Depression Treatment with Herbs and Ayurvedic Remedies

About Ayuverda


Ayurveda (the science of life) is a system of traditional medicine practiced in India for centuries and practiced in other parts of the world as a form of alternative medicine. In Sanskrit, the word Ayurveda comprises the words ayus, meaning 'life' and veda, meaning 'science'. Ayurveda traces its origins to the Vedas , the Atharva veda in particularand is connected to spiritualism and mythology. The earliest literature of Ayurveda appeared during the Vedic period in India, the Sushruta Samhita and the Charaka Samhita were influential works on traditional medicine during this era.


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Ayurvedic practitioners also claim to have identified a number of medicinal preparations and surgical procedures for curing various ailments and diseases. Ayurveda is considered to be a form of complementary and alternative medicine (CAM) within the western world, where several of its methodssuch as herbs, massage, and Yoga as exercise or alternative medicineare applied on their own as a form of CAM treatment.


Ayurveda believes in 'five great elements' (earth, water, fire, air and space) forming the universe, including the human body.  Chyle, Blood, flesh, fat, bone, marrow, and semen are believed to be the seven primary constituent elements of the body.  Ayurveda stresses a balance of three substances: wind/spirit/air, phlegm, and bile, each representing divine forces.  According to Ayurvedic beliefs, the doctrine of these three Doshas vata (wind/spirit/air), pitta (bile) and kapha (phlegm) is important. Any imbalance in these three elements results in a disease. Traditional beliefs hold that humans possess a unique constellation of Doshas. It is believed that building a healthy metabolic system, attaining good digestion, and proper excretion leads to vitality. 



Ayurveda also focuses on exercise, yoga, meditation, Pranayam and massage. The concept of Panchakarma is believed to eliminate toxic elements from the body.


Ayuverda and Depression


Depression is a neurological disorder. When a person is too overcome with negative emotions, it becomes difficult to focus on any other issue. The person may become lethargic and lose interest in what is going on around them. Such a state may occur when a person fails in an examination, loses a job, gets jilted by a lover, gets divorced, loses some dear one, etc. Some people are able to get over their emotions quickly. But in some others, depressions may last for several days, weeks or even months.


In Ayurveda, depression is known as Chittavsada. It is caused by the increase in the tamas and rajas of the mind with a vitiation of the kapha dosha. Sometimes, an imbalanced vata may also be responsible for depression.


From the ayurvedic perspective, emotional imbalance is caused by lack of coordination of an individual's senses, emotions and thoughts. The heart and mind are intimately connected, because the heart is the "seat" of consciousness. In the Charaka Samhita, a major ayurvedic text, it is said, hridaye chetana sthanam, which means, "the seat of consciousness is in the heart.


The main cause of emotional imbalance is the lack of ability to process emotions in a timely fashion. Some people are able to process an emotion quickly, which means they are able to let go of it and move on with their lives. For others, the processing or "cooking" of thoughts is slow, so the negative impression remains with them for a very long time and impacts their current thoughts and emotions, resulting in depression.


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Useful Herbs in the Treatment of Depression


1. Ashwagandha (Withania somnifera)
Ashwagandha has the requisite properties to remove negative thoughts from the mind. The aphrodisiac properties of ashwagandha also help in improving the mind and removing depression.


2. Brahmi (Bacopa monnieri)
Brahmi is prescribed before a yogic session. The reason is that brahmi helps to relax the mind and bring it to a comfortable state. Brahmi is very popularly available in the form of oils. The oil has a cooling and soothing effect on the mind. Regular use of this oil can prevent the person from feeling depressed.


3. Cardamom (Elattaria cardamomum)
Cardamom has a very pleasing odor which can soothe the nerves. When a person is depressed, a tea made by putting cardamom in it can have almost miraculous effects.


4. Guggulu (Commiphora wightii)
Guggulu has become the focus of attention recently due to the presence of special chemicals in it called as guggulsterones. These chemicals improve the nervous coordination and hence are beneficial in the treatment of depression. Guggulu is more effective in depression caused due to seasonal affective disorder.


