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5 Steps to take if your antidepressant "kind of" works

5 Steps to take if your antidepressant "kind of" works
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    Does your antidepressant "kind of" work?
    If you feel better, but not good or normal, after starting a new antidepressant, or starting
    on antidepressants for the first time, you're probably experiencing what's known as a "partial
    response."
    This can be very frustrating, and unfortunately many people assume that this partial response
    is the best they're going to get, especially if their doctor hasn't fully explained the
    possible outcomes of trying antidepressants.
    Also, a doctor that's rushed or less than thorough may not ask you enough questions,
    or the right questions, to realize that your response to the antidepressant is only partial.
    Hi, I'm Deborah Gray, creator of Wing of Madness Depression Guide.
    As always, if this video has been helpful, please consider liking it and subscribing
    to see more videos about living with depression.
    It's very important to remember that you have a right to complete remission from depression
    on your antidepressant.
    It's not asking too much.
    That is what is supposed to happen.
    If your doctor makes you feel that you should be satisfied with just not being suicidal
    anymore or with feeling somewhat better, find another doctor.
    Fortunately, there are a few options to consider when you get a partial response to an antidepressant.
    Number one is increase the dosage.
    In many cases, doctors will start a patient off on a low dose of an antidepressant, especially
    if there's some concern about how well the patient will tolerate the medication, or the
    side effects.
    Most antidepressants have several possible dosage levels.
    Ask your doctor if raising yours might give you a better response.
    Number two is sugment your current antidepressant with another medication.
    Over the past decade or so, doctors have started augmenting antidepressant treatment by adding
    other medications.
    In some cases this medication is an antidepressant, and in other cases doctors will add an anti-seizure
    or anti-psychotic medication.
    The possibility of contraindication, which is a negative outcome when the two medications
    are combined, exists, so this must always be attempted under a doctor's care.
    Do not try this at home.
    Number three is exercise.
    Several studies have suggested that exercise can alleviate depression.
    In fact, there's new evidence that suggests that a lack of exercise can actually cause
    depression.
    Exercise not only relieves stress, which is believed to contribute to depression, but
    also gives you some immediate relief due to the endorphins that exercise produces, which
    - endorphins increase positive mood.
    Um, four is add folate.
    This is a very complex subject, which I'm going to cover in a future video.
    Basically, it's believed that some people with a specific genetic mutation are unable
    to process folic acid into folate.
    A deficiency of folate can lead to multiple health problems, including depression.
    Although the type of folic acid that you need to take if you have this genetic mutation
    is a specific form called L-Methylfolate, taking regular folic acid or increasing your
    intake by eating foods rich in folic acid might make a difference.
    Folic acid - just regular folic acid - is cheap, by the way, so it won't cost you that
    much to try.
    Talk to your doctor first.
    You want to ensure that the folic acid will not contraindicate with your antidepressant
    or other medication you're taking.
    It's unlikely, but better safe than sorry.
    In addition, as always, your doctor needs to be apprised of any substance you're using
    to augment your medication treatment, even supplements.
    Five is try a new antidepressant.
    Although I've listed this option last, it's not necessarily the last thing you should
    try.
    The accepted reason for switching an antidepressant is usually if it does not alleviate the depression
    at all, but if your response to the antidepressant was minimal, your doctor may feel that switching
    to another medication altogether is a better course.
    Thanks for watching.
    Leave a comment below, and let me know if you have any thoughts about other ways to
    boost your mood.
    See you next time.
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