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DESCRIPTION
Depression is a whole-body illness - it involves the body, nervous system, moods, thoughts, and behavior. It affects the way you eat and sleep, the way you feel about yourself, and the way you react to and think about people and things around you. Symptoms can last for week, months, or years. There are many types of depression, with variations in the number of symptoms, their severity, and persistence. People with depression may experience a continuing feeling of sadness, despondency or hopelessness with accompanying symptoms. Major depression occurs in about 1 in 10 Americans. Depression affects an estimated 11 million Americans every year and is on the rise. It affects both sexes, but is more twice as common in women. It can be difficult to treat, but there is continued improvement in effectiveness of treatment.
The two major classifications of depressive disorders are unipolar and bipolar. Unipolar disorders are characterized by depressive episodes that most often recur at least several times in the course of a person's life. Bipolar disorders usually begin as depression, but as they progress, they involve alternating episodes of depression and mania. As a result, bipolar depression is commonly known as manic depression. This web page focuses primarily on various types of unipolar depression.
A variety of things can trigger an episode of depression, but whatever the factors that trigger it, depression begins with a disturbance in the part of the brain that governs moods. Most people can handle everyday stresses; their bodies readjust to these pressures. When stress is too great for a person and his or her adjustment mechanism is unresponsive, depression may be triggered.
Perhaps the most common type of depression is chronic low-grade depression called dysthymia. This condition involves long-term and/or recurring depressive symptoms that are not necessarily disabling but keep a person from functioning normally and interfere with social interactions and enjoyment of life. Research has found that this type of depression often results from (unconscious) negative thinking habits. Double depression is a variation of dysthymia in which a person with chronic low-grade depression periodically experiences major depressive episodes, then returns to his or her "normal," mildly depressed state.
Some people become more depressed in the winter months, when the days are shorter and darker. This type of disorder is known as seasonal affective disorder (SAD). Women are more likely to suffer from SAD than men are. People who suffer this type of depression in the winter months lose their energy, suffer anxiety attacks, gain weight as a result of craving the wrong foods, sleep too much, and have a reduced sex drive. Many people get depressed around the December holidays; while most of them probably just have the "holiday blues," some of them may be suffering from seasonal affective disorder. Suicides seem to be highest during this time of year.
Some researcher believe that depression can be "caught" like a cold or the flu. In a marriage, if one person is chronically depressed, both probably will be. Researchers have found that some people are powerful mood transmitters and others are mood receivers. Mood transmitters can control the mood of a family or group of co-workers just by being in the room. Mood receivers are very susceptible to the changing moods of those around them. This subconscious interaction is most dangerous when the mood transmitter is exhibiting depression through constant moodiness, anger, anxiety, or sadness; he or she can then "give" a case of depression to others.
This disorder is the focus of a considerable amount of research, and as we learn more about this disease in all its complexity, perhaps we will abandon the catchall category called depression and diagnose people according to their particular chemical imbalances.
FREQUENT SIGNS AND SYMPTOMS
Loss of interest in life; boredom. They lose interest in hobbies and other things around them and become incapable of experiencing pleasure.
Listlessness and fatigue. Chronic fatigue. Some try to "sleep off" depression, or do nothing but sit or lie around.
Insomnia; excessive or disturbed sleeping. Sleep disturbances. Restlessness.
Social isolation. People with depression typically withdraw and hide from society.
Appetite loss or overeating. Changes in appetite. Digestive disorders.
Loss of sex drive.
Constipation.
Difficulty making decisions; concentration difficulty.
Unexplained crying bouts.
Intense quilt feelings over minor or imaginary misdeeds. Feelings of worthlessness and inadequacy. Things appear bleak and time seems to pass slowly.
Irritability. Quickness to anger, may become chronically angry and irritable, sad and despairing, or display little or no emotion at all. Many think of death and consider suicide.
Various pains, such as headaches, backaches, or chest pains, without evidence of disease.
CAUSES
The causes of depression are not fully understood, but they are probably many and varied.
A truly depressive illness has no single obvious cause. Some biological factors can play a part, e.g., physical illness, hormonal disorders, certain drugs. Chemical imbalances in the brain, thyroid disorders, upset stomach, headache, nutritional deficiencies, poor diet, the consumption of sugar, mononucleosis, lack of exercise, endometriosis, any serious physical disorder, or allergies may all be depression triggers.
Social and psychological factors can play a part. Depression may be triggered by tension and stress.
Inherited disorders may contribute (manic-depression runs in families). Heredity is a significant factor in this disorder. In up to 50 percent of people suffering from recurrent episodes of depression, one or both of the parents also experienced depression.
May relate to the number of disturbing events in a person's life.
