One of my favorite health tips drives my friends nuts when I start preaching about juicing!
Do you have enough time in your day to eat all the recommended fruits and vegetables that will keep you healthy and happy???
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Chronic Fatigue Syndrome is a very misunderstood illness and this is perhaps why there are so many myths about it. Perhaps the most common myth about Chronic Fatigue Syndrome is that it is effectively a mental condition, and another name for depression.
But these two conditions are very different!
And when you label a condition incorrectly it can cause no end of problems when trying to diagnose and treat it. So it's extremely important to make the distinction between Chronic Fatigue Syndrome and depression - because they are completely different illnesses.
There are also symptoms of Chronic Fatigue Syndrome that are not shared by depression sufferers. Nasty flu-like symptoms, headaches, reversal of sleeping patterns, painful muscles and joints, Restless Legs Syndrome, and an increase in colds and viruses all are just a few symptoms that can play a part in Chronic Fatigue Syndrome.
These are just a few of the differences between Chronic Fatigue Syndrome and depression!
Another myth about Chronic Fatigue Syndrome is that all Chronic Fatigue Syndrome sufferers need to do is to 'pull themselves together' - and they'd be cured...
... if only it were that simple!
Chronic Fatigue Syndrome is actually a bio-physical condition and was (finally) accepted as such by the UK government in 2001. But no cure has yet been found.
Unfortunately there are still many people out there (including some medical professionals) who still think that the condition is 'all in the sufferer's head'.
It is because of this misunderstanding that the Chronic Fatigue Syndrome community has fought so hard against Chronic Fatigue Syndrome being wrongly labelled as a mental illness. And it is perhaps because of this battle that depression amongst Chronic Fatigue Syndrome sufferers has often sadly been overlooked...
Yet for many, depression can be a very real symptom of Chronic Fatigue Syndrome. If you suffer from depression as a Chronic Fatigue Syndrome sufferer, then it's vital that you take it very seriously and that you try to address it as soon as possible.
If you don't deal with your depression, you are unlikely to be able to recover from any chronic illness...
...and recovering from Chronic Fatigue Syndrome is no exception.
For more about the difference between Chronic Fatigue Syndrome and depression visit:
It is possible to recover from Chronic Fatigue Syndrome. So if you do experience depression as a symptom of your Chronic Fatigue Syndrome, make it a priority to deal with it. Only that way can you get yourself on the road to recovery.
Copyright, Claire Williams, 2004-2005. All Rights Reserved.
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(1) you only mail to a 100% opt-in list; (2) ALL links are LIVE hyperlinks (3) the article is published in its entirety including the title, copyright notice, & the author's bio & resource box (which must be placed directly below the article).
Claire Williams is editor of sleepydust.net and has suffered from Post Viral Fatigue Syndrome since 1995.
She created sleepydust.net to help ME / Chronic Fatigue Syndrome and Fibromyalgia sufferers deal with their condition - from handling their money worries, to recovering from their illness.
For more information on depression, visit:
And for more about why Chronic Fatigue Syndrome is different to Depression visit:
As always, before you attempt to self medicate or try a new health regimen or program we suggest you retain the services of a qualified health care professional.
5 Super Effective Tips To Kill Depression
Being lonely is a normal part of our everyday lives. We get sad when we fail in our exams, when we're rejected by the person we love, or when someone very close to us passes away. Depression, however, could be more fatal than just plain loneliness. It could render life-long consequences that could ruin your self-esteem, health, and well-being.
Here are some superb tips to conquer the melancholy mood and get the most bliss out of your daily activities.
If you are always cooped up in your room (with the curtains closed), it would be difficult to restrain yourself from staying in bed.
1) Get Enough Light and Sunshine.
Lack of exposure to sunlight is responsible for the secretion of the hormone melatonin, which could trigger a dispirited mood and a lethargic condition.
Melatonin is only produced in the dark. It lowers the body temperature and makes you feel sluggish. This is the reason why many people are suffering from depression much more often in winter than in the other seasons. It's because the nights are longer.
If you can't afford to get some sunshine, you can always lighten up your room with brighter lights. Have lunch outside the office. Take frequent walks instead of driving your car over short distances.
2) Get Busy. Get Inspired.
You'll be more likely to overcome any feeling of depression if you are too busy to notice it. Live a life full of inspired activities.
