How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Steven Olsen Your Own Question

Steven Olsen
Steven Olsen, Therapist
Category: Mental Health
Satisfied Customers: 1764
Experience:  More than twenty years of expertise in counseling, psychological diagnosis and education
Type Your Mental Health Question Here...
Steven Olsen is online now
A new question is answered every 9 seconds

i am in another depression, and does it mean i have a more

Resolved Question:

i am in another depression, and does it mean i have a more specific diagnosis than clinical depression, if i always seem to have a cycle where i am depressed which gets worse then i start self harming and feel suicidal and then eventually i come out of it. but then without fail it happens again with a small gap of no depression? it has been like this for about 10 years! i have also been struggling to eat and have lost 9 kilos in a month and half.

Submitted: 1 year ago.
Category: Mental Health
Expert:  Steven Olsen replied 1 year ago.

It sounds like you have what is called a recurrent type of depression. In a little less than half of the cases of depression the depression cycle repeats. It is usually the result of a person's own biochemistry, and the periods of remission can vary...as little as a few weeks to several months.

 

In women, this form of repeating and cycling depression tends to be more common in the reproductive years and most typically medication monitoring, changing medications every 1.5 to 2 years is a fairly consistent approach. Some studies in the US show that 1000mg of Omega 3 each day, combined with up to 400mg of magnesium glycinate can keep this cycle more stable and less volatile. Ask your doctor. In some cases this has been a very large help as well as the use of folic acid.

 

Talk based support is a good idea, and the format and approach is not as key as the consistency, for with recurrent major depressive disorder the frequent botXXXXX XXXXXne for "cause" seems to be a missing gene for serotonin, and medications tend to stabilize this well...

 

I would encourage you to seek out another medication evaluation as the regime you seem to be taking is not as effective as it should be. But, please take heart. This is a common condition and the treatments are well established. It just seems like you have not has much success with the more routine medications. But know that there are more than ten to fifteen others that can be tried. It is a process yes, but if you continue to have these recurrent episodes it is critical to have the medications altered on a more regular basis. For my clients who did so, they experienced a good outcome. Steven

Customer: replied 1 year ago.

so am i just stuck with this now then? i am not on medication at the moment, the doc wanted me to go on them again, but the last times i have been on meds they havent helped and the side effects have been bad. everytime i have therapy i discuss past problems and stuff, which helps for a bit but some of my depression is linked to my arthritis i keep needing operations and stuff which i find really hard to cope with but i had the depression before the RA so it isnt just that. the last couple of episodes have been worse and the last one ended up with me considering voluntary hospitilisation. i have two degrees in psychology so i am not stupid i know some of the factors associated with depression etc. but what i want to know is do people ever just stop having the cycles once they have had them. its been such a long time and i am so tired of the never ending crap. im kindof assuming from your answer this is not the case, as if your suggesting vitamin and mineral supplements, more psychoactive drugs and an organic chemical cause to the depression then the isnt much hope after all.

Expert:  Steven Olsen replied 1 year ago.

Even with all the science at our disposal the discovery of an antidepressant that works for you will still be trial and error. That is not the best news, but it is the truth. And you are right, the RA chemically complicates the treatment, although it certainly may not be the driving force of the depression as the depression existed before the RA.

 

I do agree with your doctor about the medication as a primary treatment, as all of the best practice research on the treatment of MDD, recurrent type is linked to medications with CBT counseling as its supportive adjunct.That methods is considered the most effective approach.

 

I do not want to discourage you, but I do want to tell the honest truth, even if it is not the ideal thing to hear. Yes, the recurrent type of MDD is tenacious. The odds that the cycle will repeat after the third cycle completes is over 90%. But that does not mean the symptoms cannot be kept in remission with close monitoring and medications...and we do not know each person's reaction biochemically. And many people, for reasons that we do not fully understand, do spontaneously develop a lessening of depressive symptoms as time goes forward.

 

I hear clearly that you are tired and sick of this cycle. But I do know that with the proper regime you can feel better. There is hope here. Steven

Steven Olsen, Therapist
Category: Mental Health
Satisfied Customers: 1764
Experience: More than twenty years of expertise in counseling, psychological diagnosis and education
Steven Olsen and 2 other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education