RISK INCREASES WITH
Unexpressed anger.
Compulsive, rigid, perfectionist or highly dependent personalities.
Family history of depression.
Alcoholism.
Failure in occupation, marriage or other interpersonal relationships.
Death or loss of a loved one.
Loss of something important (job, home, investments).
Job change or move to a new area.
Surgery, such as mastectomy for cancer.
Major illness or disability.
Passing from one life stage to another, such as menopause or retirement.
Use of some drugs, such as reserpine, beta-adrenergic blockers or benzodiazepines.
Withdrawal from mood-altering drugs, such as narcotics, amphetamines or caffeine.
Some diseases, including diabetes mellitus, cancer and hormonal abnormalities.
Post-partum (after the birth of a baby). Some women experience postpartum depression (the baby blues) most often due to hormonal fluctuations that occur when pregnancy ends. Contributing factors may include a stressful or traumatic birth experience, fatigue, feeling overwhelmed by new responsibilities, lack of support from partner, friends and/or family. See Post-partum Depression for more information.
PREVENTIVE MEASURES
Maintain good communication with family and close friends. Have a good support system around you.
Raise children with love and reasonable expectations in school and home.
Anticipate and prepare for major life changes where possible.
Education and coping techniques regarding depression and stressful events that may trigger depressive episodes.
EXPECTED OUTCOME
Spontaneous recovery in many cases, but professional help can shorten the duration and help you learn to cope in the future. If you seek professional help to assist you with depression episodes, be sure to find a therapist that you "click" with and feel you can trust. A good therapist can offer you tools to deal with your depression and how you handle your life problems and stresses. Not all therapists are created equal. Avoid those that are quick to hand out prescriptions for potentially dangerous drugs in place of quality therapy. Recurrence is common. The recovery rate is high, despite one's pessimism while depressed.
POSSIBLE COMPLICATIONS
Suicide or attempted suicide. Warning signs include:
- Withdrawal from family and friends.
- Neglect of personal appearance.
- Mention of wanting "to end it all" or being "a burden to others."
- Evidence of a suicide plan (e.g., buying or cleaning a gun).
- Sudden cheerfulness after prolonged despondency.
- Hallucinations or psychotic behavior.
- Manic behavior, characterized by inappropriate over-activity and comic or irresponsible behavior.
TREATMENT
GENERAL MEASURES
Have a hair analysis to rule out heavy metal intoxication as the cause of depression.
Learn to recognize, and then to "reroute," negative thinking patterns. Working with a qualified professional to change ingrained habits can be rewarding (cognitive-behavioral therapists specialize in this type of work). Keeping a daily log also can help you to recognize distorted thoughts and develop a more positive way of thinking.
If depression is seasonal, light therapy may help. Exposure to the sun and bright light seem to regulate the body's production of melatonin, a hormone produced by the pineal gland that is, in part, responsible for preventing the blues. Stay in brightly lit rooms on dark days. Keep all draperies, curtains, and blinds open and use full-spectrum fluorescent lights in your home. The normal room has about 500 to 800 lux of light. Choose one room and light it with about 10,000 lux of full-spectrum light and spend at least half an hour there each day. For information about devices for this type of light treatment, contact either:
The SunBox Company
Telephone: 301-869-5980 or 800-548-3968
Or
Apollo Light Systems, Inc.
Telephone: 801-226-2370 or 800-545-9667
Try using color to alleviate depression. See Color Therapy for more information.
If you suspect you have a hypothyroid condition, take the Thyroid Self-Test to detect an under-active thyroid. If your temperature is low, consult your health care provider. For people with hypothyroidism, Armour Thyroid Tables is recommended. This product is produced by Forest Pharmaceuticals and is available by prescription only.
THYROID SELF-TEST
Allergies, hypoglycemia, hypothyroidism, and/or malabsorption problems can cause or contribute to depression. In people with these conditions, vitamin B12 and folic acid are blocked from entering the system, which can lead to depression.
Individuals with depression are more likely than other people to have various disturbances in calcium metabolism.
Approach to therapy consists of treating acute symptoms, avoiding a relapse, and maintenance therapy to prevent recurrence.
Psychotherapy or counseling possibly along with drug treatment appears to be the medical standard of approach and obtains the best results. Different types of psychotherapy are available including cognitive therapy, behavioral therapy and interpersonal therapy. Each may take 12-20 sessions over 12-16 weeks.
Hospitalization or inpatient at special treatment center may be required for severe depression.
Seek support groups. Contact social agencies for help.
- The National Mental Health Association
(800) 969-6642
- The National Foundation for Mental Illness
(800) 239-1263
- The National Depressive and Manic Depressive Association
(800) 826-3632
Call your local suicide-prevention hot-line if you feel suicidal.
