Depression | Kay Trotter

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  Contact : (214) 499-0396

All Posts in Category: Depression

Did you know that blowing bubbles can help you reduce anxiety and stress…and it’s fun.

bubbles, reduce stress and anxiety

It’s true, when you blow bubbles your breathing in and out which is the equivalent of taking deep breath’s. Did you know it only takes 3-deep breaths to change your brain chemistry? Yep it’s true. I like to give clients a bottle of miniature bubbles that they can carry in their pocket, and use any time when they’re feeling anxious or stressed. Blowing bubbles also gives them cover as their friends will not think them strange or weird, just playful.

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College Stress: Get the Tools You Need

College Stress

Is your son or daughter home from college, or they stressed-out, burnt-out, over scheduled? Summer is a perfect time to give them the tools they need by developing effective strategies to achieve emotional and academic success with one of our counseling life coaches. College can be an overwhelming time in a student’s life. Our Counseling Life Coaches are dedicated to helping students get the most out of their college experience.

Our Counseling Life Coaches work with students in the following areas in order to support them in maximizing their college experience:

  • Improving effectiveness in and out of the classroom
  • Building life and leadership skills
  • Creating balance and managing stress
  • Boosting self-confidence and developing goals for the future
  • Empower students to set their own goals, take action toward them, and celebrate the progress toward, and completion of, their goals.
  • Apply the lifecoaching tools their personally and academically life.

Call Today 214-499-0396

Not sure of your level of your college stress? Take my Stress Quiz: How Stressed are you.

Here is a quick de-stressor that can be done anywhere at any time to help you relax and calm down when they feel stress.

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You can help prevent suicide

prevent suicideShow You Care: Let the person know you really care. Talk about your feelings and ask about his or hers. Listen carefully to what they have to say.

  • “It sounds like you’re angry (or jealous or something else), and it’s okay to be angry.”
  •  “I’m worried about you, about how you feel.”
  •  ”You mean a lot to me. I want to help.”
  •  ”I’m here, if you need someone to talk to.”

Ask The Question: Talking with people about suicide won’t put the idea in their heads. Be direct in a caring, non-confrontational way. Get the conversation started.

Challenge their Thinking; It’s also about helping them see that death won’t solve their problem

  • ‘It’s okay to feel angry, but it’s not okay to kill yourself.’
  • ‘I care about you, but I can’t give in to you when you act this way, so now I have to call someone here to keep you safe.’
  • ‘How are you going to feel the respect and attention you’re looking for if you are dead? You’ll be gone forever.’
  • ‘Do you really want to go away forever? You’ll leave a big hole of pain in your family and friends, who love you very much.’

Create Time-to-talk: The goal is to keep the person safe long enough to get to a time and place where there can be some good talking.

  • Go for a drive. Take them to a place where they might calm down.
  •  ‘Go for a walk or drive him ‘round the community. Only drop him back home when he’s really tired. But still watch over him.’
  • ‘Take him away from the thing that was making him angry.’
  • ‘Go to a coffee shop.’ (laughter)
  • ‘Or the beach.’ (more laughter)
  •  ‘Go to a place that’s safe for them but doesn’t facilitate their suicide fantasy, or give in to what they’re asking for.’
  • ‘Sometimes the safest place might be the emergency room.’

After they calm down and get some slept, you can make connections, like with family or support workers. Then you can talk about it more.

  • ‘Do something that makes him happy. Just ask them gently. You can listen to them. Get their story.’
  •  ‘Remind them about their family. People they care about. You can ask them, “What are the troubles in your life?”’
  • ‘Ask them simple questions. Get them to think about what they are doing. Like, “How are you feeling when you     say you want to kill yourself?” or “What are the things that make you feel this way?’
  • Help them break it down, so they can see the process of when they do this, identifying emotional     states and suicidal triggers.’
  •  ‘You can help them think about other things they can do when they feel this way again.’

Get Help: Never talk of suicide as a secret.

  • “I know where we can get some help.”
  • ”Let’s talk to someone who can help.”
  • “I can go with you to get some help.”
  • “Let’s call the crisis line, now.”

Sometimes you can be the most help by referring your friend to someone with professional skills such as:

  • Someone the person already has connections with.
  • Trustworthy family member. Someone the young person has respect for Support working together with the family member. “Family is important to provide support. It’s a partnership: support working with family and vice versa.”
  • Someone who can help build coping mechanisms and help them talk about their strengths.
  • Connect with a mental health professional or someone who can follow-up separately with the person making the threat.
  •  Someone who can talk to the whole community about suicide.
  • Anyone SAFE –  “Sometimes, to keep them safe, there might be no one left to call but the police.”

