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A major survey on depression symptoms from the National Mental Health Association (NMHA), released in July 2004, revealed a dramatic degree of progress in public understanding. Yet even amid this promising trend, the survey sheds light on the difficulties

The NMHA survey shows a major shift in public opinion in the last decade about the cause of depression. A majority (65 percent) of those polled who have never been diagnosed with depression symptoms understand depression is a disease, and not “a state of mind that a person can snap out of.” In 1991, only 38 percent recognized depression as an illness.

The survey also sketches a troubling portrait of the socio-economic lives of some people with depression symptoms. Survey respondents with depression symptoms reported higher levels of unemployment and divorce than respondents who don’t have the disorder.

“We set out to get a snapshot of the state of depression and its treatment,” said Michael M. Faenza, president and CEO of the NMHA. “The good news is that there is greater public understanding of depression and that people living with depression are finding substantial relief by following their treatment plans. The challenging part is understanding the degree to which public perceptions impact those in treatment,” said Faenza.

In this year’s survey, nearly one in three Americans say they believe depression symptoms is a state of mind. “Fifty-five percent understand the truth about depression. That is good, but it is not enough,” said Faenza. “You’d never hear 31 percent of the population deny that diabetes and heart disease are real. Erroneous beliefs about depression fuel stigma, bad public policies and poor personal choices by those living with the illness and may impede their recovery.”

The survey also describes a strong correlation between clinical depression symptoms and diminished social and economic circumstances for families. Survey respondents with depression report greater rates of divorce and unemployment than the general public. What’s more, respondents who have experienced multiple depressive episodes are even more likely to be divorced or unemployed. They also are more likely to have lower income and educational levels.

The NMHA survey, conducted by Public Opinion Strategies LLC, comprised interviews with 500 adults currently being treated for depression, 300 primary care physicians, psychiatrists and psychologists and 800 members of the general public.

Gap Between Knowledge and Behavior

Survey respondents who are living with depression symptoms overwhelmingly feel that treatment, including medication, psychotherapy or both, works. (Their average self-rated symptom severity dropped from 8.5 before treatment to 3.6 within six to 12 months after starting treatment, using a severity scale of one to 10, with 10 being the most severe.)

Yet people are finding that staying with treatment is hard work. While they seem to understand the value of long-term treatment (in fact, most respondents believe that adhering to treatment is not difficult) nearly one-third (29 percent) of people on antidepressants report skipping doses during the week and nearly one-fourth (24 percent) have difficulty attending regular psychotherapy sessions. However, physicians and psychiatrists surveyed believe adherence is much lower than people in treatment profess. Almost 40 percent of doctors believe those they treat have difficulty staying with their medication regimens (a number consistent with most studies), and half (52 percent) say those they treat have difficulty staying with their psychotherapy regimens.

The survey suggests many reasons why some people don’t stick with treatment. In addition to struggling with the nature and demands of the depression symptoms, they may find the requirements of long-term vigilance overwhelming. A majority of doctors (70 percent) say those they treat for depression symptoms might find adherence easier if they could take medication less often. But medication is not the only issue. Though people with depression symptoms believe diet and exercise to be beneficial to long-term wellness, they nevertheless report not adhering with these regimens either.

“The survey clearly shows that the fewer episodes of depression people reported, the more likely they were to have stayed with treatment, whatever that treatment may be,” said Faenza. “Facing up to this illness and taking personal responsibility for its treatment are vital. Yet some may not acknowledge and seek treatment for depression because of negative public attitudes and misperceptions.”

In fact, even as people with depression symptoms struggle with the illness itself, they also seem to be searching to determine their best course of treatment, how long they should stay in treatment, what they might expect from treatment and whether they will ultimately recover. As a result, more people are employing a combination of techniques to get and stay well.

Perceptions Diverge

Public perceptions about depression symptoms often diverge significantly from the perceptions of people in treatment and may discourage them from seeking effective therapeutic approaches. For example, the survey results showed that the general public ranks regular exercise, a healthy diet and psychotherapy higher than medication for effectiveness in warding off future episodes of depression symptoms. In contrast, doctors and people in long-term treatment rate staying on medication as the most effective way to prevent a relapse, even as they seek the right mix of psychotherapy and lifestyle choices.

Perceptions also diverge when it comes to understanding what treatment can deliver. Thirty-five percent of the general public believe that a person can be cured completely of depression symptoms, a belief held by only 12 percent of people in long-term treatment for the illness. It is likely that many in this group are struggling to achieve realistic expectations for treatment because the majority of subjects in the survey sample are in long-term treatment for multiple episodes of depression symptoms.

About half of those who experience depression symptoms will never have another episode; half will. The findings suggest that people treated for clinical depression symptoms understand the frequently episodic nature of this common illness. More than three-quarters (76 percent) believe that they will need some type of treatment for the rest of their lives, and most understand that their treatment will control, but not necessarily cure, their depression symptoms.

However, even as more people come to terms with the long-term demands of depression symptoms, too many still find it difficult to make a treatment plan work for them. “The upshot is that people living with depression conduct highly individualized searches for the right mix of therapiesmedical, psychological or lifestyle. The last thing they need is for stigma or public misperceptions to diminish their efforts,” said Faenza.

Learn how the FDA approved therapy can change your life at http://www.VagusNerveStimulation.com

The therapy completely changed my life.

