10 Nondrug Remedies for Depression

Lifting depression without an Rx

Depression affects nearly 16 million Americans annually, and a large portion of those people take antidepressant drugs.

While antidepressants have been shown to help those with moderate to severe depression, they are usually less effective for those with mild depression.

If you don’t respond to antidepressants (or even if you do), you may want to explore nondrug remedies to lift your depression.

Exercise
Exercise can relieve depression, possibly by altering the mood-regulating brain chemicals norepinephrine and serotonin.

It may also release the endorphins responsible for the “runner’s high” that some experience.

P. Murali Doraiswamy, MD, professor of psychiatry and behavioral sciences at Duke University School of Medicine, in Durham, N.C., recommends exercising three to five times a week for 20 to 30 minutes. Aerobic exercise, such as brisk walking on a treadmill, is best, but “any degree of exercise is better than none,” he says.

Light therapy
During the short, dark days of winter, some people are prone to a type of depression called seasonal affective disorder.

One way to ease symptoms may be light therapy, in which you sit near a brightly lit box that mimics outdoor light. The therapy generally starts with daily sessions of about 15 minutes and increases to up to two hours daily. The timing depends upon the severity of symptoms and the intensity of the light, which a doctor can determine. Although the therapy doesn’t cure depression, it can ease symptoms, sometimes after only a couple days.

Mood diary
Therapy that teaches people about positive thinking can relieve depression, research suggests.

Dr. Doraiswamy recommends keeping a mood diary. “This is a tool used to train someone to keep track of positive things that are happening in their lives and not let single negative events wear them down,” he says.

A mood diary keeps negative events in perspective and serves as a reminder that good days do happen.

Dr. Doraiswamy recommends not writing in a diary daily if it feels like too much work; once-a-week entries are easier to stick with.

Acupuncture
As with many alternative therapies, there isn’t a heap of data that proves acupuncture relieves depression. But a handful of research suggests it might.

One small University of Arizona study of 33 women with depression found that 64% of participants went into remission after acupuncture, compared to 27% in the no-treatment group.

In a second study in the Journal of Affective Disorders, 70 patients with a major depressive disorder who were already taking an antidepressant seemed to show more improvement if they had acupuncture, compared to those who did not.

Support groups
Support groups used to be standard in psychiatric settings, Dr. Doraiswamy says. But, he adds, they aren’t used as frequently today, although they are an excellent way to help treat mild forms of depression.

These groups provide education on depression, a community of support, and the opportunity to learn from people dealing with similar issues.

As an alternative for those not interested in talking about depression, Dr. Doraiswamy recommends just finding a group that shares your interests, whether it’s a book club or yoga

Cognitive behavioral therapy
Dr. Doraiswamy calls cognitive behavioral therapy (CBT) “sophisticated education” for people with depression.

It is based on the fact that thoughts trigger feelings. Being aware of your thoughts and learning to change destructive patterns could alter the way your brain works and your reaction to situations.

CBT is considered short-term therapy, often lasting for 10 to 20 sessions. It has been shown to be as effective as medication in treating mild to moderate depression.

Fish oil
This supplement contains omega-3 fatty acids, which are found in fish, including salmon, albacore tuna, and herring.

Studies on fish oil are inconclusive, but it is thought that being deficient in this fatty acid at certain times (like during the postpartum period) can cause mood swings and depression.

In areas where consumption of foods with omega-3 is high, people tend to have lower rates of depression.

Meditation
Promising research suggests that meditation may play a role in preventing depression relapse. The research focused on mindfulness-based cognitive therapy, which combines traditional meditation with cognitive behavioral approaches.

In two studies, people were treated with antidepressants until their symptoms subsided. Then one group continued taking the medication while another went on a regimen of meditation therapy.

Relapse rates for people using meditation were the same as those taking antidepressants (about 30%), and lower than those on a placebo (about 70%) in one study.

The second study found that 47% of the meditation group relapsed, compared to 60% of the people on antidepressants alone.

Yoga
Striking a pose may alleviate stress and symptoms of depression. Studies have shown that in both people with emotional distress and major depression, practicing yoga reduces stress, hostility, anxiety, and depression, and improves energy, sleep quality, and well-being.

Although there aren’t too many studies on the topic, yoga may prove to be a simple, low-risk tool for improving depression.

