Treatment, diagnosis, and prescriptions for depression.

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Can I consult with a doctor on Laso MD about depression?

Certainly! A healthcare professional at Laso MD is interested in learning about any current symptoms or signs of depression you may be experiencing. They will delve into your personal and family medical histories, as well as any history of mental illnesses within your family.

Additional lab testing, including blood work, may be suggested, and in some cases, a referral to a psychotherapist for a psychological evaluation might be recommended.

Once a clear diagnosis of your depression is reached, the healthcare professional can propose suitable depression treatments.

 

Can I receive a prescription on Laso MD?

Absolutely! Our physicians are authorized to prescribe depression medications online during your consultation. Upon accepting a prescription for depression, you can choose to pick it up from any pharmacy or opt for convenient delivery to your door at no extra cost.

 

What is depression?

Depression, also referred to as major depressive disorder, is a mood disorder characterized by feelings of sadness, lethargy, and a sense of loss.

This condition is widespread, impacting as many as one-sixth of individuals at some point in their lives. While it can occur at any stage, it is most commonly experienced between the late teens and mid-20s.

Depression symptoms can influence your thoughts, emotions, and behaviors, potentially leading to various physical or emotional challenges. This may manifest as disruptions in your work, withdrawal from close relationships, or even thoughts of self-harm.

Various types of depression exist, each with distinct features. Healthcare providers may use these distinctions to pinpoint the specific type of depression and associated symptoms. Some examples of depression types include:

  • Peripartum onset (occurring during pregnancy)
  • Catatonia (severely affecting motor activity)
  • Atypical features (accompanied by delusions or hallucinations)
  • Anxious distress
  • Melancholic features
  • Psychotic features
  • Seasonal pattern
  • Mixed features

Moreover, several underlying conditions can contribute to depression as a symptom. Some of these include:

  • Persistent depressive disorder
  • Disruptive mood dysregulation disorder
  • Bipolar disorders (both I and II)
  • Cyclothymic disorder
  • Premenstrual dysphoric disorder
  • Chronic diseases (e.g., obesity, addiction, etc.)
  • Trauma
  • Abuse

What are the signs of depression?

Depression symptoms can manifest differently based on age and gender, significantly impacting daily life. Addressing depression can be challenging, especially for those experiencing it, making it essential to recognize these signs and guide individuals toward the necessary medical assistance.

If a loved one exhibits signs of depression, helping them seek medical support is crucial. Identifying depression symptoms is a key step in facilitating the help they may require.

Common signs of depression include:

  • Anxiety
  • Restlessness
  • Feelings of sadness, emptiness, or hopelessness
  • Loss of interest in previously enjoyable activities
  • Changes in appetite and weight
  • Altered sleep patterns (insomnia or oversleeping)
  • Irritability, anger, or frustration over trivial matters
  • Decreased or increased sex drive
  • Feelings of guilt or worthlessness
  • Dwelling on past failures
  • Self-blame
  • Difficulty concentrating or making decisions
  • Thoughts of death or suicide
  • Unexplained physical issues (headache, aches, pains, etc.)
  • Fatigue or lack of energy
  • Extended absence from work or school
  • Feeling misunderstood by peers
  • Self-harm
  • Avoidance of social interaction
  • Withdrawal from loved ones
  • Unwillingness to leave the house
  • Cancelling plans that once brought joy

 

What causes depression?

While the exact causes of depression remain unclear, several factors are believed to contribute. These include hormonal imbalances, brain chemistry, a family history of depression, biological differences, medical conditions, chronic pain, drug use, trauma, abuse, personal history of mental illness, low self-esteem, prolonged or severe stress, chronic or severe illness, belonging to a social minority (LGBTQ, disability, racial minorities, etc.), and environmental factors like continual exposure to poverty, neglect, abuse, and violence.

 

Are there different levels of depression?

Yes, depression can vary in severity, ranging from mild to moderate to severe.