5. Jatamansi (Nardostachys jatamansi)
Jatamansi brings a calming effect on the mind. By canalizing the energies of the mind in the right direction, jatamansi can remove the depressive thoughts.


6. Turmeric (Curcuma longa)
Turmeric is effective in treating depression that is caused by the change of seasons, i.e. seasonal affective disorder.


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Dietary Treatments for Depression


For people with depression a heavy food is not advised. The person must not eat to the full capacity. Hot, spicy and pungent tastes must be avoided as these will aggravate the senses further. Fluids and fresh vegetables (in salads) must become an important part of every meal. The person can have cool sherbets like rose sherbet in the middle of the day, especially in the afternoons and when the evening is beginning. Tea and coffee may be taken occasionally to stimulate the brain.


Most people with depression lose their appetite and desire to eat. For such people, food must not be forced, or it could lead to vomiting. When such a disinterest in food occurs, fruits can be consumed. A diet rich in fruits is beneficial in the treatment of depression.


Ayurvedic Treatment for Depression
The Ayurveda Panchakarma therapy is the cleansing process that helps to purge unwanted toxins. The Panchakarma treatments are extremely helpful in relieving deep seated diseases. Besides, they are benefical for maintaining and improving both physical and mental health.


Shirodara: the patient lies on a special wooden bed and a steady stream of warm, aromatic oil, milk, or buttermilk is rhythmically poured across the forhead. This treatment calms the mind and soothes the nervous system. It brings on profound peace and happiness.


Abhyanga: this is a firm but gently whole body massage of aromatic herbal oils that are administered by two skilled technicians who work in complete harmony. The abhyanga massage may last up to one hour.


Udvarthanam: this is a massage using a special Ayurveda herbal paste to enliven and energise the body. It helps to promote good digestion, healthy skin, firm muscle tone, better circulation, and it reduces cellulite. It is perfect for those who wish to lose weight.


Nasya: the nose is seen as the doorway to the brain and also to consciousness. This therapy helps to ease problems of excess mucus and blocked sinuses. A stimulating head massage is followed by a steam inhalation with aromatic herbs and the application of hot towels. Finally, herbal nasal drops are administered to melt, loosen, and release mucus from the sinus passages.


Pizhichil: is also known as „Royal Treatment“ as it is the ultimate therapy for relaxing. The patient remains in a sitting position and a cloth soaked in oil is squeezed all over the body. This treatment softly heats the skin and helps to draw impurities to the surface. It leaves the patient feeling peaceful, calm, and wonderfully relaxed.


These are just a few examples of Ayurveda Panchakarma healing treatments.


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Home Medications


1. Get someone do a good head massage with a cooling oil like brahmi oil.
2. Improve the regimen of your day. Begin with yoga in the morning and then listen to good soothing music. For some people, visiting their religious places of worship also helps to come out of depression.
3. Focus your mind in other activities and hobbies in order to keep the thoughts causing depression away.
4. You can try eating an apple with milk and honey. This helps to improve the mood.
5. Simple lemon juice (the extract of one lemon in a glass of water, sweetened with sugar) is also good. It releases stress-removing hormones and brings the mind at ease.


Fighting Winter Depression with Ayuverda


Winter depression is considered by health experts as one of several Seasonal Affective Disorders, or those disorders that develop as part of the body's response to changes in season or outer atmosphere. During winter, one experiences shorter days and longer nights. Meanwhile, the weather becomes chilly such that you have to switch to winter clothing or gears that enable your body to stay warm.


As of now, experts are still in search of reasons that would explain why one develops winter depression. However, a few evidences reveal that it could be due to lack of sunlight exposure, although the extent at which this factor cause winter depression to arise still needs to be further examined.


Some of the common symptoms of winter depression include the following:
  • Tendency to overeat.

  • Consumption of too much sweets.

  • Craving for carbohydrate-rich foods.

  • Uncharacteristic weight gain.