Do the things you love. If you're a little short on cash, you could engage in simple stuffs like taking a leisurely stroll in the park, playing sports, reading books, or engaging in any activity that you have passion for and would love to pursue.
Set a goal - a meaningful purpose in life. No matter how difficult or discouraging life can be, remain firm and have an unshakable belief that you are capable of doing anything you desire. With this kind of positive attitude, you will attain a cheerful disposition to beat the blues.
3) Take a Break.
I mean it.
Listen to soothing music. Soak in a nice warm bath. Ask one of your close friends to massage you. Take a break from your stressful workload and spend the day just goofing around. In other words, have fun.
4) Eat Right and Stay Fit.
Avoid foods with lots of sugar, caffeine, or alcohol. Sugar and caffeine may give you a brief moment of energy; but they would later bring about anxiety , tension, and internal problems. Alcohol is a depressant. Many people would drink alcohol to "forget their problems." They're just aggravating their conditions in the process.
Exercising regularly is a vital depression buster because it allows your body to produce more endorphins than usual. Endorphins are sometimes called "the happy chemicals" because of their stress-reducing and happiness-inducing properties.
5) Get a Social Life.
No man is an island. Your circle of friends are there to give you moral support. Spending time and engaging in worthwhile activities with them could give you a very satisfying feeling. Nothing feels better than having group support.
Never underestimate the power of touch. Doesn't it feel so good when someone pats you on the back and gives you words of encouragement during your most challenging times? Hug or embrace someone today. You'll never know when you have saved another life.
Get intimate. Establish close ties with your family and friends. The love and care expressed by others could tremendously boost your immune system and fend off illnesses. Best of all, you'll live a more secured and happy life.
Michael Lee is the author of "How To Be A Red Hot Persuasion Wizard," an ebook that reveals powerful secrets on how to get anything you want, including how to fully improve your relationships, explode your profits, win arguments, and magically influence others. Grab a sample chapter at http://www.20daypersuasion.com
Major Depression and Manic-Depression -- Any difference?
Countless number of patients and their family members have asked me about manic-depression and major depression. "Is there any difference?" "Are they one and the same?"
"Is the treatment the same?"
And so on. Each time I encounter a chorus of questions like these, I am enthused to provide answers.
You know why?
The difference does not lie on clinical presentation alone. The treatment of these two disorders is significantly distinct.
Let me begin by describing major depression (officially called major depressive disorder). Major depression is a primary psychiatric disorder characterized by the presence of either a depressed mood or lack of interest to do usual activities occurring on a daily basis for at least two weeks. Just like other disorders, this illness has associated features such as impairment in energy, appetite, sleep, concentration, and desire to have sex.
In addition, patients afflicted with this disorder also suffer from feelings of hopelessness and worthlessness. Tearfulness or crying episodes and irritability are not uncommon. If left untreated, patients get worse. They become socially withdrawn and can't go to work. Moreover, about 15% of depressed patients become suicidal and occasionally, homicidal. Other patients develop psychosis--hearing voices (hallucinations) or having false beliefs (delusions) that people are out to get them.
What about manic-depression or bipolar disorder?
Manic-depression is a type of primary psychiatric disorder characterized by the presence of major depression (as described above) and episodes of mania that last for at least a week. When mania is present, patients show signs opposite of clinical depression. During the episode, patients show significant euphoria or extreme irritability. In addition, patients become talkative and loud.
Moreover, this type of patients doesn't need a lot of sleep. At night, they are very busy making phone calls, cleaning the house, and starting new projects. Despite apparent lack of sleep, they are still very energetic in the morning -- ready to establish new business endeavors. Because they believe that they have special powers, they involve in unreasonable business deals and unrealistic personal projects.
They also become hypersexual -- wanting to have sex several times a day. One-night stands can happen resulting in marital conflict. Like depressed patients, manic patients develop delusions (false beliefs). I know a manic patient who thinks that he is the "Chosen One." Another patient claims that the President of USA and the Prime Minister of Canada ask for her advice.
So the big difference between the two is the presence of mania. This manic episode has treatment implications. In fact the treatment of these disorders is completely different. While major depression needs antidepressant, manic-depression requires a mood stabilizer such as lithium and valproic acid. Recently, new antipsychotics, for example risperidone, olanzapine, and quetiapine, have been shown to be effective for acute mania.