  • Mild Depression (High-Functioning Depression): Symptoms occur a few days a week, intermittently over several years, and do not significantly disrupt daily life.
  • Moderate Depression: Symptoms start to interfere with responsibilities at home, work, or in social life.
  • Severe or Major Depression: Symptoms significantly impact all aspects of life, potentially leading to thoughts of self-harm or suicide.

 

How is depression diagnosed?

To diagnose depression, a healthcare provider may conduct a physical exam, including a complete blood count to assess thyroid function, vitamin levels, and hormones. Psychotherapists may perform a psychological evaluation, considering criteria from the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) if necessary. Once a clear diagnosis is reached, tailored depression treatments, including potential prescription medications, can be suggested.

 

How is depression treated?

Depression treatments may include psychotherapy, psychoeducation, and prescription medications, either individually or in combination. Severe cases may require hospitalization or participation in an outpatient treatment program.

 

What are some of the most commonly prescribed medications for depression in Canada?

The frequently recommended prescription medications for depression include:

  • Tricyclic antidepressants, e.g., Elavil
  • Atypical antidepressants, e.g., bupropion (Wellbutrin)
  • Selective serotonin reuptake inhibitors (SSRIs), e.g., escitalopram (Lexapro), citalopram (Celexa), paroxetine (Paxil), sertraline (Zoloft), fluoxetine (Prozac)
  • Serotonin-norepinephrine reuptake inhibitors (SNRIs), e.g., duloxetine (Cymbalta), venlafaxine (Effexor)
  • Monoamine oxidase inhibitors (MAOIs), e.g., phenelzine (Nardil)
  • Other medications like trazodone (Trazorel), a serotonin modulator enhancing antidepressant effects

For individuals in Canada, these antidepressants are accessible through our online doctors. Finding the most effective combination and dosage of depression medications may take time and occasionally involve switching antidepressants. Your doctor will assist in monitoring for signs that the antidepressants are appropriately calibrated.

It’s crucial to adhere strictly to your doctor’s instructions and never discontinue antidepressant use without consulting your healthcare provider first. Abruptly stopping certain antidepressant prescriptions without gradually reducing the dosage can lead to adverse withdrawal symptoms.

 

When to seek medical help for depression?

If you are displaying signs of depression, it’s essential to consult your healthcare provider. They can conduct an assessment to determine if an underlying physical condition may be contributing to your depression. Additionally, they can refer you to a psychotherapist who can assist in addressing the emotional challenges associated with depression.

Your healthcare provider can also recommend prescription depression medications, such as antidepressants, to help manage your symptoms.

For those who suspect a loved one may be experiencing signs of depression but are unsure about the next steps, consulting with a healthcare provider is advisable. They can provide guidance on how to support your loved one and help them access the necessary assistance.

 

Can chronic stress lead to depression?

Yes, chronic stressful life situations can increase the risk of developing depression, especially if effective coping mechanisms are not in place. Persistent stress may manifest in mood disturbances, decreased productivity, strained relationships, sleep problems, and difficulty maintaining normal daily routines.

 

Is constant fatigue a symptom of depression?

Yes, fatigue or persistent tiredness can be a symptom of depression. However, other factors could also contribute to a lack of energy. In depression, fatigue is often accompanied by anhedonia, a condition characterized by a diminished interest in previously enjoyable activities, low mood, and reduced focus. Consulting with a mental health physician can help identify the underlying cause of fatigue.

 

What is Laso MD?

Laso MD provides a platform for quick access to healthcare providers for discussing depression symptoms and obtaining antidepressants through our online service, if eligible. As a healthcare app, we offer convenient 24/7 access to Canadian doctors and healthcare professionals.

The process is simple – log in, tap a button to request a consultation, and we’ll promptly connect you to a doctor via live chat or video. Visit our How it Works page to learn more about our services.

Our healthcare team can assess symptoms and provide treatment, including necessary prescriptions. Additionally, for residents in select provinces and territories, Laso MD offers access to mental health physicians and psychotherapists.

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