Treating Depression And Fatigue
Taking antidepressants can sometimes make symptoms of chronic fatigue syndrome worse. Thats why your doctor should screen you for depression and chronic fatigue syndrome before prescribing any medication.
Several treatments can help people with chronic fatigue syndrome, depression, or both. These include:
People with depression and chronic fatigue syndrome should also try to develop good sleeping habits. Taking the following steps can help you sleep longer and more deeply:
- go to bed at the same time every night
- create an environment that promotes sleep
- avoid taking long naps
- avoid foods and drinks that can prevent you from sleeping well
- avoid exercising at least 4 hours before bedtime
Why Depression Makes You So Damn Tired All The Time
Fatigue, like stress and busyness, has become a default state for many people. The feeling, characterized by extreme tiredness and low energy, usually occurs after an especially mentally, emotionally or physically draining experience.
But its not always temporary or circumstantial. Fatigue can also be a symptom of a bigger issue, like depression. In fact, fatigue occurs in over 90 percent of people living with the mental health condition, according to 2018 data.
For someone to have depression, not just general fatigue, several of these symptoms need to be present most days, for most of the day, for at least two weeks, said Don Mordecai, a psychiatrist and the national leader for mental health and wellness at Kaiser Permanente.
Part of the reason depression and debilitating fatigue go hand in hand is because depression affects neurotransmitters associated with alertness and the reward system, Mordecai said. That means the illness physiologically has an impact on your energy levels.
Another reason is that depression negatively affects sleep, whether its difficulty falling asleep, trouble staying asleep, waking up too early or just not sleeping as deeply, said Sari Chait, a clinical psychologist based in Massachusetts.
People with depression who push themselves to get through their day can, in turn, experience more fatigue, which can then make them feel even more depressed, and the cycle keeps going.
– Sari Chait, clinical psychologist
How Are Cfs And Depression Different
CFS symptoms like severe fatigue often start or get worse after physical activity, so it could help to cut back on exercise. Depression symptoms sometimes improve after physical activity, so more exercise might make you feel better.
People with CFS often view it as a physical illness. People with depression usually think of their illness as psychological.
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Depression And Chronic Fatigue Syndrome: How Are They Linked
Written byMohan GarikiparithiPublished onDecember 22, 2016
Depression and chronic fatigue syndrome, although different, may actually be linked. In both conditions, the patient will feel extremely fatigued, regardless of the sleep quality the night before. It is possible that a patient may have depression and chronic fatigue syndrome simultaneously, or mistake one condition for the other. Its important to recognize the key difference between depression and CFS in order to receive a proper diagnosis.
Depression is the feelings of sadness, anxiety, or hopelessness experienced for extended periods of time. Depressed individuals often have difficulty sleeping or may not sleep at all.
In CFS, the patient feels extremely fatigued even when well rested, and there is no explainable cause of this fatigue. CFS is often misdiagnosed and taken for depression, according to research findings.
Differences Between Depression And Chronic Fatigue Syndrome
Although depression and chronic fatigue syndrome are often mistaken for each other, there are distinct differences that set each one apart. Symptoms of depression include experiencing continuous feelings of sadness, anxiety, or emptiness, feeling hopeless, helpless, or worthless, losing interest in once loved hobbies, eating too much or too little, having difficulty concentrating or making decisions, having headaches, cramps, stomach pains, and other types of pain.
Symptoms of CFS include headaches, joint pain, tender lymph nodes, muscle pain, and sore throat.
Depression and CFS can affect patients differently, depending on their daily activities. Depressed patients will feel tired and indifferent to activates. CFS patients want to engage in activities, but are too tired to carry them through.
In order to properly diagnose CFS, its important that your doctor rules out other conditions that have similar symptoms.
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Major Depression In Teens
Nonetheless, these mood changes commonly last hrs instead of days. Also, these adjustments are not generally come with by the extreme degree of behavior change or trouble with everyday routines and social interactions that individuals with bipolar disorder show during state of mind episodes. Bipolar disorder what medical conditions can cause anxiety and depression can interfere with an individuals relationships with liked ones and trigger difficulty in functioning or mosting likely to institution. Your medical professional will certainly ask concerns concerning your individual and household history of mental disease. You might also be asked to finish a mood disorders or depression-screening survey.
What Are The Signs Of Depression
While most of us think of the emotional funk associated with depression, it is often the physical symptoms that first alert us something is wrong, one of those being deep fatigue. When the symptoms persist most of the time for at least two weeks there is a good chance that it is a depressive disorder at the root of the symptoms.
