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News for 31-Dec-25 Source: MedicineNet Prevention and Wellness General Source: MedicineNet Senior Health General Source: MedicineNet Prevention and Wellness General Source: MedicineNet Prevention and Wellness General |
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You can spend a few hours looking on the Net for information about satellite teaching or you can take advantage of the research we have done for you. There are literally hundreds of thousands of web pages with some kind on information on satellite teaching but much is of little value. Jeeves is a good source for information about satellite teaching but you must filter through the commercials for satellite teaching and determine if that is really what you want. This means you must make a decision on the value from this particular satellite teaching store. You are welcome to spend your valuable time in this research or you can rely on the fact that we have done it for you and click the links on the left side of this page. satellite teaching
satellite teaching Chatrooms are simply places on the Internet that people who have an interest in satellite teaching get together and share what they know. These are simply small VIRTUAL COMMUNITIES and provide a place for group discussion on satellite teaching. The satellite teaching chatroom in most cases will not be private and you don't need to pay anything to join or participate. Many people that visit chatrooms never say a word but just listen, This is known as LURKING and is not bad. They simply listen to what others are taking about to learn more about satellite teaching. Depression Series: Why Don't I Respond to Medications? (Part 1) by: Michael G. Rayel, MD
Maria has been feeling depressed for at least two and a half years. About three years ago, her husband of 20 years left her for another woman. Devastated, she became despondent and tearful almost daily. Eventually, her depression got worse associated with inability to function. Her appetite, energy, concentration, and sleep became impaired. She also felt hopeless and suicidal. Her psychiatrist put her on a starting dose of antidepressant. She responded initially but after a few days, she felt just like before taking the medication. For the past two years, Maria has tried four types of antidepressants. She has taken the usual adult doses of these drugs. Although she somewhat improves, she has virtually remained the same — depressed and disabled. Maria seems to be taking the medications regularly. But why is she not responding to her antidepressants? Maria is just one of the many depressed individuals who don't feel "normal" despite treatment. Depression is a treatable disease but how come some people don't do well on medications? There are many reasons why depressed patients like Maria don't improve on antidepressants. First, is the diagnosis correct? Depression can be caused by many clinical entities. Sometimes, knowing the right diagnosis is a challenge. Medical disorders, medications such as beta-blockers and benzodiazepines (e.g. clonazepam), and various psychiatric disorders can cause depression and they all require different treatment. If your doctor fails to identify and treat the true cause of your depression, you will remain depressed despite the use of antidepressant. Second, are there co-morbid disorders? Depression can exist along with other psychiatric disorders such as anxiety disorder, alcohol or drug problems, personality disorder, dementia, and psychosis. Depression will persist if these co-morbid disorders are not treated. For instance, depressive disorder with psychosis cannot be adequately treated just with antidepressant alone. You need an antipsychotic drug added to an antidepressant to treat the illness. Third, is there an ongoing neurological or medical disorder that precipitates, aggravates, or complicates depression? Hypothyroidism, hyperthyroidism, vitamin B-12 deficiency, pancreatic cancer, brain tumor, Parkinson's disease, and stroke can all cause depression. If any of these disorders are present, antidepressants are less likely to help. The goal in these situations is to treat the underlying medical condition. A 65 year-old lady came to see me complaining of severe depression. On evaluation, she disclosed that she had been on three types of antidepressants for the past four years with minimal response. I checked her recent laboratory results which showed an abnormal thyroid! No wonder, she was not responding to the medication. Fourth, are there ongoing psychosocial issues? Financial problems, family conflict, work-related stress can all precipitate and complicate depression. Despite adequate medication treatment, some individuals will remain depressed especially if such problems are not addressed by the therapist or psychiatrist. Is there any way you can reduce the stressors? Please do so the earliest you can. The treatment of depression is frequently straightforward. Occasionally however, various factors complicate it. For antidepressant to be effective, a psychiatrist should ensure that the diagnosis is correct, that co-morbid psychiatric disorders and medical problems are treated, and that psychosocial issues are adequately addressed. Maria's doctor should explore further the real problem and provide the most appropriate intervention.
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