What NOT to say

  • ‘Go for it’
  • ‘Make my day.’
  •  ‘Go ahead.’
  •  ‘I dare you.’
  • ‘Here’s the rope.’
  • Giving them a challenge so they feel they have to prove it, like, ‘You don’t really mean it’ or ‘I don’t believe you.’
  • Saying something dismissive, like, ‘It can’t be that bad’ or ‘You always say that.’
  • Saying something that might make them feel more angry or alone, like, ‘Who’s it going to hurt?’ or ‘No one cares.’

SUMMARY

Do something now: Don’t assume that they will get better without help or that they will seek help on their own.

Acknowledge your reaction: It’s natural to feel panic and shock, but take time to listen and think before you act.

Be there for them: Spend time with the person and express your care and concern.

Ask if they are thinking of suicide: Asking can sometimes be very hard but it shows that you have noticed things, been listening, that you care and that they’re not alone.

Check out their safety: If a person is considering suicide it is important to know how much they have thought about it. Do they have a plan?

Decide what to do: What you decide to do needs to take into account the safety concerns that you have. Don’t agree to keep it a secret.

Take action: The person can get help from a range of professional and supportive people
Ask for a promise: if thoughts of suicide return, it is important for the person to again reach out and tell someone.

Look after yourself: It is difficult and emotionally draining to support someone who is suicidal, especially over an extended period.

FOR IMMEDIATE HELP CALL
2-1-1 – Local Suicide Intervention
800-435-7609 – National Teen Suicide Hotline

 

 

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Signs of self harming behavior

Adolescents often engage in self-harming behaviors alone, parents may not be aware that this problem exists.

Being observant can often uncover early signs of self-injury such as:

  • An abnormal number of cuts/burns on the wrists, arms, legs, hips or stomach
  • Wearing of long sleeves and pants even in warm weather to cover the marks
  • Frequent ‘accidents’ that cause physical injury
  • Evidence that your teenager’s friends are self-mutilating
  • Finding razors or knives in strange locations
  • Your teen locking themselves away for long periods of time in their bedroom or bathroom
  • Reluctance to be part of a social circle or social event

If you suspect a teen you know is struggle with self-harm – reach out to them and let them know that you know and that you’re there for them.

If you, or your child need additional support to manage self-harming behaviors, we can help.
Get to know our therapists and their specialty areas.

Children and teens engaging in self-harming behaviors – Help!

If you would like Dr. Kay Trotter to come talk to your group or find out more about Kaleidoscope Counseling please call 214-499-0396

Dr Trotter also post regularly on her: Facebook Fan Page and Pinterest.

 

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Depression Checklist

Depression is one of those heavily used terms in our culture, applied to everything from a fleeting feeling to a serious clinical syndrome. Sometimes folks who have been depressed for a while are so used to it they do not even recognize it as depression! The following checklists are two tools to get you thinking about yourself, your mood, and your physical symptoms.

Emotional Checklist:

  • A persistent sad, anxious or “down” mood?
  • Loss of interest or pleasure in activities once enjoyed?
  • Reduced appetite and weight loss or weight gain?
  • Sleeping too little or sleeping too much?
  • Restlessness or irritability?
  • Persistent physical symptoms that don’t respond to treatment (such as headaches, chronic pain, or constipation and other digestive disorders)?
  • Fatigue or loss of energy?
  • Difficulty with concentration, decision-making or memory?
  • Feeling guilty, hopeless or worthless?
  • Thoughts of death or suicide?

Because these symptoms occur with many conditions, many depressed people never get help, because they don’t know that their physical symptoms might be caused by depression. A lot of doctors miss the symptoms, too.

Physical Symptoms Checklist:

  • Headaches. These are fairly common in people with depression. If you already had migraine headaches, they may seem worse if you’re depressed.
  • Back pain. If you already suffer with back pain, it may be worse if you become depressed.
  • Muscle aches and joint pain. Depression can make any kind of chronic pain worse.
  • Chest pain. Obviously, it’s very important to get chest pain checked out by an expert right away. It can be a sign of serious heart problems. But depression can contribute to the discomfort associated with chest pain.
  • Digestive problems. You might feel queasy or nauseous. You might have diarrhea or become chronically constipated.
  • Exhaustion and fatigue. No matter how much you sleep, you may still feel tired or worn out. Getting out of the bed in the morning may seem very hard, even impossible.
  • Sleeping problems. Many people with depression can’t sleep well anymore. They wake up too early or can’t fall asleep when they go to bed. Others sleep much more than normal.
  • Change in appetite or weight. Some people with depression lose their appetite and lose weight. Others find they crave certain foods — like carbohydrates — and weigh more.
  • Dizziness or lightheadedness.

