I find that a lot of you have basically the same kinds of concerns about treatment of depression. Hopefully my answers here will be helpful.

General Principles of Depression Treatment

• Depression is highly individualized. That is, each person tends to develop it, and be affected by it, in different and unique ways. Causes are usually dynamic, the result of many experiences over a long period of time, rather than just one or two simple ones. So, treating it must be dynamic too and tailored to each patient.

• Sometimes you have to try several antidepressant medications before you find one that works. This isn't uncommon, so don't let it bother you too much if you have to keep trying new ones.

• Depression patients need to be absolutely honest with their caregivers. Your doctor or therapist can't help you with things you won't mention or let show. I know it is very hard to be totally open with other people, but I assure you, it's necessary.

• In my humble opinion, depression patients need both antidepressant medication and therapy in order to thrive. Antidepressant medication or therapy might help you out a bit, but don't kid yourself. Take all the help you can get, you deserve it!

• Letting people know you're depressed isn't as bad as you probably think it is. It's true that no one can really understand what you're going through, but it doesn't mean they can't help.

• Only you and your caregivers should determine what depression treatments you get. I am not a professional, so take my advice with a grain of salt. And don't let the people in your life tell you what you should be doing. Your treatment plan is between you and your doctor and your therapist (or whoever might be involved). Primarily, you are in control!--and that's that.

• If you're a depression patient and haven't got a treatment plan, you should! Ask your doctor or therapist about it.

• It is quite possible to get low-cost or free care from local mental health agencies or university hospitals (if one happens to be nearby). Look in the phone book for a "county mental health authority" "county mental health agency" or something like that. Or call a suicide hotline (they are not just there for crises). Explain your financial situation and see what is available to you. It may take some phone calls, a few extra forms, and maybe a little legwork, but I know several people who have been able to get affordable care this way.

next: Taking Antidepressants