According to Ayurveda principles, winter is believed to be the time for Hemanta ritu (period between mid-November to mid-January) and Sisira ritu (period between mid-January to mid-March). Ayurveda has a valid explanation when it comes to the human body's response to the seasonal changes. Winter depression is one of those conditions. Any changes that take place on your body, physiologically speaking, is due to the increase of Vata or body fire, which aims to compensate for the extremely cold weather on the outside such that you can regulate internal body temperature.


People who have vata as their major constituent in their body are at the highest risk of developing winter depression. Thus, ayurvedic treatments against winter depression recommend reducing vata to combat any effects of this condition to your body.


Since winter depression is believed to be caused by lack of sunlight exposure, then you must try to get as much sunlight as you can. In the absence of sunlight, you must expose yourself to artificial source of lighting such as sitting by the fireplace. This Ayurveda tip is believed to be really effective. Also, you must keep your home well-lit to reduce the depressive symptoms or intensity of the condition.


Engaging in regular but moderate exercise is also ideal for relieving winter depression. One such exercise that would reap effective results is yoga. A more suitable alternative would be to regularly engage in a sexual act, since it not only improves physiological condition but can improve your mood, as well.


Below are additional tips that you can use for Ayurveda treatment against seasonal affective disorders, such as winter depression:
  • Use a vata balancing herbal oil such as abhyanga and massage it all over your body. Concentrate the application of oil and massaging on your head.

  • After massaging with the oil, remove it off your body by taking a warm or hot bath. You can also prepare a homemade herbal scrub to use on your bath, which includes a combination of the following ingredients in equal proportion: yellow and green gram, and fenugreek seeds.

  • You can consume warm soups.

  • Eat foods that are known to balance your vata such as black gram, wheat, oil, and jaggery.

  • Instead of focusing on a single type of food, you can cycle through various tastes – from sweet, to salty, to sour.

  • Wear thick sheets or clothing materials such as wool, cotton, or silk.

  • Never forget to protect your feet with the right kind of winter footwear.



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Lithium as Mood Stabilizer for Major Depression

The oldest and best mood stabilizer for depression is lithium carbonate (lithium). Although this medication is primarily used to treat bipolar disorders, lithium can also be effective in alleviating unipolar depressive symptoms. Sometimes, lithium is added on to an antidepressant medication regimen for Major Depression when antidepressants alone are not working out.


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What is lithium used for?


There are different ways in which lithium is used.
  1. To treat mania (high mood with over-activity, racing thoughts and agitation)

Lithium needs to be taken in doses that keep its level in the blood relatively high. Often, other medicines are used initially to treat mania because of the increased risk of side effects with high levels of lithium, and because it takes a number of days to work. Lithium is then introduced a little later to stabilize mood.


  1. As a mood stabilizer

To help prevent the recurrence of severe swings in mood, after an acute episode of bipolar illness has settled. Lithium may take several weeks, months and probably up to two years to reach its full potential effect as a mood stabilizer. Even if lithium does not completely stop the mood swings, it usually reduces their severity.


  1. To boost the effect of antidepressants

When antidepressant medications have not worked fully in treating depression, adding lithium can be a very good way of increasing their effectiveness and getting the symptoms to improve.


How does lithium work?


It is not really known how lithium works. Lithium may alter the way that nerve cells respond to some of the chemicals that pass messages between them. However, it is known that it is a very effective medicine.


How often is lithium taken?


Mostly, it is taken as a single dose at night - this is more convenient and reduces the problems with some of the side effects. A few people may find it is better to split the total amount into more than one dose - follow your doctor's advice.


Is lithium addictive?


Lithium is not addictive. But when it is stopped, it should be reduced gradually to minimize the chances of the illness coming back.


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Is lithium a safe medicine?


Lithium is safe if used correctly, according you your specialist's or family doctor's instructions.
  • Before you are started on lithium, your doctor will need to know your medical history - including any psychiatric illnesses you have had in the past.

  • Your doctor will examine you physically and take a blood sample to check your blood count, your kidney function and your thyroid gland.

  • Depending on your medical history your doctor may also ask you to collect urine for 24 hours and arrange for you to have an ECG heart tracing done. These tests are simply to make sure that it safe for you to start taking lithium.

