How well is your depression treatment working? Does it help a bit, but you still don't feel as if the darkness has lifted? Perhaps you feel the treatment isn't working at all. If so, you could have treatment-resistant depression, also called refractory depression.
Depression is draining. It can make any type of exertion -- going to the grocery store, cleaning up the yard, or exercising -- seem daunting.
"Energy loss is one of the key characteristics of depression. Some people feel that it’s the key characteristic of depression," says Robert E. Thayer, PhD, a psychology professor at California State University, Long Beach, an expert in managing mood, and the author of Calm Energy: How People Regulate Mood with Food and Exercise.
He points to exercise...
Treatment-resistant depression (TRD) can leave you feeling hopeless and discouraged. Months or even years can go by without any relief. And after the effort it took to get help, it can be demoralizing when you're just not getting better.
But if your depression treatment isn't working, don't give up. Many people can get their treatment-resistant depression under control. You and your doctor just need to find the right approach. This might include different drugs, therapy, and other treatments. If you're still struggling with depression despite treatment, here's what you need to know.
Understanding Treatment-Resistant Depression
What is treatment-resistant depression? Surprisingly, that can be hard to answer. Experts still disagree on what exactly the term means.
Some researchers define TRD as a case of depression that doesn't respond to two different antidepressants from different classes. Other experts say that a person needs to try at least four different treatments before depression can be truly considered treatment-resistant.
Of course for you, the exact definition doesn't matter. You just need to ask yourself some basic questions.
Has your treatment failed to make you feel better?
Has your treatment helped a bit, but you still don’t feel like your old self?
Have the side effects of your medication been hard to handle?
If the answer is yes to any of these, you need to see your doctor. Whether or not you actually have treatment-resistant depression, you need expert help.
Treatment-Resistant Depression: Getting Help
Although a primary care doctor can treat depression (research suggests that 60%-65% of antidepressants are prescribed by primary care physicians), it may be best to see a specialist, like a psychiatrist, if you think you may have treatment-resistant depression. It's a good idea to also work with a therapist, like a psychologist or social worker, because the best treatment is often a combination of medicine and therapy.