Time：2023-02-01 23:32:46 source：psychiatricethics.com author：Emergency treatment Read：235次

Does depression require medication? Will taking medicine for a long time cause dependence?

"Is it okay to not take antidepressants if I have depression?" This is the question of many depressed patients. Because everyone has a natural fear of drugs, worried that the side effects of drugs will make them stupid, or that if they take them for a long time, they will become dependent on drugs and cannot get rid of them. Especially for some young patients, who have not yet married and have children, they are worried that taking the medicine will cause inconvenience to finding a partner or giving birth in the future. Today, we will discuss this issue. The first episode of mild depression can be relieved spontaneously, and no medicine is needed. If the patient’s sleep is basically OK, there is no suicidal self-injury behavior, and eating is normal, then it is generally mild depression, and you can give yourself 1 or 2 at this time. If the situation does not worsen or even eases, it may not be necessary to take antidepressants for the time being. For patients with mild depression, cognitive behavioral therapy is very helpful to relieve the maintenance factors of the disease, and can play a better effect, so patients may wish to give themselves some time to try cognitive behavioral therapy first. Most psychiatrists in China don't pay attention to psychotherapy, but focus on drug treatment. They often start medication as soon as the patient is diagnosed with depression. In fact, this is unreasonable. But if in the process, the condition further aggravates, there are negative thoughts or there is no food and water, then it is another matter. At this point, medication must be used. For patients with moderate or above depression, it is recommended to use drugs to treat more severe depression. The biochemical process of the patient's brain usually changes, and the accumulation of long-term negative emotions in the brain has a certain impact on this phenomenon. For them, taking medicine can quickly adjust the biochemical processes of the brain and make them return to normal. For patients with depression with a family history, drug treatment is recommended. For patients with depression with a family history, not only psychotherapy. Such patients are more likely to suffer from depression due to genetics and require medication. Depressed patients who have encountered major events in their lives are recommended to use drugs for treatment. Some patients have major events in their lives recently, such as exams for further education or marriage. At this time, they need to improve their condition quickly. Therefore, for patients with depression, if it is the first episode of mild depression, they can try self-regulation. If self-regulation is ineffective, it is recommended to go directly to the hospital to see a doctor. For patients with moderate or above depression, medication must be taken as the primary treatment method. Will taking antidepressants for a long time cause dependence? Hear what the experts say! The opinion of many experts and doctors is that antidepressants are not addictive and will not form drug dependence. Friends who are concerned about antidepressants, some are frightened by the withdrawal reaction caused by the sudden withdrawal of antidepressants after taking them for a period of time. Some patients' withdrawal reactions are very serious, and various adverse reactions occur. They are reminded of the withdrawal symptoms of drug addicts when they are detoxified on TV, and they are afraid that they will become drug dependent. After continuing to take the medicine, these symptoms were relieved, and I felt more and more that "this medicine cannot be stopped". In fact, it is not that the drug cannot be stopped, but the method of stopping the drug is wrong. Whether the withdrawal reaction occurs is related to the half-life and active metabolites of antidepressants. Different antidepressants have different degrees of withdrawal reactions, and different individual physiques have different reactions to drugs. In this case, if you feel better about yourself, patients who want to stop taking the drug should do so under the guidance of a doctor. Do not stop the medication without authorization. Patients who have suffered from severe depression and later recovered confessed: In fact, taking medicine is not terrible, and this may be the fastest, most significant, safest and most common method for treating depression. I wish every depression patient can recover and find hope and happiness in life again.

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