I’m sure you have heard thousands of songs about depression. The singer generally sings about how his heart is breaking, how he is feeling melancholy, how unbearable life has become, how he is contemplating suicide; the list is endless!
So, how real is depression? A deep debilitating condition or just a passing mood? A subject for songs, or something to treat seriously?
Ask anybody who has been diagnosed with Major Depressive Disorder (MDD), and you will be shocked to learn how depression can completely take over your life; destroy your health, family, work, until you really and truly want to cease to exist. Scary, isn’t it?
Major Depressive Disorder (MDD).
Of course, we all feel depressed, sad, melancholy, blue, miserable, from time to time. These are all natural feelings and very much a part of our life. I mean, seriously, you cannot expect to go through life with a smile on your face and a spring in your step every single moment. But, when these depressed feelings take over your life, when they interfere with your quality of life, when they seem to go on forever to the point where you cannot function anymore, you have a major problem. In fact, you could have Major Depressive Disorder.
The exact cause of MDD is not known. It could be genetic. But many people who have no family history of depression may also suffer from it. It could be caused by alcohol or drug abuse, use of certain medications like steroids, certain medical conditions, sleeping problems, or even major stressful events. Events that could lead to MDD include a break-up of a relationship, death of somebody you love, loss of job, a failed business, financial problems, childhood neglect, childhood abuse, etc.
But whatever the cause of your depression, it is certainly not something you want to live with all your life. Depression generally distorts the way you perceive your life, the people around you, and your ability to cope with general situations. It puts you in a very negative frame of mind, making solutions even more difficult to find.
Depression can also manifest itself as anger, discouragement or hostility.
General Anxiety Disorder (GAD)
Anxiety too is a part of our life. We feel anxious about our relationships, our jobs, how our kids are faring, our finances, and a host of other things. But again, as with MDD, if this anxiety is exaggerated to the point where your daily life becomes a thing of constant fear, worry, and dread, you very possibly suffer from general Anxiety Disorder (GAD). GAD is characterised by extreme, exaggerated worry and anxiety over everyday situations, even when there is no reason for this feeling. It so dominates thinking, that it completely interferes with normal daily functioning.
The exact cause of GAD is not known. It could be genetic, but not necessarily so. It can be caused by alcohol or drug abuse; use and withdrawal of addictive substances like caffeine and nicotine can also lead to GAD. General Anxiety Disorder is also believed to be caused by an imbalance in the levels of certain neurotransmitters in the brain. And of course, stress and stressful events can cause or worsen anxiety.
MDD is the leading cause of disability in the US. It can affect people of all ages, including the elderly. GAD mostly begins in childhood and adolescence, but may begin in adulthood as well. It affects women more than men.
Extreme depression and extreme anxiety are not a normal part of life. If you feel you suffer from either, go get yourself checked out by a doctor.
Suppose you find that you do suffer from MDD or GAD. What next?
Enter Lexapro (Escitalopram)!
Today, MDD and GAD can be quite easily controlled with a class of drugs known as anti-depressants. Lexapro (Escitalopram) is an anti-depressant belonging to a group of drugs called Selective Serotonin Reuptake Inhibitors or SSRIs. It works by balancing the neurotransmitters in the brain that are responsible for causing extreme depression or anxiety. Lexapro (Escitalopram) is a safe and effective way to treat adolescents and adults suffering from MDD and GAD. A recent study has deemed Lexapro (Escitalopram) one of the best treatments for MDD and GAD.
Lexapro (Escitalopram) must be used only if prescribed by your doctor, and only under your doctor’s supervision.
Use the medication exactly as prescribed. Do not use more or less than has been prescribed for you, and do not stop this medicine abruptly without your doctor’s knowledge. If you do so, you may suffer from severe withdrawal symptoms.
Remember that most anti-depressants can increase the risk of suicide and suicidal feelings in children, adolescents and young adults, especially in the first few weeks of starting treatment. So, if a young person in your family has been prescribed Lexapro (Escitalopram), make sure you monitor him or her very carefully and inform the doctor right away if you notice a worsening of the depression. Lexapro (Escitalopram) must not be used by children under 12 years of age.
Some people should not use Lexapro (Escitalopram) to treat their MDD or GAD. If you suffer from any of the following conditions, make your doctor aware of it:
- Epileptic Seizures
- Heart attack
- Allergic reaction to Serotonin
- Heart disease
- Bipolar disorder
- Kidney disease
- Liver disease
- Bleeding from the stomach, duodenum or aesophagus
- Low blood sodium
- Increased risk of bleeding
- Thoughts of suicide
Do not take Lexapro (Escitalopram) if you are using an MAO Inhibitor. There must be a gap of at least 2 weeks before switching from an MAO Inhibitor to Lexapro (Escitalopram) and vice versa.
Inform your doctor if you are pregnant or breast feeding.
As with most anti-depressants, Lexapro (Escitalopram) too has side effects.
Less serious side effects of Lexapro (Escitalopram) are:
- Nausea
- Heavy sweating
- Insomnia
- Drowsiness and fatigue
- Decreased libido
- Dry mouth
More serious side effects which must be reported to your doctor include:
- Severe changes in mood, such as wild energy swings, confusion, nervousness, extreme high energy, or thoughts of suicide
- Aggression and hostile behaviour
- Changes in sexual ability, anorgasmia
- Change in urination
- Easy bleeding and bruising
- Cramps and muscle weakness, and very stiff muscles
- Fainting, seizures
- Black tarry stools
- Loss of co-ordination
- Memory problems
- Confusion
- Shallow breathing
- Hallucinations
- High fever
If you are worried or concerned about any other possible side effect, please consult your doctor.
Other medicines you take can interfere with the way Lexapro (Escitalopram) works, so make sure your doctor is aware of any pharmaceuticals, over-the counter meds, herbal preparations, nutritional supplements or other meds you use. Use of alcohol, recreational drugs and tobacco must also be reported.
Remember to continue using Lexapro (Escitalopram) exactly as prescribed by your doctor, and for the complete course of treatment.
Join a support group, indulge in talk therapy, spend quality time with people who care about you, get a pet. These, along with your meds will help you get your life back on track.
Think of how wonderful it will feel to reclaim your quality of life; to feel happy, relaxed, and in control. Isn’t it just terrific how modern medicine can help you do just that?
I think that ultimately all we want is to be content, healthy, loved, and happy. Depression and Anxiety can destroy these feelings in us. Happiness does not have to be ‘the interval between periods of unhappiness’ (Don Marquis); it should be a constant in your life. So, if your unhappiness is caused by MDD or GAD, take Lexapro (Escitalopram) and bring the sunshine back into your life.