The problem with lithium is that a certain level of the drug has to be produced in the blood for it to be effective, but if the level rises too much, unpleasant and potentially serious side effects can occur.


What are the side effects of lithium?


The commonest side effects that people may notice when they start lithium are:
  • dry mouth

  • a metallic taste

  • a slight shakiness

  • a feeling of mild weakness

  • some bowel looseness (diarrhea).

These usually settle as your body adapts to the medication. After taking lithium for some time, the following may be noticed:
  • weight gain.

  • passing urine more often and needing to drink more than usual. If this happens, you should tell your doctor.

  • swollen ankles due to water retention.

  • the thyroid gland may become underactive.

Occasionally, some people feel that they get mild memory problems due to lithium. It is possible that this is due to the mental illness itself, but the lithium may sometimes be responsible.


These problems generally disappear if lithium is reduced or stopped. If they occur, your doctor will be able to advise how they should be handled.


Less commonly, when a person has been taking lithium for some time it can cause the thyroid gland to become underactive. This can lead to symptoms such as:
  • a lack of energy

  • feeling the cold more

  • weight gain

  • feeling depressed.

Lithium is also a potentially dangerous drug in that its therapeutic dose (the dose necessary for it to offer antidepressant effects) is uncomfortably close to its toxic dose.


Toxic levels of lithium in the blood can cause slowed or stopped breathing, seizures, coma and even death. Before taking lithium, a person will undergo a battery of laboratory tests including a complete blood count, tests for serum creatinine, electrolytes, and hormones, and a urinalysis. A complete blood count measures the number of red and white blood cells and platelets to ensure that these cells are at normal levels, there are no known infections, and that the body can function normally in case of an injury.


Measuring creatinine in blood serum is a test for kidney function. Since adequate kidney function is essential to clearing lithium from the system, this test is particularly important. Tests for electrolytes, hormones, (thyroid, in particular) and urine components indicate the basic health of an individual and provide baseline levels for comparison during lithium treatment. To avoid lithium toxicity, people must have regular monitoring of their blood levels of lithium to make sure that they remain within an acceptable therapeutic range. Blood lithium levels need to be monitored more frequently during the early stages of treatment, but as treatment stabilizes, monitoring can occur every three to six months.


Pregnancy and Breast Feeding


Lithium crosses the placenta and has been associated with toxicity in the fetus. Children born to women taking lithium during pregnancy have an increased risk of goiter and cardiac anomalies. If possible, lithium should be withheld during the first trimester. Women of childbearing age who may require lithium should be counseled about becoming pregnant.


Lithium is secreted into breast milk. Symptoms of lithium toxicity, including changes in the electrocardiogram, have been seen in some breast-fed infants, whose mothers were taking lithium. If possible, women taking lithium should not breast-feed their infants.


How can I be sure that the lithium level is right?


The body gets rid of lithium through the kidneys in the urine, and it is easy to test the lithium level in the blood.
  • After starting lithium, it takes about five days for the lithium to build up to a steady level in the blood. For this reason your doctor will take a blood sample to check the level about five days after you first start to take the lithium. If the level is not quite right, the doctor can easily work out from the blood test what the dose should be.

  • Lithium blood tests need to be taken at least 12 hours after the last dose of lithium to make sure the test is reliable.

  • Any time a change is made in the dose, the level has to be checked about five days later.

  • The lithium level will be checked quite frequently to begin with until it is certain that the level is stable and correct. Once this has been achieved, the frequency of blood tests will be less, but a test should still be carried out about every two to three months.

  • Lithium is one of the medicines where it is important to always take the same brand. Even at the same doses, different brands will give different blood levels. If the brand has to be changed, a close eye will have to be kept on the level until it is steady again.

What can I do to avoid high lithium levels developing?


  • Make sure that you go for the blood tests whenever they are needed.

  • Don't suddenly change the amount of salt in your diet; it is especially important not to suddenly reduce your salt intake.

  • Make sure that you drink enough fluids, especially if you are exercising heavily or in hot weather when you will sweat more.

