Have Mental Health Questions? Ask a Psychiatrist Online
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It is very common for someone that is dealing with a major illness to also have depression. And the added stress of caring for an ailing mother could be a cause of depression, even in someone that is generally healthy.
There are online sites that offer varying amounts of therapy. Examples of such sites include talkspace,com, betterhelp.com, and breakthrough.com.
There is no objective rating or review system to say which site is better. There is no single best way to get a reluctant person to seek care for a mental health problem. You can only encourage him to seek help, but the nature of the encouragement would need to adjust for the individual personality. It may help to get a greater number of family members and friends to encourage seeking such assistance, but that would also depend upon the social situation. An antidepressant would be a reasonable consideration, but it would typically only be started after a diagnosis of depression, so would require a doctor visit for the problem. The most commonly used class of antidepressants would be the SSRIs, such as sertraline or citalopram.
Yes, but it is more complex. The fatigue or lethargy may be a primary symptom of the depression, but it also may be a reflection of inadequate sleep, and the choice of antidepressant would vary according to the situation.
In studies that look at overall effectiveness and incidence of side effects, the SSRIs are usually rated as the first choice of antidepressant. Wellbutrin is usually considered as a second line antidepressant, particularly if side effects occur to an SSRI to which the Wellbutrin is better tolerated, such as sexual side effects or weight gain. However, in someone that has never been on an antidepressant but concerned about these side effects, the Wellbutrin may be considered as a first-line agent.
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