Depression Series: Why Don’t I Respond to Medications?


by Erin James

Flaxseed, called linseed in some countries, is a good source of dietary fiber, omega-3 fatty acids, and lignans. Flax Seed Oil contains omega-6 and omega-9 essential fatty acids, B vitamins, potassium, lecithin, magnesium, fiber, protein, and zinc.

The first time you see flax seeds you were probably, like “ok, they look like sesame seeds, who are you trying to fool?” They may look like sesame seeds, but boy do they pack in a lot of nutrition.

One way to influence brain health through diet is to consume the right fats and oils. Lignans and other flax seed components may also have antioxidant properties, which means they may reduce the activity of cell-damaging free radicals.

Depression Series: Why Don’t I Respond to Medications?

Maria has been feeling depressed for at least two and a half years. About three years ago, her husband of 20 years left her for another woman. Devastated, she became despondent and tearful almost daily.

Eventually, her depression got worse associated with inability to function. Her appetite, energy, concentration, and sleep became impaired. She also felt hopeless and suicidal. Her psychiatrist put her on a starting dose of antidepressant. She responded initially but after a few days, she felt just like before taking the medication.

For the past two years, Maria has tried four types of antidepressants. She has taken the usual adult doses of these drugs. Although she somewhat improves, she has virtually remained the same — depressed and disabled. Maria seems to be taking the medications regularly. But why is she not responding to her antidepressants?

Maria is just one of the many depressed individuals who don’t feel “normal” despite treatment. Depression is a treatable disease but how come some people don’t do well on medications?

There are many reasons why depressed patients like Maria don’t improve on antidepressants.

First, is the diagnosis correct?

Depression can be caused by many clinical entities. Sometimes, knowing the right diagnosis is a challenge. Medical disorders, medications such as beta-blockers and benzodiazepines (e.g. clonazepam), and various psychiatric disorders can cause depression and they all require different treatment. If your doctor fails to identify and treat the true cause of your depression, you will remain depressed despite the use of antidepressant.

Second, are there co-morbid disorders?

One of the EFAs in flaxseed oil--alpha-linolenic acid--is known as an omega-3 fatty acid.

Flax Hull Lignans are very beneficial for many health conditions. Studies have shown that SDG or lignan (secoisolariciresinol diglycoside, but for simplicity this substance will be referred to as lignans) You might be surprised, but flax seeds can also help with your acne problems. The presence of fatty acids in the seeds helps to control the production of androgens, which causes acne.

Diets high in lignans can lead to a lower chance of getting colon, prostate, and breast cancer. Flax is 100 times richer in lignan than most whole grains. The effects of flaxseed on blood glucose levels are not clear, although hyperglycemic effects have been reported in one case series. However, this should not deter you from getting healthier with flax seed oil!

Depression can exist along with other psychiatric disorders such as anxiety disorder, alcohol or drug problems, personality disorder, dementia, and psychosis. Depression will persist if these co-morbid disorders are not treated. For instance, depressive disorder with psychosis cannot be adequately treated just with antidepressant alone. You need an antipsychotic drug added to an antidepressant to treat the illness.

Third, is there an ongoing neurological or medical disorder that precipitates, aggravates, or complicates depression? Hypothyroidism, hyperthyroidism, vitamin B-12 deficiency, pancreatic cancer, brain tumor, Parkinson’s disease, and stroke can all cause depression. If any of these disorders are present, antidepressants are less likely to help. The goal in these situations is to treat the underlying medical condition. A 65 year-old lady came to see me complaining of severe depression. On evaluation, she disclosed that she had been on three types of antidepressants for the past four years with minimal response. I checked her recent laboratory results which showed an abnormal thyroid! No wonder, she was not responding to the medication.

Fourth, are there ongoing psychosocial issues?

Financial problems, family conflict, work-related stress can all precipitate and complicate depression. Despite adequate medication treatment, some individuals will remain depressed especially if such problems are not addressed by the therapist or psychiatrist. Is there any way you can reduce the stressors? Please do so the earliest you can. The treatment of depression is frequently straightforward. Occasionally however, various factors complicate it. For antidepressant to be effective, a psychiatrist should ensure that the diagnosis is correct, that co-morbid psychiatric disorders and medical problems are treated, and that psychosocial issues are adequately addressed.

Maria’s doctor should explore further the real problem and provide the most appropriate intervention. There is nothing as profitable to a drug company as a patient who is forced to take some drug for the rest of his life - heart medications fit in that category.

Avoid or limit these oils. Omega-3, meanwhile, is typically found in flaxseed oil, walnut oil, and fish. However, flax seed oil is the best oil where Omega-3 and Omega-6 are balanced.

Flax seed oil is extracted from the seeds of the flax plant. Flax seed oil and flax seed contain substances that promote good health. Let me first address the issue of fat. Fat seems to receive a lot of reprimand but the fact is we all need fat; fat helps nutrient absorption, nerve transmission, maintaining cell membrane integrity etc. However, when consumed in excess amount, fat contributes to weight gain, heart disease and certain types of cancer.

Flax Seed muffins pregents Cancer? How to do take Flax Seed? Find Flax Seed Recipe today! Omega-3 for health! Omega 3 benefits are wide-ranging and proven by clinical studies. Understanding the best omega 3 sources means you can include more of these healthy foods in your daily meal planning.

About the Author

Why is Flaxseed called the miracle food? Find out at http://www.flaxseedfitness.com

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