Charles Donovan was a patient in the FDA investigational trial of vagus nerve stimulation as a treatment for chronic or recurrent treatment-resistant depression. He was implanted with the vagus nerve stimulator in April of 2001. He chronicles his journey from the grips of depression thanks to vagus nerve stimulation therapy in his book:

Out of the Black Hole: The Patient’s Guide to Vagus Nerve Stimulation and Depression

The book is availalable on Amazon.com, Barnes & Noble.com, 1-888-VAGUS-88 and on his web site, http://www.OutoftheBlackHole.com

Having depression can be quite… well… depressing. Pardon the lack of an appropriate expression, but the main thing is that we all know that depression can be pretty devastating. It is a hindrance to our social advancement as well as to our personal happiness.

There are some cases that people find a relief for depression by eating food or diet supplements that boost up the level of tryptophan. Tryptophan is a kind of amino acid that is responsible in producing serotonin.

There is also a study that proves that carbohydrates is an anti depression supplements. It lessens the premenstrual syndrome for about three hours.

Simply by eating a high density of carbohydrates can diminished the effect of depression in the body. Carbohydrates repair the imbalance in the ration of the specific fatty acid. Imbalances of fatty acids can affect the risk of depression.

There is also a study that shows an association between moderate consumption of caffeine drinks which lower the symptoms of depression; any excess can heighten the risk. Proper diet also helps to lower the tendency of committing suicide, in which depression is one of the primary causes. In this study, the doctors have formulated that by drinking coffee or tea, you can reduce the effect of depression.

There are also certain habits that contain harmful substances that may trigger the symptoms of depression, like drinking alcoholic beverages, too much cigarette smoking, and drug overdose.

Vitamins and other food nutrients such as Vitamin B, Iodine, Vitamin C, Calcium, and Amino complex have been associated with some protection against depression.

Niacin is also a very important in the production of tryptophan that helps promotes Vitamin B3 and it has been found out that it regulates blood flow in order to avoid mental depression.

Vitamin B12 and calcium ingredients may help in depression that take place during the monthly menstrual period. In the year 2001, there was a study that proves that this vitamin can prevent postpartum depression.

Those kinds of food supplements and vitamins may enhance the effectiveness of SSRI and other antidepressant.

In order to avoid depression you must choose your food wisely and have a proper diet.

Article written by Hector Milla, editor of www.mydepressionsymptoms.com/ , a website about :: physical symptoms of depression :: , plus you may learn about Eliminate Stress and Anxiety at www.mydepressionsymptoms.com/eliminate-stress-anxiety/ , You are allowed to publish this article in your website or ezine keeping a live link.

Within the next few weeks, the FDA is expected to issue its final approval of a medical breakthrough treatment for chronic or treatment-resistant depression. This new therapy will be presented at the American Psychiatric Association’s Annual Meeting in Atlanta from May 21st-May 25th. The Annual Meeting is the largest gathering of psychiatrists in the world. Over 25,000 psychiatrists are expected to attend this important medical meeting.

After an eight-year investigation of vagus nerve stimulation and depression, the FDA has deemed the therapy approvable with its final and binding approval decision expected within the next two weeks. Upon final approval, patients will be able to get a prescription( from their psychiatrist) for vagus nerve stimulation, also called VNS Therapy. Vagus nerve stimulation has been FDA approved for epilepsy patients since 1997. Over 30,000 epilespy patients have safely been implanted with the stimulator. The vagus nerve nerve is a direct pathway to the hippocampus and hypothalmus in the brain.

The 60-90 minute out-patient procedure is performed by a neurosurgeon or an otolaryngologist( Ear, nose and throat). A small pacemaker-like stimulator is imlanted in the patient’s upper left chest, just below the left arm pit. A lead wire from the stimulator is tunneled underneath the skin and coiled around the left vagus nerve in the patient’s neck. The two- inch incision is made at the lowest fold of the neck and the surgeon’s knife never goes above the lowest part of the neck.

The procedure is unrelated to brain surgery or electro-convulsive therapy. In the FDA investigational studies, it was proven that stimulation to the left vagus nerve favorably modulates those areas of the brain responsible for mood and depression. There are no pain fibers in the vagus nerve, so most patients do not feel any discomfort or sensation when the device is activated.

When approved, vagus nerve stimulation will be the first FDA approved long-term therapy for patients who have not had an adequate response to traditional antidepressants.

Learn more how this therapy can bring genuine happiness and joy to your life at www.vagusnervestimulator.com There is a free newsletter to keep you up-to-date on the latest developments. Also available on the site is the book Out of the Black Hole: The Patient’s Guide to Vagus Nerve Stimulation and Depression. Do yourself a favor and become fully educated about this remarkable device. It could change your life.

Charles Donovan was a patient in the FDA investigational trial of vagus nerve stimulation as a treatment for chronic or recurrent treatment-resistant depression. He was implanted with the vagus nerve stimulator in April of 2001. He chronicles his journey from the grips of depression thanks to vagus nerve stimulation therapy in his book:

Out of the Black Hole: The Patient’s Guide to Vagus Nerve Stimulation and Depression

The book will be exhibited at the American Psychiatric Association’s Annual Meeting, May 21st-May 26th in Atlanta, GA. This is the largest gathering of psychiatrists in the world( 25,000 attendees).

He is the founder of the http://www.VagusNerveStimulator.com Web Site.