  • Remember that alcoholic drinks can make you lose water overall. This is particularly important to bear in mind if you are on holiday abroad: you may feel like drinking more alcohol, and the weather may be hot so you sweat more.

  • See a doctor straight away if you get any of the physical illnesses or symptoms listed above. Always tell any doctor or pharmacist that you are taking lithium before you are prescribed, or buy, any new medicines.

How long will I have to take lithium for?


Lithium has a preventative effect when taken in the medium to long term.
  • Lithium is mostly taken for at least one to two years to derive full benefit from its use. Many people need to stay on it long-term to prevent the illness relapsing.

  • When lithium is stopped, it should be tailed off gradually over a number of weeks or months to avoid a period of mania that can occur if it is stopped suddenly.

How effective is lithium?


Despite the potential difficulties with lithium treatment, it remains the best medication for stabilizing mood in most people. It is the mood-stabilizing drug that has the best-proven results in boosting the effect of antidepressants. Many people find it an effective medicine that helps to control their mood disorder and greatly improve their quality of life.




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Marital Problems and Depression

As the U.S. divorce rate of almost 50 percent attests, keeping a marriage together can be pretty tough even under normal circumstances. But depression can complicate ordinary marital problems and make marital success even more challenging, said University of Georgia psychology professor Steven Beach.


Depression affects more than 19 million Americans, said Beach, who is director of UGA’s Institute for Behavioral Research. “Although people tend to dismiss it because it’s such a commonly known and diagnosed problem, depression actually causes greater difficulties than many other disorders.” Causing patients to feel helpless, unable to perform some of the simplest everyday tasks and pessimistic about the future, depression can be debilitating for the individual and make it harder to deal with the ups and downs that occur in every marriage, Beach said.


Marriage is a natural arena in which to study the interpersonal aspects of depression because it is such a powerful interpersonal environment. Events that “pile up” on a person who becomes depressed often stem from interactions with family and close friends. Some of the most powerful interpersonal events are those that occur between a husband and a wife. Although troubles in close relationships may contribute to depression, improvement in marital relationships can also help with recovery. This may reflect the importance of marriage as a source of support and the fact that many traditional sources of support are less available than they used to be, Beach said.


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While the increase in rates of depression over the past 100 years is not thoroughly understood, some cultural anthropologists believe it results from the lack of inter-personal networks in modern society. For example, people are more likely to move several times over their lives — repeatedly losing contact with potential support groups — at the same time that new forms of communication have tended to replace face-to-face interactions. In the midst of this change, “marriage remains a core interpersonal relationship in modern society,” Beach said. “That may be why marital quality so consistently correlates with depression.” The loss of other interpersonal networks and sources of support may also put marriage at risk in the context of depression.


When a marriage is not working it turns into a stressor, which often causes depression among females and leads males to alcohol abuse. Stressful marriage is the leading cause for depression among women. Women genetically predisposed to stress are three times more likely to develop depression than women not genetically predisposed. Even though this is not a social factor, it is important to point it out as a possible predisposition to depression based on social factors.


If one partner suffers from chronic depression, it is very likely that the other partner will develop depression as well. Even when the depressed partner overcomes this depression, it is common to relapse if he or she has an unsatisfying marriage. Marital distress can also occur if the distressed partner’s behavior triggers negative effects in the spouse. In the large proportion of couples experiencing marital distress, at least one partner is clinically depressed, adding even more stress to the other partner.


These inter-partner problems could even lead to physical abuse. Such abuse is generally perpetrated by the male but in some instances it comes from the female.


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In short, the stress-generation model of depression can help to explain the two-way relation between marital discord and depression. Marital distress can lead to depression and depression can lead to marital distress.


The connection between depression and marital distress is influenced principally through the way individuals explain the negative behavior of their partner. Individual's personal explanations of negative martial events greatly impacts marital satisfaction and their emotional state. Trying to attribute blame to someone is pointless and results in unnecessary suffering for the depressed and the caretaker spouse. Searching for a source to blame wastes energy that would be better spent in learning more about the illness and possible treatments. Those who suffer from depression don't choose to and are not simply lacking willpower, "they cannot, through any exercise of will, get out of the predicament they are in".