These physical symptoms aren’t “all in your head.” Depression can cause real changes in your body. For instance, it can slow down your digestion, which can result in stomach problems. Depression seems to be related to an imbalance of certain chemicals in your brain. Some of these same chemicals play an important role in how you feel pain. So many experts think that depression can make you feel pain differently than other people.

But make sure to tell your health care provider about any physical symptoms. Don’t assume they’ll go away on their own. They may need additional treatment. For instance, your doctor may suggest an anti-anxiety medicine if you have insomnia. Those drugs help you relax and may allow you to sleep better.

Exploring your depression treatment options:

Antidepressants aren’t a cure. Medication may treat some symptoms of depression, but can’t change underlying contributions to depression in your life. Antidepressants won’t solve your problems if you’re depressed because of a dead-end job, a pessimistic outlook, or an unhealthy relationship. That’s where therapy and other lifestyle changes come in.

Studies show that therapy works just as well as antidepressants in treating depression, and it’s better at preventing relapse once treatment ends. While depression medication only helps as long as you’re taking it, the emotional insights and coping skills acquired during therapy can have a more lasting effect on depression. However, if your depression is so severe that you don’t have the energy to pursue treatment, a brief trial of antidepressants may boost your mood to a level where you can focus on therapy.

In addition to therapy, other effective treatments for depression include exercise, meditation, relaxation techniques, stress management, support groups, and self-help steps. While these treatments require more time and effort initially, their advantage over depression medication is that they boost mood without any adverse effects.

If you would like Dr. Kay Trotter to come talk to your group or find out more about her counseling practice, you can contact her at: 214-499-0396 or email Kay@KayTrotter.com

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WFAA-TV: Talking to Teens About Depression

A Dallas teenager opens up about her experience with depression and what she did about it. Includes a live interview with Dr. Kay Trotter on the Dallas morning news program Daybreak – WFAA-TV, Channel 8.

[button url=”http://www.wfaa.com/news/daybreak/Talking-to-teens–193286621.html” target=”_self” size=”small” style=”limegreen” ]View Video[/button]

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Teen Depression

How is a parent to know the difference between the normal challenges of raising a teen or the warning signs that depression is setting in? Teens have many expectations placed upon them in this era. Accept the few days they tumble and withdraw but become concerned when the teen you know and love doesn’t bounce back within a week or so.

[button url=”http://www.kaytrotter.com/teen-depression/” target=”_self” size=”small” style=”limegreen” ]Learn More[/button]

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Surviving Postpartum Depression

These days, as I excitedly await the arrival of my first grandchildren (twins), a precious little boy and a sweet baby girl, my world is surrounded with everything, wonderfully baby. But sometimes motherhood brings the bittersweet dance of joy and sorrow. The following true story has a happy ending, but not without soul-searching, self-doubt and God’s blessings that my friend found help and is now a survivor of Postpartum Depression – Kay


SURVIVING POSTPARTUM DEPRESSION

I can’t wish it away, pray it away, talk it away, or distract myself enough

In the midst of my shame and crying I heard the therapist say, “It’s OK, we all get depressed sometimes. I know that you are thinking that you shouldn’t be depressed, but it’s OK. This too shall pass. This happens to a lot of women after pregnancy; your hormones are out of balance.” This feedback came after I had spent a full hour in a therapy session trying to explain to the therapist why I didn’t have post-partum depression.  Never mind the fact that I couldn’t stop crying, I had trouble staying awake during the day, was completely overwhelmed, agitated, and in a fog, and had hit rock bottom.  That’s the real reason I made the appointment in the first place.  At the time I didn’t realize to what extent I had minimized my symptoms of post-partum depression (PPD). It was after months of denying it and talking to friends and professionals that I accepted that I really did experience PPD.  I say “experience” rather than “had” PPD because it is something I couldn’t wish away or get rid of with a magic pill. I couldn’t wait it out like a cold, the severity came and went and felt different each day. Therefore, I say “experience.”