Electro-convulsive therapy (use of electric shocks to produce a seizure) used in severe cases. If is effective and considered safe by medical standards.
There is no doubt that attitude affects health. Study after study has shown that optimistic people are not only happier but healthier. They suffer less illness, recover better from illness and surgery, and have stronger immune defenses.
MEDICATION
It may be possible to diagnose depression by using a computerized tomography (CT) scan to measure a person's adrenal glands. Researchers found that people suffering from clinical depression have larger adrenal glands than non-depressed people.
Antidepressant drugs for some persons with prolonged or moderately severe depression. These work in fighting depression by changing the balance of neurotransmitters in the body. These medications include:
- Tricyclics. These drugs work by inhibiting the uptake of the neurotransmitters serotonin, norepinephrine, and dopamine, making more of the mood-enhancing chemical messengers available to nerve cells. Examples include amitriptyline (Elavil, Endep), desipramine (Norpramin, Pertofrane), imipramine (Janimine, Tofranil), and nortriptyline (Aventyl, Pamelor). Possible side effects included blurred vision, constipation, dry mouth, irregular heartbeat, urine retention, and orthostatic hypotension, a severe drop in blood pressure upon sitting up or standing, which can lead to dizziness, falls, and fractures.
- Tetracyclics. These drugs have an action similar to that of the tricyclics, but have a slightly different chemical structure and appear to cause fewer side effects. Maprotiline (Ludiomil) is in this category.
- Monoamine oxidase (MAO) inhibitors. These drugs increase the amounts of mood- enhancing neurotransmitters in the brain by blocking the action of the enzyme monoamine oxidase, which normally breaks them down. Examples of MAO inhibitors include isocarboxazid (Marplan), phenelzine (Nardil), and tranylcypromine (Parnate). Possible side effects include agitation, elevated blood pressure, over-stimulation, and changes in heart rate and rhythm. MAO inhibitors also have a high potential for dangerous interactions with other substances, including drugs and foods. Persons taking these drugs must adhere strictly to a diet that includes no foods containing the chemical tyramine, such as almonds, avocados, bananas, beef or chicken liver, beer, cheese (including cottage cheese), chocolate, coffee, fava beans, herring, meat tenderizer, peanuts, pickles, pineapples, pumpkin seeds, raisins, sausage, sesame seeds, sour cream, soy sauce, wine, yeast extracts (including brewer's yeast), yogurt, and other foods. In general, any high-protein food that has undergone aging, pickling, fermentation, or similar processes should be avoided. Over-the-counter cold and allergy remedies should also be avoided.
MoonDragon's Nutrition Information: Tyramine-Restricted Diet
- Other Drugs. Several drugs known as "second-generation" antidepressants have become available in the past few years. These new drugs have not been shown to be more effective than the others, but they tend to have fewer serious side effects. They include the newer tricyclic amoxapine (Asendin); fluoxetine (Prozac) and sertraline (Zoloft), which specifically block the uptake of the neurotransmitter serotonin but, unlike tricyclics, not that of norephinephrine or dopamine; buproprion (Wellbutrin), which is believed to act by inhibiting the uptake of dopamine but not serotonin or norephinephrine; and trazodone (Desyrel), an antidepressant with stimulant properties that also inhibits the uptake of dopamine.
Specific drugs are used for alternating mania and depression.
Anti-anxiety drugs may be prescribed.
Sedatives may be prescribed temporarily for insomnia.
Hormonal therapy, particularly estrogen replacement for pre-menopausal (the 5 to 10 year period before menopause) women. Steroid drugs and oral contraceptives may cause serotonin levels in the brain to drop.
People who smoke are more likely than nonsmokers to be depressed.
ACTIVITY
No restrictions. Maintain daily activities and interests even if you don't feel like it. Attend social functions, concerts, athletic events, plays and movies. Keep in touch with friends and loved ones.
Keep your mind active and get plenty of rest and regular exercise. A regular exercise program can help relieve depression. Studies have shown that exercise - walking, swimming, or any activity that you enjoy - is most important for all types of depression. Avoid stressful situations.
Vigorous exercise can be an effective antidote to bouts of depression. During exercise, the brain produces pain-killing chemicals called endorphins and enkephalins. Certain endorphins and other brain chemicals released in response to exercise also produce a natural "high." Most of those who exercise regularly say that they feel really good afterward. This may explain why exercise is the best way to get rid of depression.
Music can have powerful effects on mood and may be useful in alleviating depression. See Music & Sound Therapy for more information.
DIET
Eat a normal, well-balanced diet even if you have no appetite. Vitamin and mineral supplements may be necessary. Make sure you are getting enough B-Vitamins in your diet to help you with stress.