By understanding that depression is not intentional caretaker spouses may be able to change they way they think of their spouses. For example caretaker spouses my see their spouses as a victim rather than a saboteur of the marriage. A better use of time and energy would be to search for understanding and increased capabilities for compassion and patience. Developing patience through increased understanding is one of the best tools a caretaker spouse can acquire. Patience will be especially beneficial when dealing with the continuous ups and downs of depression and even the constant care needed for patients who may be in danger of suicide.


Caretaker spouses can provide encouragement and realistically remind the depressed of God's love, and the love of family members. It will be important not to lose patience and to avoid saying things such as "just snap out of it" or "get a little backbone". The importance of avoiding such phrases is exemplified through this quote from Helping and Healing Our Families by Morrison: “Anyone who has ever witnessed the almost unbearable pain and uncontrollable weeping of a severe panic attack, or the indescribable sadness of severely depressed person who cries all day and retreats in hopeless apathy, would never think for a moment that mental illness is just a matter of willpower.”


Recognizing that depression and not the spouse is the villain is a huge step in the battle. However while patience, compassion, and love provide support and are crucial for learning to live with depression within a marriage they are not a cure for the illness therefore it is important to seek knowledge of the illness and of treatment options.


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The hopelessness model is important as well. Hopelessness can be seen in people who believe that there is nothing they can do to either better themselves or change an outcome of an important event. People who believe that future control is possible experience anxiety in an effort to gain control. If one is convinced that one is helpless in controlling important events but is not sure if the bad outcome will actually occur, a mixed anxiety/depression syndrome will probably surface. In contrast, if one is convinced that bad outcomes will definitely occur regardless of what one does, then helplessness becomes hopelessness and depression sets in. It is normal to become depressed if one believes that there is nothing one can do to prevent a negative outcome.


Stressful life events are a big cause of depression. They include marital problems, divorce, job loss, and poverty. Life events can be seen as dependent or independent. Independent life events happen due to causes outside of one's control--for example, a hurricane taking one’s house or being laid off from work. Dependent life events are ones for which one holds a partial responsibility; generally these are more likely to cause depression than independent life events. One can easily overcome independent life events by blaming the negative outcome on outside factors, hence removing the responsibility from oneself, making it easy to deal with and not turn the negative outcome inward.


Generally if a man does not feel capable of providing for his family he might view himself as not worthwhile, and this can lead to depression. Depending on the culture, a man must be able to support his family. If he feels that he is incapable of doing so and believes he is a failure, it is inevitable for depression to set in. This is true in capitalistic and developed countries, having its origins in the prehistoric past.


Social factors and stressful life events not only cause people to become depressed but also in many cases predispose people to depression by becoming contributory stressors. Thus, in effect, they can become both diatheses and stressors.


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How Depression affects Relationship and Sex Drive?

Decreased libido disproportionately affects patients with depression.
The relationship between depression and decreased libido may be blurred,
but treating one condition frequently improves the other.
Medications used to treat depression may decrease libido and sexual function.
Frequently, patients do not volunteer problems related to sexuality,
and physicians rarely ask about such problems.
Asking a depressed patient about libido and sexual function
and tailoring treatment to minimize adverse effects on sexual function
can significantly increase treatment compliance
and improve the quality of the patient's life. (Am Fam Physician 2000;62:782-6.)




Yes, depression adversely affects every aspect of the people lives – including their relationships – and when one partner is depressed, the relationship may suffer badly. This is a great shame because a good relationship is very therapeutic for somebody with depression.


When you are low you especially need love, support and closeness from the people you love and respect.


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How big the problem is?


Symptomatic loss of libido is a common problem in the United States. In a national survey conducted in 1994, 33 percent of women and 17 percent of men reported sexual disinterest. In another survey, one third of women 18 to 59 years of age reported feeling a lack of sexual desire within the previous year. Patients with major depressive disorder or bipolar disorder have an even higher prevalence of sexual dysfunction, including lowered libido, than the general population.