According to the diagnostic criteria stated in the DSM-5, symptoms of depression include:
- Low mood, sadness, feelings of hopelessness or despair
- Slowed motor movements and cognitive functioning
- Changes in appetite, leading to sudden weight gain or loss
- Changes in sleep patterns, insomnia or hypersomnia
- Feelings of shame, worthlessness, or guilt
- Difficulty concentrating or making decisions
- Loss of interest in activities once enjoyed
- Recurrent thoughts of death or suicide
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If You Suffer From Fatigue Anxiety Depression Or A Combination Of The Three Youve Probably Been Told By Your Doctor That Its Due To A Chemical Imbalance In Your Brain
Many doctors jump to prescribe antidepressants, with 13 percent of Americans over the age of 12 reporting they took an antidepressant in the last month, according to the latest report from the National Center for Health Statistics. In some cases, antidepressants might be beneficial, but in other cases they may be masking the underlying cause of your symptoms.
Unfortunately, most doctors dont dig deep enough to find out what may be the real cause. At Parsley Health, we use advanced testing to look at several variables that have been associated with anxiety, depression, and fatigue. Once we determine the root cause and develop a personalized treatment plan, were often able to reduce or eliminate the need for medications that treat these conditions.
You’re Crying All The Time
It’s normal to feel a bit weepy when you’re overly tired. But if your fatigue is due to anxiety, it could reveal itself as an outpouring of emotion that doesn’t go away, even if you’ve had a good night’s sleep. It’s normal to be overly-emotional when you’re anxious, Zodkoy says, as well as a bit depressed.
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What Antidepressant Medications Are Most Likely To Cause Fatigue In Depression
Dr. Fava: Although fatigue is viewed as a common side effect of the more sedating antidepressants, such as the tricyclic antidepressants, substantial rates of treatment-emergent fatigue have been reported with SSRIs and SNRIs. A pooled analysis by our group has shown that bupropion’s use is associated with significantly lower levels of residual fatigue compared to the SSRIs.
You Have A Hard Time Getting To Sleep
When you’re tired, often all it takes to feel better is the simple act of climbing into bed, and sleeping soundly ’til morning. But this can feel impossible for people with anxiety. Anxious people often have a difficult time falling asleep, Zodkoy says, as a result of all those circling thoughts and worries.
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Meaning Of Manic Depression
Other signs and symptoms include weight gain, raised cravings, sleeping exceedingly, a hefty feeling in the limbs, and also sensitivity to being rejected. If you have actually ever undergone phases where you experienced extreme can depression cause chronic fatigue feelings of bliss, a decreased demand for rest, competing ideas, and impulsive actions, consider getting evaluated for bipolar affective disorder.
Know why a new medicine or treatment is suggested and also how it will certainly assist you. These symptoms would be a visible adjustment from whats normal for you. So no person merely acquires depression from their mommy can depression cause chronic fatigue or daddy. Everyone acquires a distinct combination of genetics from their mommy as well as dad, as well as certain combinations can predispose to a specific ailment.
What Is The Treatment Plan Treat A Disease Not A Symptom
Number four rule taught in medical school is to treat a disease, not a symptom. Doctors commonly chase symptoms, just like they chase lab values, and this is wrong. The most common mistake we see for hyperparathyroidism is that the doctor treats the low vitamin D level instead of figuring out why the vitamin D is low . There are times when treatment might begin before a solid diagnosis can be decided upon however, a treatment goal should be established and at some point a diagnosis must be given . This means you and your doctor should know what being well will look like before you start treatment all physicians should be practicing with an aim for remission. This also gives metrics for tracking your progress. I use different tools to do this, sometimes I use self-report scales, sometimes I use other methods, but the most reliable and accurate method is asking the patient. I often say this phrase: On a scale of 0-100, when you were at your worst, what number was it, and where are we now? Most patients can tell if they are 25% better, 60% better, etc., and sometimes Im surprised by their answer!
Dr Sarah Keiser can be found online at the Riverview Family Psychiatry Clinic where she practices in Wisconsin Rapids, Wisconsin.
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What Is On The Horizon For The Treatment Of Residual Fatigue
Dr. Fava: Ongoing studies are currently evaluating some antidepressant medications that, in theory, may be much less likely to cause fatigue as a side effect, such as the triple uptake inhibitors and SNRIs with more prominent noradrenergic effects, as well as adjunctive treatments to minimize residual fatigue, such as norepinephrine reuptake inhibitors .
It is important to note that residual fatigue is not limited to patients with depression and that many drugs we use to treat other mental and medical conditions can induce fatigue well. For instance, we often see fatigue affect patients with schizophrenia that further compounds the apathy and negative symptoms that are core to that illness. Many of the medications we use for neurological conditions can cause symptoms of fatigue as well and that also exacerbates the existing condition for these patients. So, I would say that the topic of fatigue extends beyond depression and will become an important focus of assessment, treatment, and drug development in the next few years.
Back Pain Or Aching Muscles All Over
You might feel okay in the morning, but once youre at work or sitting at a school desk, your back starts to hurt. It could be stress, or it could be depression. Although theyre often associated with bad posture or injuries, backaches can also be a symptom of psychological distress.
A 2017 research study of 1,013 Canadian university students found a direct association between depression and backaches.