Eat a diet that includes plenty of raw fruits and vegetables, with soybeans and soy products, brown rice, millet, and legumes. A diet too low in complex carbohydrates can cause serotonin depletion and depression.
If you are nervous and wish to become more relaxed, consume more complex carbohydrates. For increased alertness, eat protein meals containing essential fatty acids. Salmon and white fish are good choices. If you need your spirits lifted, you will benefit from eating foods like turkey and salmon, which are high in tryptophan and protein.
Omit wheat products from the diet. Wheat gluten has been linked to depressive disorders.
Limit your intake of supplements that contain the amino acid phenylalanine. It contains the chemical phenol, which is highly allergenic. Most depressed people are allergic to certain substances. If you take a combination free-form amino acid supplement, look for a product that does not contain phenylalanine, such as that made by Ecological Formulas. For the same reason, avoid the artificial sweetener aspartame (Equal, NutraSweet); phenylalanine is one of the major components in this substance.
Avoid foods high in saturated fats; the consumption of meat or fried foods, such as hamburgers and French fries, leads to sluggishness, slow thinking, and fatigue. They interfere with blood flow by causing the arteries and small blood vessels to become blocked and the blood cells to become sticky and tend to clump together, resulting in poor circulation, especially to the brain.
Avoid all forms of sugar. The body reacts more quickly to the presence of sugar than it does to the presence of complex carbohydrates. The increase in energy supplied by the simple carbohydrates (sugars) is quickly followed by fatigue and depression.
Avoid alcohol, caffeine, and processed foods.
Tyrosine is needed for brain function. This amino acid is directly involved in the production or norepinephrine and dopamine, two vital neurotransmitters that are synthesized in the brain and the adrenal medulla. A lack of tyrosine can result in the deficiency of norepinephrine in certain sites in the brain, resulting in mood disorders such as depression. The effects of stress may be prevented or reversed if this essential amino acid is obtained in the diet or by means of supplements. Caution: If you are taking an MAO inhibitor drug for depression, do not take tyrosine supplements, and avoid foods containing tyrosine, as drug and dietary interactions can cause a sudden, dangerous rise in blood pressure. Discuss food and medicine limitations thoroughly with your health care provider or a qualified dietitian.
Selenium has been shown to elevate mood, and also to decrease anxiety. These effects were more noticeable in people who had lower levels of selenium in their diets to begin with.
In one study, people suffering from depression were found to have lower than normal levels of folic acid in their blood than non-depressed individuals. Other studies have shown that zinc levels tend to be significantly lower than normal when people suffer from depression.
Investigate the possibility that food allergies are causing or contributing to depression.
Nutrients Supplement Suggested Dosage Comments Essential L-Tyrosine Up to 50 mg per pound of body weight daily. Take on an empty stomach with 50 mg vitamin B6 and 100-500 mg vitamin C for better absorption. Best taken at bedtime. Alleviates stress by boosting production of adrenaline. It also raises dopamine levels, which influence moods. Caution: Do not take tyrosine if you are taking an MAO inhibitor drug. L-tyrosine, High Potency, NOW Foods, 750 mg, 90 Caps, L-Tyrosine Powder, Vegetarian, NOW Foods, Free Form, 4 oz., L-Tyrosine, Pharmaceutical Grade, Free Form, NOW Foods, 500 mg, 120 Caps Sub-Adrene from American Biologics As directed on label. A dietary supplement for adrenal support. Adrenal, Organic Glandular (Hypoallergenic), Allergy Research Group / Nutricology, 75 Caps - Supports the entire adrenal gland, both medulla and cortex portions. The adrenal cortex is the outer portion of the adrenal gland and is involved in the secretion of a variety of adrenal hormones, mainly cortisol. The medulla is the inner portion of the adrenal gland and is involved in the synthesis and secretion of epinephrine (adrenaline) and norepinephrine. Adrenal Cortex, Organic Glandular (Hypoallergenic), Allergy Research Group / Nutricology, 100 Caps - Supports the cortex portion of the adrenal gland. The adrenal cortex is the outer portion of the adrenal gland and is involved in the secretion of a variety of adrenal hormones, mainly cortisol. Super Cortisol Support with Relora, Vegetarian Adrenal Support Formula, 90 Vcaps Zinc 50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Found to be deficient in people with depression. Use zinc gluconate lozenges or OptiZinc for best absorption. Colloidal Silver & Zinc Lozenges, SilvaSolution, 90 Lozenges, Zinc Lozenges w/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges, Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps Taurine Plus from American Biologics As directed on label. An important antioxidant and immune regulator, necessary for white blood cell activation and neurological function. Use the sublingual form. Taurine Powder, 100% Pure, Free Form, NOW Foods, 1000 mg, 8 oz., L-Taurine, Free Form, NOW Foods, 500 mg, 100 Caps Vitamin B complex injections 2 cc once weekly or as prescribed by health care provider.
