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If your doctor diagnoses you as having depression, chances are you will get a prescription for antidepressant. But if you are just "down in the dumps," here are ten non-pharmaceutical interventions that can help you make it through the day.

 

With the previously stated precautions in mind, here are ten natural therapies for depression that work more often than not.

St. John's Wort

This herbal antidepressant is as about as effective as prescription antidepressants when taken in the right dosage, which is 900 mg of hypericins per day for most people. St. John's wort is not, unfortunately, totally without side effects.

 

In people who have fair skin, taking this natural antidepressant can enhance the risk of sunburn (especially in people who also take ACE-inhibitors such as lisinopril or ramipril for high blood pressure). Never combine St. John's wort with any kind of prescription medication for depression taken in the previous six weeks, and let your doctor know you have been taking St. John's wort if you seek a prescription medication for depression.

Blue Light or Sunlight Therapy

People who live in Europe, Russia, Canada, the northern half of the United States, or southern Australia, South Africa, or New Zealand are at risk for seasonal affective disorder, appropriately also known as SAD. As days grow shorter in the autumn, the brain breaks down less melatonin, causing daytime fatigue and all-the-time food cravings.

A device known as a light box may help. It has to be used at least 20 minutes and preferably about 2 hours every day, preferably in the morning, before sunrise. Exercise outdoors in bright sunlight may also help. Do not use light therapy at night or when you want to go to sleep.

Talk Therapy

When depression is triggered by life events such as a bereavement, job loss, children leaving home, or divorce, talk therapy is usually very helpful. Interpersonal therapy, a kind of life skills training, is often useful for teens who suffer from mild to moderate depression. Psychodynamic therapy is intended to relieve the pain of depression by boosting the ego and finding justification for renewed self-esteem. Cognitive-behavioral therapy is useful for depressed people of all ages, but there is a high relapse rate after therapy is discontinued.

It also helps just to talk with a friend – but a therapist is more likely to maintain a healthy and healing relationship with you, while teaching you practical coping mechanisms you can use for a long time to come.

Exercise

Simply getting outdoors for a brisk walk, a short run, or a swim can relax you and relieve the symptoms of depression. Competitive sports, however, may aggravate depression by leading to increased stress. Use good judgment in choosing your activity. Exercising outside is particularly good because both nature and sunlight can help to alleviate depression.

Meditation

Many people claim that the discipline of meditation "clears their heads" so that depression is less depressing. If medication itself causes anxiety, however, you may want to try a "mindfulness meditation" especially if you experienced a relapse in your depression after discontinuing your regular meditation sessions.

Yoga

Yoga combines meditation with body postures that strengthen muscles and relieve stress. Various forms of assisted yoga (in which the body is supported by sheets, slings, a partner, or the instructor), if available, are especially useful.

Massage Therapy

Therapeutic massage relieves anxiety, which gives the brain an opportunity to "recharge" its neurotransmitters and rebalance itself so that depression is diminished. 

Balneotherapy

Taking a warm bath followed by a cold shower sometimes "shocks" the brain into better function. Mineral water baths, usually taken warm to hot, have a similar function. Balneotherapy is especially useful for people who have depression concurrent with fibromyalgia and for people who suffer depression with regular marijuana use.

Transcranial Magnetic Stimulation

In this technique, a headband concealing a pulsating magnet bombards the brain with magnetic energy to reduce depression. In some cases, relief is almost immediate, but it is important to know that a headband containing a static (non-pulsating) magnet will not have any effect.

Playing the Didgeridoo

This Australian aboriginal instrument requires a constant flow of air to sustain its sound. Playing the didgeridoo sometimes helps people overcome sleep apnea and sleep more soundly through the night, reducing fatigue, anxiety, and depression.

With the exception of St. John's wort, all of these natural treatments for depression can be used with or without prescription medication. Try them, but do not deprive yourself of a doctor's care and other medications that may help you feel even better even faster.

  • Eisendrath S, Chartier M, McLane M. Adapting Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression: A Clinical Case Study. Cogn Behav Pract. 2011 Aug.18(3):362-370
  • Riley D. Hatha yoga and the treatment of illness. Altern Ther Health Med. 2004.10(2):20–21
  • Photo courtesy of ebb on Flickr: www.flickr.com/photos/ebb9/47962924
  • Photo courtesy of spookman01 on Flickr: www.flickr.com/photos/spookman01/7416331716

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