Source: Health

 


Meditation’s Effects Similar to Pills for Anxiety, Depression, and Pain

In a review of randomized clinical trials, Johns Hopkins researchers find that meditation is effective for combatting common mental health woes.

Meditation has been used for centuries, but its benefits have been primarily anecdotal, whether it’s a Tibetan monk blocking out pain to walk across hot coals or a college student meditating to cope with the loss of a loved one.

Now, researchers at Johns Hopkins University have applied scientific analysis to the practice and found that mindfulness meditation programs, which promote heightened awareness, can help with common mental health problems.

The study, published in the journal JAMA Internal Medicine, found measurable evidence of improvement in anxiety, depression, pain, and stress after eight weeks of treatment.

“For example, the effect size for the effect on depression was 0.3, which is what would be expected with the use of an anti-depressant,” the researchers said.

To come to these conclusions, researchers evaluated existing studies on meditation and rated them based on scientific standards of bias risk, precision, directness, and consistency. In the end, they analyzed 47 randomized clinical trials with a total of 3,515 participants.

Dr. Kevin Barrows, director of mindfulness programs at the University of California, San Francisco’s Osher Center for Integrative Medicine, said the study’s findings were “not surprising, but affirming.” He said that meditation often receives unfair criticism because studies on its effectiveness do not always meet the rigorous scientific standard of research.

“This a refutation of that,” Barrows, who was not involved in the JAMA study, told Healthline. “This is a scientifically rigorous study. It does corroborate the efficacy of mindfulness.”

What Is Mindfulness Meditation?
Mindfulness meditation, or vipassana, involves periods of time spent becoming more aware of one’s body and surroundings. It can be as simple as counting your breaths with your eyes closed, but to get the full benefits, it takes practice.

The goal of this kind of meditation is to simply be aware of the full circumstances of being alive.

In the book Mindfulness in Plain English, the Ven. Henepola Gunaratana, a Buddhist monk from Sri Lanka, writes that the goal of meditation is not to change the world around us, but to control our reaction to it.

“Vipassana is a form of mental training that will teach you to experience the world in an entirely new way. You will learn for the first time what is truly happening to you, around you, and within you,” Gunaratana wrote. “It is a process of self-discovery, a participatory investigation in which you observe your own experiences while participating in them, and as they occur.”

Mindfulness meditation has been used as a complimentary therapy for mental problems for generations, but the new empirical evidence may help the practice become more widely accepted in the mainstream health field.

Source: cbs news

 


Anxiety linked to stroke risk

 

Men and women with severe symptoms of anxiety may have a higher risk of stroke than their more relaxed counterparts, a new study suggests.

“The greater your anxiety level, the higher your risks of having a stroke,” study co-author Dr. Maya J. Lambiase, of the University of Pittsburgh School of Medicine, told Reuters Health.

“Assessment and treatment of anxiety has the potential to not only improve overall quality of life, but may also reduce the risk of cardiovascular diseases, such as stroke, later in life,” she said in an email.

Dr. Philip Muskin, a professor of psychiatry at Columbia University Medical Center in New York emphasized that the stroke risk identified in the study among overly anxious individuals was not vastly increased.

“What it’s really saying is, you’re a little more likely to have a stroke,” said Muskin, who was not involved in the study. Still, he added, “I would like to be a little less likely (to have a stroke) in my life.”

Stroke is one of the leading causes of death in the U.S., but few studies have looked at psychosocial factors other than depression or psychological stress or distress, that may contribute to a person’s risk of stroke.

Yet, Lambiase and her colleagues point out, anxiety has been linked to increased cigarette smoking, alcohol abuse and physical inactivity – all of which are known to increase stroke risk.

To investigate the association between anxiety and stroke, the researchers analyzed data from 6,019 men and women who were enrolled in the First National Health and Nutrition Examination Survey in 1971-1975 and followed for about 16 years.

The participants were interviewed at the start of the study to determine the presence and severity of any anxiety symptoms, and stroke events were identified by examining hospital or nursing home discharge reports and death certificates.

A total of 419 strokes occurred throughout the study period, but the risk of stroke was higher among those who reported greater anxiety symptoms, including excessive feelings of worry, stress and nervousness, at the initial interview.