100 mg 3 times daily.If injections are not available, a sublingual form of B complex is recommended.B vitamins are necessary for the normal functioning of the brain and nervous system. If depression is severe, injections (under a health care provider's supervision) are recommended. All injectables can be combined in a single shot. vitamin B 100 Complex w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps, Ultimate B (Vitamin B Complex Formula), Nature's Secret, 60 Tabs Plus extra
Vitamin B6 (pyridoxine)1/2 (0.5) cc once weekly or as prescribed by a health care provider.
50 mg 3 times daily.Needed for normal brain function. May help lift depression. Vitamin B-6 (Pyridoxine), 100 mg, 100 Caps And
Vitamin B121 cc once weekly or as prescribed by a health care provider. Linked to the production of the neurotransmitter acetylcholine. Vitamin B-12 (Cobalamin), 50 mcg & B-9 (Folic Acid), 400 mcg, 1 fl. oz., Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz. Or
Liver extract injections2 cc once weekly or as prescribed by a health care provider. A good source of B vitamins and other valuable nutrients. Plus extra
Pantothenic acid (Vitamin B5)500 mg daily. The most potent anti-stress vitamin. Pantothenic Acid (B-5), 100% Natural, Nature's Way, 250 mg, 100 Caps And
Vitamin B3 (niacin)50 mg 3 times daily. Do not exceed this amount. Improves cerebral circulation. Caution: Do not take niacin if you have a liver disorder, gout, or high blood pressure. Niacin (B-3), 100% Natural, Nature's Way, 100 mg, 100 Caps, Niacinamide, Non-flushing Niacin, 100% Natural Vitamin B-3, Nature's Way, 500 mg, 100 Caps And
Folic acid200 mg daily. Found to be deficient in people with depression. Vitamin B-12 (Cobalamin), 50 mcg & B-9 (Folic Acid), 400 mcg, 1 fl. oz., B-9 (Folic Acid), 100% Natural, Nature's Way, 800 mcg, 100 Caps Important Choline
and
Inositol
or
lecithin100 mg each twice daily.
As directed on label.Important in brain function and neurotransmission. Caution: Do not take these supplements if you suffer from manic (bipolar) depression. Choline & Inositol, 100% Natural, Nature's Way, 250mg/250mg, 100 Caps, Lecithin Vegetarian Granules, NOW Foods, 1 lb GH3 from Gero Vita As directed on label for those 35 years or older. Aids in proper brain function, promotes alertness and increased energy. Caution: Do not use this product if you are allergic to sulfites. Procaine Ultra CH9 (Ultimate 9), 100 mg, 60 Caps - Procaine Ultra GH9 is the MOST TRUSTED Anti-Aging THERAPY - of choice of the RICH & FAMOUS in over 70 countries. Gerovital H3 (GH3) Injectable is NOW ADVANCED 600% to Procaine Ultra GH9 Helpful Calcium 1,500-2,000 mg daily. Has a calming effect. Needed for the nervous system. Just An Ounce, Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz., Calcium Citrate / Malate Complex, Nature's Way, 500 mg, 250 Caps, Calcium Carbonate Powder, NOW Foods, 12 oz. - 1 level teaspoon contains 1.2 g (1,200 mg) calcium. And
Magnesium1,000 mg daily. Works with calcium. Use magnesium asporotate or magnesium chelate form. Just An Ounce, Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz., Magnesium Citrate Complex, Nature's Way, 250 mg, 100 Caps Chromium 300 mcg daily. Aids in mobilizing fats for energy. Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm (0.75 mg or 750 mcg per tablespoon), 16 fl oz. Essential fatty acids (black currant seed oil and primrose oil are good sources) As directed on label. Take with meals. Aid in the transmission of nerve impulses, needed for normal brain function. Ultimate Oil, Essential Fatty Acids, Nature's Secret, 90 Softgels - Omega 3 and Omega 6. Omega 3-6-9 Oil, Mega EFA Blend, Lime Flavored, Nature's Way, 1350 mg, 90 Softgels, Omega 3-6-9 Oil, Mega EFA Blend, Lime Flavored, Nature's Way, 16 fl oz. Gamma-aminobutyric acid (GABA) 750 mg daily. Take with 200 mg niacinamide for best results. Has a tranquilizing effect, much as diazepam (Valium) and other tranquilizers do. GABA, 250 