I would like to walk you through my experience of PPD and describe some things I learned along the way to help me get through it. My hope is that if one woman reads this and is able to get help or feel some relief, then sharing my story will be all worth it.

So let’s get straight to the point: What does post partum depression (PPD) feel like? How do you know if it’s just “the new normal” of mommy hood or really clinical where you need help? When I say “clinical” what I really mean to say is I couldn’t wish it away, pray it away, talk it away, or distract myself enough. It was always there hanging over my head like a cloud. I tried everything I could think of to make myself feel better. Some strategies helped distract me long enough to think I was feeling better, but they usually ended up exhausting me even further in the long run. For the textbook definition of PPD, you can go to any pregnancy book or website to read the clinical description. I had read the symptoms before, but living inside of a body and mind experiencing PPD is much different than reading about it.  I can remember identifying with a few symptoms after reading about PPD in a book a couple of months after delivery and thinking to myself, “I must just be sleep deprived. I bet when I start sleeping I’ll feel better.”  I also remember thinking that something must be wrong with me and I wondered how on earth other women made it through the first few months with baby.

I had lots of other symptoms as well. I worried about everything, which I thought was somewhat normal for first-time mothers, but I was obsessive about every little thing. I obsessed about baby’s sleeping and naps and charted everything to the minute. I read numerous books on everything about pregnancy and babies (being educated and informed is great, but being obsessive and thinking that I needed a degree in child development, nutrition, and sleep is not healthy). I felt guilty for everything—letting him sleep in the swing and in the stroller, letting her cry for five seconds, and not being happy all the time.  I felt guilty in the mornings for thinking “I have to do this all over again.” I remember almost falling asleep one morning while changing her diaper and thinking, “I don’t know if I can change one more diaper. I want to run away and be by myself.” In the mornings, I stood in my closet overwhelmed and not able to decide what to put on for the day. I was too overwhelmed to take baby out of the house because I thought it would be too exhausting to go anywhere and what was the point anyway. Everything seemed so overwhelming and pointless. I was irritable and agitated and felt helpless and frustrated when I would hear other people’s children cry in public.  Actually, it would send me off the deep end and I would feel panic stricken. (You might be thinking that is normal, but typically I would have responded in a very nurturing way – so this was atypical of me.)  I was very fearful and mistrusting of anyone taking care of baby or even holding him. I was afraid to leave him with anyone; I missed my husband and missed spending time with him. When my husband came home for lunch, I didn’t want him to leave.

Fortunately, I could get out of bed in the morning—another reason why I didn’t think I really had PPD. I always woke to my son crying, so of course I could get out of bed, but staying awake was difficult. I felt groggy and indecisive all day and in a fog. Things I had previously enjoyed annoyed me, but I didn’t realize that it was part of depression because I was stuck in it. I thought I had changed from having a baby. Looking back, it is so obvious but, when I was in it, I felt completely different and believed that how I felt was real. I felt guilty for working outside the home. I would cry in my office and cry on the way home.  I felt like I was being panicky when I was away from my son. Even in the hospital I felt panicky when other people would hold him. I felt disconnected and separated when I wasn’t holding him. This is another reason I didn’t know I had PPD—most books say you feel no connection to your baby. My PPD presented more like an over-connection. I rationalized this by saying that it was from the oxytocin from nursing.  To an extent the oxytocin does create a bonding feeling and a desire to be together, but it was like mine was on overdrive.

The scariest part of my experience was when I felt disconnected from the world. It was like I was behind a hazy screen or like I was watching people on a movie screen. It wasn’t like a hallucination, but just a fuzzy kind of distant feeling.  I couldn’t stop my crying in public and I was very fearful.  Another scary part of experiencing PPD is that I felt so ashamed to tell my husband or anyone what negative feelings and thoughts I was having.  The only reason I finally told my husband was because I began to have fleeting thoughts of how I could end my life. I knew I just wanted to feel better but having fleeting thoughts of death was not typical for me. I knew I could not fight this alone.  I knew at that point that I needed to reach out. Up to this point I made excuses for my thoughts and feelings but I couldn’t dismiss this.

As soon as I told him about my feelings, he quickly intervened and was very supportive. We went to my ob-gyn who discussed different options for treating PPD and she also gave me a referral for a therapist who specializes in women’s and family issues.

