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Question

23 Mar 2003

chronic depression
I am on Cypramil for the last 8 years. I normally drink 1 capsule per day. In winter I get depressed and have to drink 2 capsules per day. After 5 months I normally go back to 1 capsule a day. I tried twice to get off Cypramil totally but have to get back on it after 3 months. Do you think it is wise for me to get off. I am drinking only a half tablet a day for 3 weeks now. I feel quilty and dependant on a tablet. My doctor once said that I suffered from Seasonal Depression. Please give me advice.
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Expert
CyberShrink
cybershrink

01 Jan 0001

Dear Marisa,
Obviously this is something you will want to discuss with your own doctor in far more detail than we have room for here.
Some people's Depressions have a Seasonal rhythm to them ; often getting worse during Winter, and improving with Spring and Summer ; though other patterns are posible. In cases of chronic Depression, where it has been difficult to get full control of the Depression, or where it has recurred so one has sufered several episodes, it is common expert practice to recommend that one stay on antidepressant medication in the long term.
This may have disadvantages, such as cost, but is usually far more comfortable ( and cheaper ! ) than sufering repeated severe attacks of depression, each needing treatment in their own right.
But please do not feel "guilty" for being "dependent" on a tablet. If you had diabetes, you would not, I hope, feel guiltym for being "dependent" on insulin --- it'd perhaps be easier to recognize that this was a natural and reasonable supplement of your own relative chemical lack ( in that case, of insulin ) so as to enable you to remain well and otherwise healthy while continuing to have an enduring underlying disorder. Those of us with chronic arthritis sufer chronic pain, and need to accept a life-long need to take medications to reduce the inflammation and pain, so we can function relatively normally. It's disappointing, perhaps, compared with being able to live free from the impact of any bodily or chemical flaws, but it's an awful lot better than refusing to use medications and suffering those consequences.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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