In one study it was found that more than 70 percent of depressed patients had a loss of sexual interest when not taking medication, and they reported that the severity of this loss of interest was worse than the other symptoms of depression.  In this same study, libido declined with increasing severity of psychological illness. The complex association between depression and lowered libido is further illustrated in a case control study in which increased lifetime prevalence rates of affective disorder were found among patients with inhibited sexual desire.


Regardless of the cause-and-effect relationship, depression and decreased libido are associated, and the treatment of one condition may improve the other.


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What is likely to happen if your partner has depression?


Depressed people usually feel withdrawn. They don't feel they can raise enough energy to pursue their normal routine, do things with the family or even notice when their partners are being attentive. This can quickly lead to the non-depressed partner feeling that he or she is in the way, unwanted, or unloved. It can be easy to misinterpret the low moods as hostility, or as evidence that the depressed person wants out of the relationship.


Frankly, it’s really hard to stay calm and confident when the person you thought you knew is acting strangely and appears to be so unhappy. So if you’re finding your partner’s depression a real pain, try to take heart from the fact that this is natural. Being the partner of a depressed person is very difficult. So, even if you're at your wits' end because your loved one has lost the ability to concentrate on what you're saying, or to raise a smile, or to appreciate any of the good moments in life, try to accept that all these things are part of the illness.


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Sex and performance


We don't know enough about the chemical changes that occur in the brain during depression and little research has been done on how these changes affect sex. From a clinical point of view, however, it's clear that a depressive illness tends to affect all the bodily systems, dislocating them and often slowing them down.


Depression has been linked to:
  • A decrease in libido. A study of depressed patients showed that more than two-thirds of respondents reported a loss of interest in sex. The decrease in their libido grew worse as their depression grew more severe.

  • Erectile dysfunction. Depression and anxiety are leading psychological factors interfering in a man's ability to have and sustain an erection.

  • Inability to enjoy sex. Depression can limit or eliminate the pleasure normally drawn from sex, says David MacIsaac, PhD, a licensed psychologist in New York and New Jersey and a faculty member of the New York Institute for Psychoanalytic Self Psychology. Depressed men, he says, "feel disconnected from any sexual experience. It's a dehumanization kind of situation."



This effect is most marked with regard to sleep, which is invariably disrupted.


But there can be adverse effects on any activity that requires verve, spontaneity and good co-ordination – and that includes sex. So, many people who are depressed tend to lose interest in sex.


Admittedly, this isn't always the case, and some depressed people manage to maintain normal sex lives – sometimes even finding that sex is the only thing that gives them comfort and reassurance.
  • In men, the general damping down of brain activity causes feelings of tiredness and hopelessness, which may be associated with loss of libido and erection problems.

  • In women, this diminished brain activity tends to be associated with lack of interest in sex and very often with difficulty in reaching orgasm.

All these problems tend to diminish as the depressive illness gets better. Indeed, renewed interest in sex may be the first sign of recovery.


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Sex and antidepressants


It's not just the illness that affects a person's sex-life – antidepressant medicines such as Prozac can interfere with sexual function. One of the most common side-effects is interference with the process of orgasm so that it's delayed or doesn't occur at all. If this happens – and you are keen to have and enjoy sex – you should ask the doctor about changing medication.


In one of the recent studies it was found that patients taking selective serotonin reuptake inhibitors (SSRIs) were four times more likely to reveal sexual dysfunction if asked directly by their physician. Several antipsychotic agents, including haloperidol (Haldol), thioridazine (Mellaril) and risperidone (Risperdal) can also decrease sex drive.  Cimetidine (Tagamet), in contrast to ranitadine (Zantac), has been found to lower libido and cause erectile dysfunction.


Women in their late reproductive years who take oral contraceptives and postmenopausal women who are given estrogen replacement therapy may experience an improvement of depressive symptoms but a lowering of libido. Libido lowering is attributed to estrogen-induced deficiency of free testosterone. Testosterone testing and supplementation should be considered in women who experience a decline in libido after starting estrogen therapy. Testosterone testing should also be considered in men who have a gradual loss of libido and no improvement despite adequate treatment for depression.