What I learned from this experience is that so many women have experienced PPD and the severity of symptoms varies with each woman.  When I was trying to decipher if what I was experiencing was the reality of being a new mom or if it was PPD, I reached out to a lot of people.  Some of them were responsive/supportive and others were not. I am so grateful for my friends who shared their experiences with me and who encouraged me to seek help.  The other valuable lesson I learned was to do what works for me. There are lots of different opinions out there and lots of conflicting ideas, but I had to do what was best for me and my family.

A friend of a friend reached out to me recently because she had heard about me experiencing PPD. She shared her experiences with me, and I think it is because of her that I have the courage to write this. After hearing her experiences I felt validated in mine, like thank goodness I am not crazy! I am very hopeful because in meeting her I saw living proof that people do live through PPD and parenthood and THIS TOO SHALL PASS. I am thankful to her for being so real with me and also for letting me share my experience.

Looking back I also learned not to expect everyone around me to understand what I was going through. Not everyone can relate because they do not fully understand it or they may not be able to handle seeing their loved ones in pain. While some people may not believe that PPD even exists, I am grateful to have supportive family members and friends who I rely on each and every day.

So what are some things that helped me get out of PPD, or manage it? Now that I think about it, I guess I am still managing it—although I feel much better and feel like myself again. I think now I am mostly managing the challenges that new parents face.  These things are in no way intended to be advice; however, they do outline things that work for me, today. It may change tomorrow, but for today this is what works for me.

I allow myself to experience this. For one, it’s OK to be going through this. I have a habit of minimizing and telling myself that there are people in the world with bigger problems and, yes, that is true. Regardless of what suffering other people may experience and regardless of the level, what we all experience is our part of our journey. I remind myself that it is okay to struggle and get through this.

I am learning not to try to appear all put together. No one is and no one expects me to be perfect. No one has the perfect life, perfect marriage, or perfect kids.

I forgive myself. This is harder than it sounds, but when I start feeling guilty for missing one of my son’s naps (which rarely happens), or whatever else my ego comes up with to evoke guilt, I forgive myself. I remind myself that I am human. I stop beating myself up for the past. I omit the words: “I should have, I could have done this better, I wish I would have.” Forget about it. I tell myself: it’s over, done, move on.

I stay in the moment. I remind myself to stop trying to predict the future. Stay in today. I still plan for the important things, but I work really hard not to worry about the future. I have a sign on my fridge that says “Cross that bridge when or IF you get there.”

I let myself get angry. I just remember all of those social rules and don’t take it out on my family. I run, do spin class or find some way to let that frustration go. Running and yoga help me a great deal.  Saying what I feel in the moment helps too. My husband and I believe in being very transparent and not letting feelings build. We share frequently.

I rely on friends. I meet with a group of friends on a consistent basis to support and motivate each other in regards to goals and to have me time.  These groups remind me that I am not alone and that I can count on others for help.

I do what works for me. I seek feedback from other moms, dads, pediatricians, and research (although I am no longer allowed to read 800 books on each baby topic), and then I see how that fits with my family’s needs. I adjust the plan when it needs to be changed.

I ask for help. This is a work in progress.  I remember that it is IMPOSSIBLE to do everything on my own in spite of what previous generations reportedly did, and I benefit my family and myself when I ask people for what I need.

I take breaks. I tell my husband what I need from him and when I need to get out of the house. Since there are no more weekends off, I plan time so that both my husband and I can have some time for us.

I guess basically what I am saying is that I try to cut myself some slack. Having a baby is such a big adjustment, and it really has been the biggest opportunity in life to learn the lesson to stop and be in the moment—to stop worrying about the laundry or cleaning or cooking an organic meal from scratch, and train for a half marathon, and work outside the home, and try to have dates nights. During the week instead of telling myself I have to do it all, my new expectations are to enjoy baby and husband and to work. If I get anything else done it is a bonus!  If what everyone says is true, this time will go by so fast and soon he will be running off to school or driving off in a car. When I experience really great moments or days, I try to capture these in my being and in my memory. Of course I wish these moments would last longer, but then I remember that because those moments pass so quickly it means the less desirable moments won’t last too long either. I finally understand the saying, THIS TOO SHALL PASS.

So when I sat down to write my story my hope was to help at least one person out there, to provide some relief or help someone feel normal and not crazy. I wanted to instill some hope in one of the readers out there. What I realized after finishing this is that it really helped me to share my story, to honor what I experienced and to remember all the nuances of this humbling, amazing, yet sometimes painful process of being a mom. I know this is only the beginning of a wonderful journey.

