eat brain healthy foods to help balance blood sugar and to achieve and maintain a healthy weight.
7. Depression may be related to sleep problems.
In general, a single night of staring at the ceiling can make you wake up feeling sad, irritable, or moody. Over time, sleep problems can lead to a higher risk of depression. Research in Dialogues in Clinical Neuroscience shows that about 75% of people with depression also have insomnia. In addition, having untreated sleep apnea nearly triples your risk of depression, according to a 2016 study in American Journal of Geriatric Psychiatry.
What you need to know: Create a healthy sleep routine and if you snore, get checked for sleep apnea and treat it if necessary.
8. Exposure to toxins can cause depressive symptoms.
Your brain is the most metabolically active organ in your body. As such, it is vulnerable to damage from toxins, such as toxic mold, smoke, conventional cleaning products, carbon monoxide, pesticides, and more. Toxins are one of the major causes of psychiatric issues, such as depression, that traditional psychiatrists almost completely ignore.
What you need to know: Avoid exposure to environmental toxins and get tested for levels of mold toxins, especially if your home has ever been flooded or had water damage.
Depression—as well as anxiety, ADD/ADHD, and other mental health—issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.
At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.