mg, Pharmaceutical Grade, 90 Tabs, GABA Powder, NOW Foods, 100% Pure, Vegetarian Formula, 500 mg, 6 oz., GABA Supplement, NOW Foods, 500 mg Plus B-6, 2mg, 100 Caps Lithium As prescribed by a health care provider. A trace mineral used to treat bipolar (manic) depression. Available by prescription only. Megavital Forte from Futurebiotics As directed on label. A balanced vitamin and mineral formula that increases energy and sense of well-being. Multivitamin and mineral complex As directed on label. To correct vitamin and mineral deficiencies, often associated with depression. Daily Two MultiVitamin Supplement, Iron Free, 100% Natural, Nature's Way, 100 Tabs, MultiVitamin & MultiMineral with Iron, Nature's Way, 100 Caps, MultiVitamin & MultiMineral ChildLife Children's Liquid, 8 fl. oz., Alive! Whole Food Energizer, MultiVitamin & MultiMineral, Effervescent, Lemon-Lime Flavor, Nature's way, 15 Packets Vitamin C 2,000-5,000 mg daily, in divided doses. Needed for immune function. Aids in preventing depression. Vitamin C 1000 w/ Rosehips, 100% Natural, 1000 mg, 250 Caps, Ascorbic Acid / Vitamin C Powder, NOW Foods, 100% Pure, 1 lb. - 1/2 teaspoon has 2.25 g (2,250 mg) ascorbic acid (vitamin C). Take 1/2 level teaspoon in juice or water, 1 to 3 times daily, depending on nutritional requirements. Vitamin C Liquid for Children, 4 fl. oz. - Suggested Use: For infants up to 1 year: 1/4 teaspoon daily. For children 1-4 years: 1/2-1 teaspoon daily. For children 5-12 years: 1-2 teaspoons daily. 1 teaspoon has 250 mg vitamin C (as ascorbic acid). Rutin 200-300 mg daily. Buckwheat-derived bioflavonoid. Enhances vitamin C absorption.
HERBAL RECOMMENDATIONS
Balm, also known as lemon balm, is good for the stomach and digestive organs during stressful situations.
Ephedra (ma huang) may be helpful for lethargic depression. Caution: Do not use this herb if you suffer from anxiety disorder, glaucoma, heart disease, high blood pressure, or insomnia, or if you are taking a monoamine oxidase (MAO) inhibitor drug.
Ginger, ginko biloba, licorice root, oat straw, peppermint, and Siberian ginseng may be helpful. Caution: Do not use licorice on a daily basis for more than seven days in a row. Avoid it completely if you have high blood pressure. Do not use Siberian ginseng if you have hypoglycemia, high blood pressure, or a heart disorder.
Kava kava helps to induce calm and relieve depression. Caution: This herb can cause drowsiness. If this occurs, discontinue use or reduce the dosage.
St. Johnswort acts in the same way in monoamine oxidase (MAO) inhibitors do, but less harshly.
DEPRESSION SUPPLEMENTAL PRODUCTS
Information and help with depression, a mood disorder that is often triggered by a chemical imbalance or stressful situations.
5 HTP (Hydroxy Tryptophan), Vegetarian, NOW Foods 100mg - 120 Vcaps
5-HTP / Hydroxy Tryptophan is an Amino Acid and precursor to serotonin, a brain chemical responsible for regulating mood, appetite, behavior, and sleep and may help elevating mood, encouraging relaxation, controlling appetite, promoting sleep and may prove beneficial in the treatment of depression, obesity, insomnia, and migraine headaches.Depression Support Formula Tincture, 100% Organic - 2 fl. oz.
Depression Support is a combination of herbs found to help alleviate depression and strengthen the nervous system.Mood Aid Formula with St. Johns Wort & 5HTP Nature's Way - 60 Caps
Mood Aid uses St. John's Wort, to promote a positive mood. 5-HTP, the precursor of seratonin- a mood regulating neurotransmitter.Avea - Mood, Liquid Extract - 30ml
Via the proprietary extraction and enhancement process utilized to produce Avea, the product has been enhanced to address the majority of the causes of endogenous depression.Patchouli Oil, 100% Organic Essential Oil - 2 fl. oz.
Using Patchouli in inhalation, baths, and massage has an uplifting effect on depression and anxiety, and can help alleviate fluid retention.Noni Juice, Trace Minerals - 32 fl. oz.
