Doctors advise patients to verify underlying causes before starting antidepressants

Antidepressant therapy requires a comprehensive medical assessment to identify underlying physical causes before prescribing medication, according to three experts who spoke on Tuesday. Dr. Rhea Rogers, a board-certified physician, stated that the decision to start medication is individualized and should begin with a conversation about symptoms such as loss of sleep, energy, or motivation.

Rogers cautioned that patients should not view these drugs as simple mood elevators. She noted that the medication does not eliminate sadness but assists individuals in processing the factors that led to their low state. She listed chronic stress, thyroid imbalances, and nutritional deficiencies as common underlying conditions that may be mistaken for depression.

Gerontologist Sam Cradduck explained that the primary function of the medication is to correct a chemical imbalance in the brain. However, she emphasized that the pill alone does not change the external circumstances causing the distress. Cradduck advised that patients must be willing to face the issues contributing to their mood, as avoiding them can create a recurring cycle of low spirits.

Aging expert Amy O’Rourke recommended that patients seek a thorough evaluation from a psychiatrist to determine the appropriate drug and dosage. She highlighted the importance of tracking how the medication affects the body after it begins. O’Rourke cited a specific case where a client experienced a racing heartbeat and sweating, which the psychiatrist interpreted as a panic-like reaction. The doctor then switched the client to a different medication.

O’Rourke also stressed the need for patients to understand potential withdrawal symptoms before starting treatment. Rogers agreed, warning that patients cannot stop taking the medication abruptly. She added that genetic variations can influence how a person responds to specific drugs, making genetic testing a valuable investment for those who can afford it.

Katherine Ambrose, an aging well coach, suggested combining medication with talk therapy, journaling, and positive mental habits. She urged patients to consult their doctors to seek answers and recover their well-being. Rogers concluded by reminding patients to check their thyroid, hormones, and nutrient levels, as multiple factors often contribute to a decline in quality of life rather than a single isolated event.