It sounds like good advice and it probably would help you feel better, but how are you expected to start exercising when you can barely get out of bed and take a shower each morning?
When you are in the throes of depression, it’s hard to summon the energy to do just about anything, especially exercising, re-connecting with friends and family, and eating a healthy diet. Even taking your medication may feel like a chore.
Is It Depression?
Recognizing that you are depressed is the first step toward feeling better, says Subhdeep Virk, MD. She is an assistant professor of psychiatry at Ohio State University Werner Medical Center in Columbus.
Symptoms of depression may include:
- Withdrawal from family and friends
- Feelings of hopelessness
- Preoccupation with death
- Loss of energy
- Loss of pleasure from things you used to enjoy
- Sleeping too much or not enough
- Eating too much or not enough
- Increased anxiety
- Increased irritability
Although everyone feels down from time to time, depression lingers and often interferes with your ability to live your life and cope with daily stressors.
When Antidepressants Are Necessary
“If you are so depressed that you can’t get up to wash or do your chores, and just getting out of the house feels like a tremendous hurdle, medication is definitely the way to go,” she says. “ Antidepressants can help take the edge off and allow you to engage in therapy and get out of the vicious cycle.”
Medications may also help by stopping some of the negative thinking patterns that make it difficult to see out of a depression, she says. Thoughts such as “this will never end and will go on forever” make it hard to move forward. “Therapy is beneficial along with medication, especially if you have psychosocial stressors in your life that are contributing to how you feel,” she says.
Some antidepressants are started at lower doses in case there are any side effects. After one or two weeks, doses can be gradually increased -- if needed -- to get the desired effects on your mood. Antidepressants typically don’t work overnight. Some may take longer than others to kick in. It usually takes about six weeks, on average, for antidepressants to begin to have a positive effect on your mood, Virk says. “Be patient and stay in close contact with your doctor.”