If you’ve ever taken an antidepressant, you know that the first several days or even weeks can be rough. Antidepressants take time to work and some can cause unpleasant side effects like dizziness, nausea, sweaty palms, and diarrhea. When you put all that together, you may start to doubt the value of a medication that takes a month to make you feel better.
Chances are good that you will feel better, eventually. If your response to medication is inadequate after 6-8 weeks, talk with your doctor about modifying your treatment. If after six weeks you are not noticing a change in mood on an antidepressant, it may not be right for you. First, make sure you are taking the drug as directed. Then talk with the doctor about how you feel. The doctor can suggest a variety of combined and alternative treatments, as well as various types of talk therapy that can help improve your depression.
Many people have a perception of talk therapy that doesn't quite match up to reality. If you think therapy means lying on a couch with a box of tissues and paying top dollar to talk to someone who doesn't quite get it, or that it's only for people who are mentally ill, think again.
It turns out that most people could benefit from therapy -- but it takes work on your part, a therapist who meets your needs and really does understand you, and as much time as it takes -- at your convenience and within...
The important thing is to get consistent care from a physician or therapist who is attentive to your responses, says psychiatrist Myrna Weissman, PhD, a professor of epidemiology and psychiatry at Columbia University.
Allow Time to Find the Right Antidepressant
Antidepressants work. So does cognitive therapy. But finding the right antidepressant and the right combination of treatments takes time.
In one large study of the effectiveness of antidepressants, only about 30% of the patients became symptom free within four months of taking the first antidepressant prescribed, says Bradley Gaynes, MD, MPH, an associate professor of psychiatry at the University of North Carolina.
Gaynes says that another 20% of people gained relief after switching antidepressants or adding cognitive therapy or another medication to their treatment. And by the time the remaining people had switched antidepressants two more times, 70% no longer described themselves as depressed.
Talk to a Depression Specialist
The important thing, Gaynes tells WebMD, is not to give up too fast. Often, he says, patients get their first prescription for an antidepressant from their regular doctor. But many require a psychiatrist to sort out all the options. This is especially true if you feel symptoms of panic or anxiety that either start or continue while you’re taking an antidepressant.