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Sunday 3 July 2011

Depression and comparative approach to depressed patients

Depresion, the most common disorder in psychiatry, is the fourth leading cause of disability and global disease.Depression refers to a range of mental conditions characterized by persistent low mood, absence of positive affect (loss of interest and enjoyment in ordinary things and experiences), and a range of associated emotional, cognitive, physical, and behavioral symptoms. 
Depression is usually defined, and its severity categorized, by one of two main classification systems: the fourth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)
[American Psychiatric Association, 2000], or the tenth revision of the International Classification of Diseases (ICD-10) [WHO, 1992].

 Prognosis: 
World Health Organization (WHO) projections indicate that depression will be the highest ranked cause of disease burden in developed countries by the year 2020. Depression is the third most common reason for consultation in general practice in the UK and is the most common psychiatric disorder.
In the UK, in the year 2000, the point prevalence for depression among those 16–74 years of age was 2.6%
[Singleton et al, 2001]. When the less specific and broader category of 'mixed depression and anxiety' was included, these figures rose dramatically to 11.4% (males 9.1%, females 13.6%).
A WHO study found a prevalence of depression of 23% in people with two or more chronic physical disorders, whereas depression was reported in only 3.2% of healthy controls
[Moussavi et al, 2007].
Complications: 
 * Depression may result in marital break-up and family problems. Parental depression may lead to neglect of children
 [Ramchandani and Stein, 2003].
 * There is a four-times higher risk of suicide in depressed people compared with the general population (2.2% compared with less than 0.5%), and the risk of suicide is nearly 20-times higher in the most severely ill
 [Bostwick and Pankratz, 2000].
 * Mortality from suicide is reported to be as high as 15% in people with depression severe enough to require hospitalization.

A Comparative approach 

Millions of people have used homeopathic method of curing depressed mood, for the last 200 years. One of the most important principles in homeopathy is considering patient as a whole and not considering merely diseases or symptoms. It is the patient who must be cured or palliated not the illness.

As a medical doctor and homeopath I have visited very sad patients who have been treated by conventional, homeopathic or combination of both methods. The results are interesting:
 Conventional method 
Those who only underwent conventional way of treatment specially by fluoxetine (prozac) , after the 1st visit, came back complaining of upper respiratory infections like acute sinusitis and common cold, showing decreased immunity.
 For example, once I visited a young lady aged about 21 complaining of mild to moderate depression. After case taking and doing needed physical exam, I prescribed her fluoxetine to take one at nights.
 In her 2nd visit she seemed a bit better but symptoms of acute sinusitis were detected. I had to discharge her fluoxetine to help to treat sinuses inflammation.

Homeopathic method 

The patients who were visited for the 1st time and had not taken chemical anti depressants, or had stopped taking the prescribed drugs by their psychiatrists, and took homeopathic remedies experienced significant cure and improvement; first they experienced an inner feeling of calmness and relaxation, then they got a positive impression of what was going on around them. The negative thinking began to change significantly to positive thinking, soon after taking the remedy.
 For example a male teenager aged 22, was referred to me because of a disappointed love. He had broken up with his young wife, only after approximately 12 months of living. He seemed to have opposite feelings, a hysterical personality, lower limbs spasticity while driving.
 Case taking was done thoroughly and Ignatia amara was selected as proper remedy for him. A globule of Ign.30c was given to him, considering his acute symptoms. About 15 minutes after taking the remedy he said he felt better, calmer and more relaxed.
 After about one year the deep sadness has improved significantly, he has become much more hopeful and is trying to rectify the recent loss in his romantic life.

Combination method 
 Those who underwent treatment by both groups of medicines, i.e. conventional and homeopathic; they were told to continue taking the prescribed drugs as ordered by their psychiatrists, then as soon as they felt better and the conventional drugs seemed to be more than their real need, they could reduce them after consulting with their psychiatrist or me.
 The results were prominent; after taking homeopathic remedies they became happier, experienced an inner calmness. Then, after about a month, they saw that they need less anti depressants.
 For example, a 51 yrs divorced lady was visited because of sleeplessness and depression for about 12 months. She used to take alprazolam for a long time. After case taking and required physical exam, a single dose of Natrium muraticum 30c was prescribed. She took it, afterwards.
 After about a month, she started to have a better and deeper sleep and now after about three months she has reduced the drug to half a tablet of alprazolam.

Conclusion: 
 Holistic view of homeopathy toward patients is preferred to the reductionist view of conventional medicine. The depressed patients’ immunity is disturbed by antidepressants like fluoxetine. The patients who used homeopathic remedies, had experienced an inner calmness and relaxation and their need to antidepressant drugs had decreased significantly.
Homeopathic method of curing seems much more effective with no side effects and no negative immune response. It is suggested to be considered as a safe substitute for antidepressant drugs. 



By Seyedaghanoor Sadeghi M.D.&homeopath
Courtesy:Tehran Times 

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