Helpful Links

Postpartum Depression and the Baby Blues Symptoms, Treatment, and Support for New Moms

Growing your Baby

The Bump 

Blogs:

Postpartum Progress

Ivy’s PPD

PPD Survivor

If you would like Dr. Kay Trotter to come talk to your group you can contact her at: Kay@KayTrotter.com214-499-0396, or visit her web site http://www.KayTrotter.com.

Dr Trotter also post regularly in her FaceBook fan page http://www.facebook.com/DrKaySudekumTrotter.

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Depression Checklist

Depression is one of those heavily used terms in our culture, applied to everything from a fleeting feeling to a serious clinical syndrome. Sometimes folks who have been depressed for a while are so used to it they do not even recognize it as depression! The following checklists are two tools to get you thinking about yourself, your mood, and your physical symptoms. Emotional Checklist:

  • A persistent sad, anxious or “down” mood?
  • Loss of interest or pleasure in activities once enjoyed?
  • Reduced appetite and weight loss or weight gain?
  • Sleeping too little or sleeping too much?
  • Restlessness or irritability?
  • Persistent physical symptoms that don’t respond to treatment (such as headaches, chronic pain, or constipation and other digestive disorders)?
  • Fatigue or loss of energy?
  • Difficulty with concentration, decision-making or memory?
  • Feeling guilty, hopeless or worthless?
  • Thoughts of death or suicide?

Because these symptoms occur with many conditions, many depressed people never get help, because they don’t know that their physical symptoms might be caused by depression. A lot of doctors miss the symptoms, too. Physical Symptoms Checklist:

  • Headaches. These are fairly common in people with depression. If you already had migraine headaches, they may seem worse if you’re depressed.
  • Back pain. If you already suffer with back pain, it may be worse if you become depressed.
  • Muscle aches and joint pain. Depression can make any kind of chronic pain worse.
  • Chest pain. Obviously, it’s very important to get chest pain checked out by an expert right away. It can be a sign of serious heart problems. But depression can contribute to the discomfort associated with chest pain.
  • Digestive problems. You might feel queasy or nauseous. You might have diarrhea or become chronically constipated.
  • Exhaustion and fatigue. No matter how much you sleep, you may still feel tired or worn out. Getting out of the bed in the morning may seem very hard, even impossible.
  • Sleeping problems. Many people with depression can’t sleep well anymore. They wake up too early or can’t fall asleep when they go to bed. Others sleep much more than normal.
  • Change in appetite or weight. Some people with depression lose their appetite and lose weight. Others find they crave certain foods — like carbohydrates — and weigh more.
  • Dizziness or lightheadedness.

These physical symptoms aren’t “all in your head.” Depression can cause real changes in your body. For instance, it can slow down your digestion, which can result in stomach problems. Depression seems to be related to an imbalance of certain chemicals in your brain. Some of these same chemicals play an important role in how you feel pain. So many experts think that depression can make you feel pain differently than other people. But make sure to tell your health care provider about any physical symptoms. Don’t assume they’ll go away on their own. They may need additional treatment. For instance, your doctor may suggest an anti-anxiety medicine if you have insomnia. Those drugs help you relax and may allow you to sleep better. Exploring your depression treatment options: Antidepressants aren’t a cure. Medication may treat some symptoms of depression, but can’t change underlying contributions to depression in your life. Antidepressants won’t solve your problems if you’re depressed because of a dead-end job, a pessimistic outlook, or an unhealthy relationship. That’s where therapy and other lifestyle changes come in. Studies show that therapy works just as well as antidepressants in treating depression, and it’s better at preventing relapse once treatment ends. While depression medication only helps as long as you’re taking it, the emotional insights and coping skills acquired during therapy can have a more lasting effect on depression. However, if your depression is so severe that you don’t have the energy to pursue treatment, a brief trial of antidepressants may boost your mood to a level where you can focus on therapy. In addition to therapy, other effective treatments for depression include exercise, meditation, relaxation techniques, stress management, support groups, and self-help steps. While these treatments require more time and effort initially, their advantage over depression medication is that they boost mood without any adverse effects.

If you would like Dr. Kay Trotter to come talk to your group or find out more about her counseling practice, you can contact her at: Kay@KayTrotter.com214-499-0396, or visit her web site http://www.KayTrotter.com.

Dr Trotter also post regularly in her FaceBook fan page http://www.facebook.com/DrKaySudekumTrotter.

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