Trace Minerals Noni Juice product may provide nutritional support for Bio-Electric Health and Body Mineral Balancing.Natural Mood Stabilizer, 5 HTP Optimum Mood Support, 50mg Each Capsule - 60 Caps
5 HTP Optimum Mood Support Natural Mood Stabilizer is used to increase serotonin that in turn reduces symptoms such as mood disorders, depression, weight problems and migraine headaches.Graviola, Healthy Cell Support, NOW Foods - 100 Caps
Graviola may support the immune system's ability to cull undesirable cells. There is a historic use as a sedative or nerve tonic, also to elevate mood and to maintain healthy blood sugar levels.Ginkgo Biloba Extract Standardized, Nature's Way 60mg - 120 VCaps
Supports circulation to the brain as well as the extremities. This is achieved by maintaining healthy blood vessel tone and reducing blood viscosity. Additionally, Ginkgo biloba is a proven free radical scavenger and antioxidant.Organic Rooibos Red Tea with Madagascar Vanilla Beans, Kosher, 20 Tea Bags - 1.6 oz.
Scientific studies show that Red Tea is naturally high in Super Oxide Dismutase (SOD), an outstanding antioxidant. Red Tea contains very little tannin, a substance that is known to effect the metabolism by decreasing absorption of certain nutrients like iron and protein.Rooibos Green Unfermented Extract Powder - 1.3 oz.
Recent studies have found that the unfermented green Rooibos tea contains even more antioxidants than Roobios Red tea because many valued antioxidants are destroyed in the fermentation process.Rooibos Red Tea Pure Extract Powder - 1.3 oz.
Since 1900, Red Tea has been treasured as an elixir for the mind, body and spirit.Organic Rooibos Red Tea, Kosher, 20 Tea Bags - 1.6 oz.
This is a great tasting tea – naturally sweet, 100% Organic, full bodied and extremely smooth. Just honest to goodness tea.Rooibos Red Tea Tincture, African Red Tea - 2 fl. oz.
Studies conducted at the Institute for Science of Aging at AICHI Medical University in Japan termed Red Tea "an ANTI-AGING BEVERAGE," which can significantly help COUNTER THE AGING PROCESS.Irwin Naturals Advanced Ginza Plus, Multi Adaptogen, - 75 Gelcaps
Irwin Naturals Advanced Ginza-Plus is a balanced formula combining five powerful adaptogens, including one of the highest potency ginseng extracts on the market.Blue Scullcap (Scutellaria lateriflora), Standardized, Nature's Way 100mg per Vcap - 60 Vcaps
Scullcap is most commonly used as a sedative and it can take the edge off anxiety and promote sleep for those who struggle with insomnia.Relora, NOW Foods 300mg - 60 Caps
Relora is used to normalizes hormone levels associated with stress-induced obesity and poor eating and drinking behaviors. Preliminary findings suggest that Relora can decrease the cravings for high fat and high sugar foods in stressed individuals.SAMe: The Remarkable Substance That Promotes Detoxification, Relieves Arthritis, and Fights Depression By Rita Elkins, M.H.
This Booklet provides valuable information on the breakthrough research, safety and therapeutic uses of SAM-e that promotes detoxification, relieves arthritis and fights depression.True Balance NOW Foods - 120 Caps
True Balance provides a full compliment of essential nutrients like Chromium and Vanadium, important minerals that support energy production and cellular metabolism, and a full array of key B-complex vitamins that support a healthy mood state.St. John's Wort, Perika, 300mg - 60 Tabs
Nature's Way St. John's Wort is scientifically advanced to maintain a healthy emotional outlook.Vitamin B 12 Complex Liquid, NOW Foods - 2 fl. oz. (60ml)
Vitamin B-12 Helps to maintain a healthy nervous system, and helps in the prevention of pernicious anemia. Folic Acid should be taken by all females of child bearing age to help prevent neuro-tube birth defects. Folic acid is also linked to heart health.St. Johns Wort Herb Tincture, 100% Organic - 2 fl. oz.