In general, giving an antidepressant to manic-depressed patients can make their condition worse because this medication can precipitate a switch to manic episode. Although there are some exceptions to the rule (extreme depression, lack of response to mood stabilizers, among others), it is preferable to avoid antidepressants among bipolar patients.
When considering the use of antidepressant in a depressed bipolar patient, clinicians should combine the medication with a mood stabilizer and should use an antidepressant (e.g. bupropion) that has a low tendency to cause a switch to mania.
Dr. Michael G. Rayel - author (First Aid to Mental Illness-Finalist, Reader's Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel pioneers the CARE Approach as first aid for mental health. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.
Maria's depression was difficult to treat. As you can recall, various medications had been tried to no avail. But after several months of treatment, Maria has eventually become stable on a combination of two antidepressants.
She's now able to do her usual activities and is motivated to go back to work -- something she has struggled to do for a while. Despite her improvement, antidepressant side effects have emerged and are bothersome. Maria begins to consider discontinuing her medications prematurely.
Antidepressant side effects are real and negatively affect patient's compliance. Many patients like Maria consider stopping the medication even at the risk of relapse because of distressing side effects.
How do you deal with some of the common antidepressant side effects?
Insomnia Some antidepressants e.g. SSRIs (serotonin-reuptake inhibitor) are highly stimulating that they cause insomnia when taken in the afternoon or at bedtime. Take this type of medication in the morning. Discuss with your physician the use of a sedating medication such as trazodone or sedative-hypnotic drug along with the antidepressant. If you want to take only one pill, talk to your doctor about switching to a sedating antidepressant such as mirtazapine.
Moreover, sleep hygiene should be practiced. Avoid naps and intake of caffeinated drinks such as coffee and soda in the afternoon and evening. Involve in regular exercise and physical activities during the day. Moreover, use the bedroom only for sleep and sex and not for recreational activities.
Regular exercise is weight gain's antidote. If no medical contraindication, you may consider jogging, walking, or swimming. To reduce some excess and unwanted fat, keep yourself busy with physical and recreational activities.
How about diet?
Diet has always been a part of any weight control regimen. Monitor your carbohydrate intake. Ice cream, chocolates, and other high-caloric foods should be reduced. If none of the above works, talk to your doctor about switching pills.
Sexual dysfunction happens too often but is rarely asked or discussed in the clinic. Some physicians and patients feel embarrassed about this subject. When you have concerns, be open to your physician. Discuss the possibility of switching medication to an antidepressant (such as bupropion or mirtazapine) that doesn't significantly impair sexual functioning. Also, talk to your doctor about adding another drug such as bupropion, yohimbine, or even mirtazapine to counteract the sexual side effect.
How do you know if the sexual dysfunction is from the pill rather than from depression? If the dysfunction persists despite successful remission of depression, then you should consider other causes such as drug-induced dysfunction or other medical causes e.g. diabetes.
Tricyclic antidepressants (TCA e.g. amitriptyline) are notorious for causing dry mouth. Why? These drugs have distressing anticholinergic side effects. Avoid this type of drugs. If TCA is still considered, talk about the use of desipramine or nortriptyline. Compared to other TCAs, these two drugs have less anticholinergic effects.
Moreover, try ice chips. Frequent sips of water should also help. To avoid dental cavities, try sugarless candy or sugar-free gum.
Like dry mouth, constipation is usually caused by TCAs. To prevent it from happening, drink enough water and eat high fiber foods such as vegetables and fruits. Consider stool softeners if the above interventions fail. If possible, avoid TCAs.
Nausea and vomiting
Patience is the key in dealing with these side effects. Frequently, patients develop tolerance within two weeks. Take the medication with food. If ineffective, talk to your doctor about possibly reducing the dose of your medication or trying antacid or bismuth salicylate (Pepto-Bismol)
If given permission by your doctor, try to reduce the dose. Also, discuss with your physician about switching antidepressant (especially if dose reduction doesn't alleviate your concern) and avoiding drugs with anticholinergic side effects.
Moreover, don't mix the antidepressant with alcohol. The alcohol-drug interaction can only worsen the memory and cognitive functioning. While on psychotropic drugs, be careful driving and using mechanized equipment.
While still in bed, sit up for 30 seconds, then stand up for another 30 seconds while holding a rail, a table, or a chair before walking. Take the medication at bedtime. Some people use support hose with success.
Agitation or anxiety
Some people benefit from a brief use of benzodiazepine such as lorazepam. Breathing exercises and progressive muscle relaxation should also help.