It is important to assess the patient for psychological and interpersonal factors that commonly affect depression and sexual desire. These factors include stressful life events (loss of job or family trauma), life milestones (children leaving home) and ongoing relationship problems.


Alcohol and narcotics are known to decrease libido, arousal and orgasm.  Because the use of alcohol and other drugs is more common in patients with psychological disorders, alcohol and drug abuse should be considered when investigating libido problems in patients with depression.


An anti-depressant that boosts sex drive



You should definitely consider switching your antidepressant to bupropion (Wellbutrin) or taking bupropion along with your Paxil.  A study of 30 non-depressed men and women taking bupropion at University of Alabama Birmingham found significant improvements in sexual function and satisfaction compared to placebo. A small Brazilian study (20 subjects) showed highly significant improvements in sexual function in women taking bupropion.  


Bupropion is not an SSRI. Instead, it increases levels of dopamine and norepinephrine.  These chemicals also raise mood, but without the sexual side effects.  Bupropion is now the fourth most widely prescribed anti-depressant in the U.S., and it is often prescribed along with an SSRI. 


Of course, bupropion also has side effects. Some are emotional: Some male users reported increased anger and jealousy. Other possible effects include nausea, restlessness, and changes in eating and sleeping patterns (too much or too little sleep or appetite.)  So, as with any drug, be careful with it.


How depressed people can help themselves and their relationship


Some days will seem better than others. On your better days, try to make an effort to show love and appreciation to your partner.
  • Try to go for a walk every day, preferably with your partner. Walking not only gets you out in the fresh air, which will give you a bit of a lift, but like other forms of exercise it releases endorphins in the brain. These are 'happy' chemicals that rapidly elevate your mood. And there's increasing evidence to suggest that exercise can be as good for combating depression as any antidepressant.

  • Even on your worst days, try to spot happy moments like a bird singing or a new flower blooming in your garden. Try to train yourself to notice three of these heart-warming moments per day.

  • You may have an odd relationship with food while you're depressed (you could have little appetite or constantly comfort eat), but try to eat five pieces of fruit per day. This is a caring thing to do for yourself and is good for your physical and mental health.

  • Listen to music that matters to you.

  • Have faith that the depression will pass and that you will enjoy your life again.

  • Even if you don’t feel like full-on sex, do make the effort to have a cuddle. If you are worried that cuddling will project you into full sex when you don’t want it, just tell your partner that you’re not feeling like having sex, but that you would really like to cuddle up. If you do this, you may both feel a lot better. Touch and closeness can keep a relationship intact.



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How to help your depressed partner


  • Don't keep saying that you understand what your partner is going through. You don’t. Instead say: 'I can't know exactly how you're feeling, but I am trying very hard to understand and help.'

  • Many people who are depressed lose interest in sex. Try to remember that this loss of interest is probably not personal, but connected with the illness.

  • Don't despair. Some days you'll feel your love for your partner doesn't seem to make any difference to them at all. But hang on in there. Your love and constant support should be of great help in persuading your partner of his or her value.

  • Do encourage your partner to get all the professional help available. Nowadays, there are plenty of alternatives to antidepressants. Cognitive behavior therapy (CBT), for example, is becoming much more readily available on the NHS. Many GP practices can also provide CBT by means of Internet programs. These can have a good effect quite quickly in many cases.

  • Try to act as though your partner were recovering from a serious physical illness or from surgery. Give plenty of tender loving care. But don't expect improvement to be rapid.

  • Do something nice for yourself. Being around a depressed person is very draining, so make sure you look after yourself. Have some time alone, or get out to a film or to see friends. Depressed people often want to stay home and do nothing, but if you do this too, you'll get terribly fed up.

  • Remember that this period in your life will pass and that your partner is the same person underneath the depression that he or she was before.

  • Try to take some exercise together. Most depressed people feel an improvement in their spirits if they do something active. And doing something that will raise the heartbeat – for example, sport or dancing – may well help you too.





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