St. John's Wort is mainly used for the treatment of mild to moderate depression.St. Johns Wort Standardized Extract, 300mg - 90 Caps
St. John's Wort promotes a positive mood and extracts have been proven in many clinical studies in Europe, to have antidepressant effects, and is widely used for this reason.St. John's Wort Herbal Tea - 20 Tea Bags
St. John's Wort Herb Tea is made of wild St. John's Wort and Siberian Ginseng. These Herbs tonify the nervous system, ease anxiety and depression, and support the immune system.Sutherlandia (Sutherlandia frutescens), 300mg - 60 Tabs
Sutherlandia powerfully assists the body to mobilize its own immunological physiological resources to cope with diverse physical, mental and chemical stressors.Vanilla Herb, Yerba Mate Organic & Caffeine Free Tea - 26 Tea bags
Like caffeine, Yerba Mate has a stimulating effect on metabolism, without the "jitters". A faster metabolism not only means you burn more calories, it means you turn more calories into energy. As it stimulates the metabolism into turning more calories to energy, it simultaneously soothes the nervous system. You feel less nervous and anxious, and you're better able to resist physical and mental fatigue.St. John's Wort, 350mg - 180 Caps
St. John's Wort is helpful in support of depression, menopause, cramps, and insomnia.Ginkgold, Ginkgo Biloba Vegetarian Standardized, Extract, Nature's Way 60mg - 150 Tabs
Ginkgold improves mental sharpness, concentration, memory and cognitive activity. It also supports healthy circulation to the brain as well as the extremities. And, it maintains healthy blood vessel tone and reduces blood viscosity.Grape Seed Extract, 350mg - 90 Caps
A very powerful antioxidant, this standardized Grape Seed Extract helps maintain capillary health, and has the ability to neutralize free radicals.Black Cohosh Nature's Versatile Healer, A Natural Alternative Method for Balancing Hormone Levels, By James B. Lavalle R.,Ph.., N.D., Ernest B. Hawkins
This practical guide explains the remarkable benefits provided by black cohosh. Due to its effects on the cardiovascular system, this versatile herb is often employed to treat certain pre-menstrual and menopause symptoms.GABA 250mg - 90 Tabs, Pharmaceutical Grade Gamma Aminobutyric Acid
Gama-aminobutyric acid (GABA) is an amino acid that acts as a Neurotransmitter in the central nervous system. Together with niacinamide and inositol, it prevents anxiety and stress related messages from reaching the motor centers of the brain by occupying the receptor sites.Vitamin B-50 Complex w/ B2 Coenzyme, 100% Natural 330mg - 100 Caps
B Vitamins are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures. They also function as lipotropics which converts fats to other useful products.B-Stress Vitamin Complex w/ Siberian Eleuthero (Formerly Siberian Ginseng Root), Nature's Way - 100 Caps
If you're looking for herbal stress relief, you've come to the right place. B vitamins are essential precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.Black Cohosh Tincture, Menopause Herb, 100% Organic - 2 fl. oz.
As a menopause herb, medical studies reported Black Cohosh to be more effective than estrogen in relieving symptoms.Juniper Berry (Juniperus communis) Oil, NOW Foods 100% Pure - 1 fl. oz.
Juniper has been used as a fragrance since ancient times and was thought to purify the air where it was used. It has a pleasing floral aroma that is uplifting and stimulating.Black Cohosh Extract, Standardized, Nature's Way 40mg - 120 VCaps
Black Cohosh extract is the most popular herbal supplement in Europe for women experiencing change of life (peri-menopause) symptoms. Black Cohosh extract provides isoflavones and other constituents that help support a woman's health during this phase of her life.Pumpkin Seed Oil, NOW Foods 100% Natural, 1000mg - 100 Softgels
Pumpkin Seed Oil is a nutritional oil rich in essential fatty acids. Our pumpkin seed oil is 100% natural and is screened for potency and purity.Multi Vitamin and Multi Mineral without Iron, Complete Vitamin Supplement Nature's Way - 100 Caps
The vitamins and minerals in iron free Multivitamin & Multi-mineral play many important roles in the body: antioxidants to protect fats, cells and DNA, coenzyme precursors for energy production and metabolism, and cofactors for hormones and enzymes which regulate body processes.The Power Of Now, A Guide to Spiritual Enlightenment, By Eckhart Tolle
In The Power of Now, Eckhart Tolle shows readers how to recognize themselves as the creators of their own pain, and how to have a pain-free existence by living fully in the present.Black Seed Herbal Honey, Energizing - 16 fl. oz.
A sensational blend of honey and herbs in three different formulations that offer a natural boost of energy, immune support, or relaxation that's great for anyone who wants to enjoy the benefits of Black Seed without taking capsules or oil. This rich tasting honey can be added to tea, smoothies, shakes, or deserts, and may be used in cooking.Sweetleaf Stevia Plus Fiber, - 100 Packets per box (1g/pack)
Stevia has a delicious and refreshing taste that can be 30 times sweeter than sugar. Stevia is also an excellent diabetic aid which nourishes the pancreas, helping to achieve healthful blood sugar levels.CoQ10 NOW Foods 400 mg - 60 Softgels
As an active contributor to all aspects of cellular function, coq10 has become universally regarded as one of the most vital nutrients ever made available to the public.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You or a family member has signs and symptoms of depression.
You feel suicidal or hopeless.
Symptoms of depression recur after treatment.
You have unexplained or new symptoms (drugs used in treatment may produce side effects).
NOTE: Bulk herbs are available through Mountain Rose Herbs and Nutritional Supplements are available through Herbal Remedies. To find supplements not listed above, click on the links below:
Mountain Rose Bulk Herbs
Mountain Rose Aromatherapy Oils
Click Here To Visit Herbal Remedies Product Page
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