Overall, anxiety was linked to a 14 percent higher risk of stroke relative to participants who were not anxious, Lambiase and her co-authors report in the American Heart Association journal Stroke.

But stroke risk also appeared to rise in line with increasing severity of anxiety symptoms, the results suggest.

The link between anxiety and stroke risk remained even after the researchers took into consideration other factors that may have influenced cardiovascular health, such as alcohol use, physical activity and smoking. After those adjustments, men and women with higher levels of anxiety were 33 percent more likely to experience stroke than those with fewer anxiety symptoms.

Similarly, the link between anxiety symptoms and increased stroke risk remained when the researchers accounted for study participants’ age, gender and symptoms of depression.

The researchers didn’t analyze the reason for the connection between anxiety and stroke, but they speculate multiple factors are likely to be involved. These could include unhealthy coping behaviors people with anxiety indulge in as well as overactivation of the sympathetic nervous system, which controls fight-or-flight responses, such as the release of stress hormones.

“People with high anxiety levels are more likely to smoke and be physically inactive, possibly explaining part of the anxiety-stroke link,” Lambiase said. “Higher stress hormones, blood pressure or sympathetic output may also be factors.”

“However,” she added, “future research is needed to determine the precise mechanisms whereby greater levels of anxiety increase a person’s risk for stroke.”

Dr. Muskin acknowledged that the study findings do point to a greater risk of stroke among overly anxious people, “but there are things you can do about that,” he said.

Noting that “anxiety predicts bad health behaviors,” Dr. Muskin cited the importance of stopping smoking and starting to exercise. He also described the importance of meditation and proper breathing techniques, which he teaches in his private practice with patients.

“Doing nothing leaves you at a higher risk (of stroke),” he said, but breathing exercises have “a psychologically beneficial effect,” with no harm and no addicting qualities, he told Reuters Health.

source: yahoo news


6 tips for eating healthy during Menopause

Menopause is a frightening word for women. This transition is a consequence of biological aging and accompanying signs and effects that can occur during the menopause years can significantly disrupt their daily activities and sense of well-being. The most common symptoms include hot flushes, sweating, insomnia, anxiety, impairment of memory and fatigue. Long term consequences can include a decline in libido, osteoporosis, heart disease, even dementia – all linked to reduced oestrogen levels. During menopause, many women experience increased anxiety and stress. During such time, only good nutrition and effective handling of stress can reduce certain conditions that may develop during and after menopause.

So eat your way to a happier and healthier menopause. Here’s how:

Eat foods that are high in phytoestrogens: During menopause, a woman’s estrogen production considerably decreases, so eating foods that are high in phytoestrogens, like soy products and flaxseeds, can act like estrogen. Drinking soymilk, eating soybeans, tempeh, and roasted soy nuts might help. You can also go for Flaxseeds as they contain lignans, another type of phytoestrogens that may help with hot flashes.

Calcium is a must: According to a report,it is recommended that women over age 50 should consume 1,200 mg of calcium per day. Calcium will increase your bone density and prevent osteoporosis. So include yogurts, cheese, broccoli, salmon in your diet and drink milk regularly.

Include carbohydrates in your diet: Eating carbohydrates can release tryptophan that helps produce serotonin, a neurotransmitter in the brain that calms and relaxes people. Go for turkey, milk, eggs and fish. You can also try out cherries as it has melatonin which gives you a good night’s sleep.

Go for Vitamin-B: B-vitamins are known to stabilize moods, generate calmness and improve metabolism. Whole, unprocessed foods like lean meat and poultry, liver, whole grains and lentils are all rich in B vitamins. Other foods that have vitamin B are spinach, Brussels sprouts, kale, asparagus and beets.

Have legumes, nuts and seeds: The nutrients and the oils in nuts and seeds may help prevent dry skin and normalise hormone levels. Foods such as pumpkin, sunflower, almonds contain these essential nutrients.

Switch to a fibre rich diet: Due to the fluctuating hormones, the digestive system slows down, so bloating becomes a common problem. Foods that can get rid of the bloat are asparagus, celery, watermelon, and berries. A diet that is high in fibre, such as lentils, legumes, fruits and whole cereals, pasta, rice, fresh fruits, and vegetables can improve digestion and decrease bloating.

Source: Zee News