Psychologists and psychiatrists have long believed emotional issues can cause chronic aches and pains, but the specifics are still being researched, such as the connection between depression and the bodys inflammatory response.
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How Are Cfs And Depression Diagnosed
Your doctor can diagnose either condition. Theyâll start with a complete physical exam and medical history. Theyâll ask you about your symptoms, when they started, when they happen, and what seems to make them worse or better.
Youâll get a diagnosis of CFS if you have sleep problems and at least 6 months of extreme fatigue that doesnât get better with bed rest and worsens after any physical or mental activity. Youâll also have one of the following symptoms: memory or concentration problems, or dizziness or faintness when you stand up.
Youâll get a diagnosis of depression if you have had symptoms for at least 2 weeks. If youâve had symptoms for 2 years or more, youâll get a diagnosis of persistent depression.
Lab tests.Blood or urine tests help rule out other illnesses that cause fatigue, like anemia, diabetes, or thyroid disease. People with CFS may have high levels of certain hormones that could show up on a blood test. A blood test can check for levels of certain inflammatory cells. CFS is associated with higher levels of T cells and lower levels of B cells, while depression is associated with fewer T cells, but more B cells.
Sleep study. You can be tested to see when your sleep is disturbed. CFS causes more problems during non-REM sleep, or periods of lighter sleep. Depression causes more problems during phases of deep, or REM, sleep.
Fatigue And Depression: When Is Tiredness A Warning Sign
1 Minute Read
Sleep is an important part of overall health, but for many, it does not come easily. Millions of Americans report feeling fatigue a feeling of tiredness or exhaustion.
Many different factors, ranging from poor sleep to health conditions, can cause fatigue. Its also a common symptom of mental health conditions, such as depression.
Being fatigued doesnt mean youre depressed, but fatigue can be a warning sign. Learn more about the link between the conditions.
What Happens In The Brain During Depression
Depression causes the hippocampus to raise its cortisol levels, impeding the development of neurons in your brain. The shrinkage of brain circuits is closely connected to the reduction of the affected parts function. While other cerebral areas shrink due to high levels of cortisol, the amygdala enlarges.
In 2019, 24.7% of grownups with a mental disorder report an unmet requirement for treatment. Over 2.5 million young people in the U.S. can depression cause chronic fatigue have severe depression, and also multiracial young people go to biggest risk.
Approaches To Learn Anxiety Depression Stress Or Fatigue Can Be A Cause Of
Hitting the hay at the exact same time each night is necessary also if you feel immune to it. The pathophysiology that links both most likely entails a disorder in the hormone cascade between the brain as well as thyroid gland likewise called the hypothalamic-pituitary-thyroid axis, Dr. Zager states. This axis becomes anxiety depression stress or fatigue can be a cause of part of our neuroendocrine systems, which look after everything from metabolism, to the policy of thyroid hormones, to just how you handle stress. Go outside. Leave your residence or home and also choose a walk, he stated.
Strength A., Baldessarini R. J., Tondo L., Vazquez G. H., Pompili M., Girardi P. Long-lasting morbidity in bipolar-I, bipolar-II, and unipolar major depressive conditions. While hypomania is the initial stage of mania, it is likewise a category anxiety depression stress or fatigue can be a cause of of mania. Those experiencing hypomania undertake substantial changes in state of mind and also may have disruptions in rest, task as well as impulsivity.
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Alternative Treatment Options For Depression
Traditional treatment methods dont work for everyone. Because depression is a complex and not well understood mental health disorder, there is still not a consensus on the exact cause of it. That is what explains the variance of response levels patients have to antidepressants. In a large number of depression patients, even after trialing several different drugs, antidepressants are ineffective.
These treatment-resistant patients still have some alternative treatments to consider. Patients that were not responsive to conventional treatments have increasingly sought brain stimulation therapies out. Transcranial magenetic stimulation is one such therapy that has been clinically proven to help about 60% of treatment-resistant patients experience symptom relief. TMS therapy is the only brain stimulation technique that does not require sedation or surgery, and is well tolerated with few reported adverse effects.
Other alternative treatments might include hypnotherapy, electroconvulsive therapy , and vagus nerve stimulation.
Where To Get Help
- Your doctor
- Wilson J, Morgan S, Magin P, et al. 2014, Fatigue a rational approach to investigation, Australian Family Physician, vol. 43, no. 7, pp. 457-461, The Royal Australian College of General Practitioners. More information here.
- Fatigue, 2013, MedlinePlus, US National Library of Medicine. More information here.
- Fatigue, Mayo Clinic, USA. More information here.
- Fatigue in the workplace, WorkSafe Victoria. More information here.
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Missed Milestones To Faded Friendships: The Unacknowledged Grief Of 2020
However, the trauma is much bigger for individuals directly affected by the pandemic, says Galea. That includes those who’ve lost loved ones, lost a job or housing, struggled with child care, or have had COVID-19 themselves some of whom report continuing to experience exhaustion that’s thought to be associated with the viral infection.