In general, some side effects such as gastrointestinal upset and insomnia may resolve in a few days. Patience is the key. However, be on guard. When they occur, address them promptly. I'm not however suggesting that you should be your own doctor.
Collaborating with your doctor is an effective way to cope with mental illness and medication problems. Treatment options such as the need to switch or reduce medications should be discussed in an open and accepting manner.
Dr. Michael G. Rayel - author (First Aid to Mental Illness-Finalist, Reader's Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Through the CARE approach, Dr. Rayel helps individuals recognize the early signs of mental illness and provide early intervention. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores
Depression Series (Part 2): My Antidepressant Doesn't Work. What Can My Psychiatrist Do?
Maria has been increasingly depressed for the past few years. She has tried at least four newer antidepressants but so far, she doesn't seem to respond. Unable to work, she's now feeling helpless and hopeless. Likewise, her family is discouraged. Frustrated and baffled by Maria's lack of progress, the family doctor refers her to a psychiatrist.
What can the psychiatrist do to help Maria?
The psychiatrist has several options in dealing with a treatment-resistant or refractory depression. First, Maria's psychiatrist can optimize the dose of her antidepressant. Maria has been taking low doses of antidepressants. In spite of her lack of response, the medication dosage has not been increased. To obtain a clinical response, her psychiatrist should increase the dose every two to three weeks. The antidepressant can be adjusted up to the maximum allowable dose if no or only partial response is observed.
Second, her psychiatrist can choose to augment the effect of her antidepressant with another medication such as lithium, triiodothyronine (T3), or buspirone. Among augmenters, lithium and triiodothyronine have the best support from the literature. Despite lithium's efficacy, some doctors avoid this drug because it requires regular blood monitoring and has unfavorable side effect profile such as acne, tremors, and thyroid and renal dysfunction.
Recently, studies have shown atypical neuroleptics such as olanzapine and risperidone to be good augmenters. In my opinion, further studies are necessary to establish these two drugs as standard augmenter. Indeed, research studies and clinical experience have found augmentation strategy to be effective.
Third, combination strategy is worthwhile to try. Maria's psychiatrist can add another antidepressant to boost the effect of her current antidepressant. For instance, trazodone can be added to an SSRI (serotonin reuptake inhibitor e.g. citalopram). Literature suggests that combining two drugs with different mechanisms of action and drugs that involve several brain chemicals has resulted in clinical improvement. In this scenario, one antidepressant plus another antidepressant is equal to three, or four or even ten, not two.
Fourth, the psychiatrist can switch from one antidepressant to another. Previous studies have shown that when making a switch, a drug should be replaced by a drug from a different class e.g. from SSRI to SNRI (serotonin and norepinephrine reuptake inhibitor e.g. venlafaxine), or from TCA (tricyclic agent e.g. nortriptyline) to SSRI. But recent studies show that switching drugs within the same class (e.g. SSRI to another SSRI) is just as effective.
Fifth, Maria's psychiatrist can also treat other ongoing symptoms or drug-related problems that further complicate her depression. If she is anxious and agitated, then her psychiatrist should prescribe antianxiety drug (e.g. lorazepam) or if Maria is psychotic then adding an antipsychotic drug should help. Moreover, medication side effects (such as insomnia, dryness of mouth, constipation, etc.) that negatively affect Maria's compliance to the drug should be addressed promptly.
Lastly, if despite above measures Maria doesn't respond to antidepressants, then electroconvulsive therapy should be entertained. Of course, this procedure should be done with her consent.
In summary, Maria's psychiatrist can optimize the dose, augment or combine treatment, switch the medication, treat side effects and ongoing symptoms, or use electroconvulsive therapy for treatment-resistant or refractory depression.
Dr. Michael G. Rayel - author (First Aid to Mental Illness-Finalist, Reader's Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel pioneers the CARE Approach as a first aid for mental health. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.
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.
Second, research has shown that Chronic Fatigue Syndrome sufferers have an abnormality in their 'deep sleep' brainwave patterns. In contrast, depression sufferers do not have this abnormality.
In addition, depression sufferers tend to feel tired all the time, whereas Chronic Fatigue Syndrome sufferers' exhaustion increases notably after mental or physical exertion.
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.
Dr. Michael G. Rayel - author (First Aid to Mental Illness-Finalist, Reader's Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel helps individuals recognize the early signs of mental illness and provide early intervention. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.
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