Central West Naturopathic PH: 02 6342 3887 104 Kendal St. Cowra 2794 24 Spring Street Forbes 2871 email: centralwestnaturopathic@hotmail.com www.centralwestnaturopathic.com.au _____________________________________________________________________ Depression Have you ever had feelings of sadness you can’t explain, low mood or lethargy, or just plain disinterest in activities of the day? Some would call this depression. It is a fact of life that we all have emotional highs and lows, and there is nothing that says we have to be ecstatically happy all the time. In fact such a state of constant euphoria could in itself be diagnosed as extreme. What matters is that there is recognition of the normalness of mood changes, within limits. Grief is the emotion associated with the loss of something or someone we hold dearly, upon which we have placed emotional value. It is normal to feel sad when we lose a relative, close friend or pet. Even trading in the old car brings its own feelings of loss. But that sense of loss is something we overcome, we have a managed sense of regret for the loss, and get on with our lives again. If that sense of loss becomes life controlling and all-consuming a diagnosis of clinical depression may result. There is a psychiatry reference called the DSM4 that says the grief should be resolved within 2 months. I do not agree with such a time line as people all deal with issues in their own way and time. Often it is not medication that is required, but counselling and the support of family and friends that helps deeply grieving people through their emotional crisis. Depression can be caused by factors from outside (such as loss or trauma), or from inside (hormonal issues, mineral imbalance, nutritional deficiencies). The DSM4 gives a list of behaviours or conditions upon which diagnosis of depression can be made, but does not ask why these conditions may exist. Anti-depressant medications have their place in some cases, but do not change the cause of the depression. Often medication and complication go hand in hand. The mood is managed, the problem masked, but the cause still hasn’t been resolved. The first rule of competent prescribing is ‘investigate before you medicate’. People who are bored, isolated or inactive can become depressed. If your world is small then problems in it can appear more significant. Pills – whether prescribed or ‘over the counter’ supplements - don’t change boredom, isolation or inactivity. In these cases change in life style is necessary. It is a fact that if you repeatedly do the same thing the same way you will get the same results. To make a change in results you need to change what you do, and limit what you will put up with. Become active, join a group, find new interests. Become a community volunteer. If we are constantly exposed to hurt, bullying, and dissatisfying work or relationships mental health will be affected. Busy people don’t usually have time for depression. Focus on the good things that are happening in life, rather than dwell on the negative issues. Another factor to consider is self centredness, or fixation on minor symptoms or problems, which become out of proportion to reality. Here the ‘depression’ can sometimes described as attention seeking. If there are underlying physical, nutritional or metabolic problems these need to be addressed, not just masked by mood controlling medications or symptom suppression. Some common underlying conditions that cause emotional suppression, often wrongly considered to be depression, include underfunctioning thyroid or adrenal glands, anemia, pituitary dysfunction, malnutrition syndromes including obesity, and mineral toxicity. Living in rural environments exposes us to chemical sprays, hard water, animal borne infections and allergies to animals and pollens. These can also affect our mental health and need to be considered in a treatment plan. One significant precursor to depression is intractable pain of arthritis or other diseases, like cancer. Good palliative care _____________________________________________________________________ Author: Stephen Tamplin, RN, ND, DAc 1 Central West Naturopathic PH: 02 6342 3887 104 Kendal St. Cowra 2794 24 Spring Street Forbes 2871 email: centralwestnaturopathic@hotmail.com www.centralwestnaturopathic.com.au _____________________________________________________________________ includes effective pain management. We can all have issues in life which make us anxious from time to time, especially when we appear to be not in control of our circumstances. Anxiety is not depression, but an episode of emotional stress. To overcome these stressors preparation is necessary, like studying for an exam or budgeting for expenses. Relax. With preparation for known events you develop the resource to cope, which reduces anxiety. Anxiety and depression both aggravated by alcohol as both alcohol and stress deplete our reserves of coping nutrients, such as magnesium and Vitamin B, so supplementation and nutrient correction may be good options to consider. There are some herbs, called adaptogens, such as Gotu Kola and Ginseng which help people to cope with difficult times of life. _____________________________________________________________________ Author: Stephen Tamplin, RN, ND, DAc 2