Tag Archives: depression

Depression | Fullerton, CA

Depression is a common illness that can affect anyone, especially during this time of year. About one in twenty Americans (more than 11 million people) suffers from depression every year, and it occurs twice as often in women as in men. Depression is a medical disorder that can be treated.

Depression is a medical disorder, like heart disease and thyroid disease. It is more than feeling sad for a short time or feeling grief after a loss. These feelings are difficult to cope with, but they usually get better with time. Depression disrupts your daily life, and affects your thoughts, feelings, behavior and physical health. It is not a weakness, or a fault and it is not something you can ‘just get over’. Depression has been associated with many causes:

  • Chemical imbalances in the brain
  • Family history of depression
  • Other illnesses
  • Use of drugs or alcohol
  • Extreme stress or grief
  • Depression caused by a specific situation, sometimes triggers true depression

Symptoms of Depression

The period of time when you experience symptoms of depression is called an episode. An episode lasts at least two weeks with several symptoms occurring every day.

  • Lack of interest in things that you normally enjoy
  • Feeling sad, blue, or “down in the dumps”
  • Feeling sluggish or restless, and not able to sleep
  • Feeling worthless or guilty
  • Experience a change in appetite with either weight gain or weight loss
  • Thoughts of death or suicide, or attempt to commit suicide
  • Problems concentrating, thinking, remembering or making decisions
  • Sleeping too much or not able to fall asleep, or stay asleep through the night
  • Lack of energy and feeling tired all of the time

Depression may vary in severity from mild to severe. If you have mild depression, you will only have a few symptoms. It takes an extra effort to do the things you have to do, but you can usually accomplish those tasks. Moderate depression means you have many symptoms, and you may not be able to do things you need to do. If you have severe depression, you have nearly all the symptoms of depression. This type of depression almost always keeps you from performing your daily tasks.

Diagnosing Depression

A doctor diagnoses depression after assessing both your physical and mental condition. In looking for the cause of your depression, the provider will ask questions about other medical problems, use of certain medications, and the use of drugs or alcohol. Blood chemistries, including a thyroid work-up should be current, and if not, will be ordered. If your doctor determines that a medical problem may be causing your depression, treating that problem may correct your depression.

Treatment of Depression

Treatment may include antidepressant medication, psychotherapy or both. Antidepressant medications are helpful and are used to treat mild, moderate and severe depression. Antidepressants relieve symptoms in more than half of the people who take them. They work by changing the balance of chemicals in the brain. Most people who take them start to feel better after a few weeks. There are several types of antidepressant medication. All antidepressant medications can have some side effects. About half the people who take them will experience some side effects early in their treatments, usually within the first 2 weeks. Side effects usually subside after 2 to 4 weeks.

Common Side Effects

Dry mouth

Nausea

Dizziness

Constipation

Skin rash

Feeling sleepy or having trouble sleeping

Gaining or losing weight

Feeling restless

Decreased sex drive (libido)

Serious Side Effects (uncommon):

Trouble urinating

Heart problem

Seizures

Fainting

Finding the Right Antidepressant Medications

When an anti-depressant medication is recommended to relieve the symptoms of depression, your doctor will prescribe one from the following categories:

A. SSRI’s (Selective Serotonin Reuptake Inhibitors)

First introduced in the 1980’s, the overall side effects of SSRI drugs tend to be less severe than the older antidepressants known as tricyclic (TCA) antidepressants and monoamine oxidase inhibitors (MAOI’s). SSRI’s helped restore the brain’s chemical balance by increasing the available supply of the chemical messenger called serotonin (a neurotransmitter). SSRI’s appear to relieve depression by increasing serotonin levels without affecting the other chemicals in the brain and have fewer side effects than those of the MAOI’s and TCA’s. Available SSRI’s include: Celexa, Lexapro, Paxil and Paxil CR, Prozac and Zoloft.

B. SNRI’s (Serotonin-Norepinephrine Reuptake Inhibitors)

Similar to the SSRI class of anti-depressants as discussed above, SNRI’s also blocks the reuptake of another neurotransmitter, norepinephrine, in addition to serotonin.

Available SNRI’s include:

  • Remeron – good choice with weight loss, poor appetite or hypertension
  • Serzone – similar to Remeron; good choice with insomnia or anxiety
  • Effexor & Effexor XR – beneficial in anxiety and panic disorders
  • Pristiq – works within 2 weeks; no weight gain; minimal sexual dysfunction.

C. Other Available Antidepressants

  • Wellbutrin (Buproprion) – Blocks reuptake of dopamine. Cannot mix with alcohol, increases seizures; can cause weight loss.

For more information about depression contact the following organizations:

National Institute of Mental Health

6001 Executive Blvd., Room 8184 MSC 9663

Bethesda, MD 20892-9663

1-800-421-4211

http://www.nimh.nih.gov/publicat/depression.cfm

National Mental Health Association

1021 Prince Street

Alexandria, VA 22314-2971

1-800-969-NMHA (6602)

http://www.nmha.org

National Alliance of the Mentally Ill

Colonial Place 3

2107 Wilson Blvd., Suite 3000

Arlington, VA 22201-3042

1-800-950-NAMI (6264)

http://www.nami.org

If you would like more information about depression, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today. 

Dr. Gunn proudly serves Fullerton and all surrounding areas.

Stress: Symptoms, Causes and Managing | Fullerton, CA

As we get ready to begin a whole new year, we tend to take stock on things we’d like to change and improve upon. One of the main causes of lots of health issues comes from stress that we carry in our lives. Financial issues, problems at work or home, health problems and social isolation are just some of the major factors that lead to stress in our lives. It is a crazy world we live in, but we need to find ways to curtail our stress levels in order to keep ourselves healthy for the year ahead. Here are some common symptoms of stress:

  • Headaches
  • Backaches
  • Rapid heartbeat
  • Fatigue
  • Difficulty sleeping
  • Recurring nightmares
  • Irritability
  • Loss of concentration

Chronic stress is believed to raise the risk of increased blood pressure (hypertension), heart disease, irritable bowel syndrome (IBS), chronic back pain, depression and a reduced immune response. If you find that you are getting stressed on a frequent basis, try some of these ideas:

  • Discuss your symptoms and your feelings about them.
  • Keep a diary to gain insight into your concerns and emotional patterns.
  • Exercise regularly engaging in both aerobic and weight training.
  • Practice relaxation techniques such as yoga, meditation deep breathing exercises.
  • Maintain your immune system by eating well balanced meals, exercising regularly and getting sufficient sleep.
  • Avoid destructive behaviors, including overindulgence of alcohol, caffeine or smoking.

Seek professional help if any of your symptoms persist, interfering with your sense of wellbeing and/or your personal/work relationships. You may be prescribed a medication based on your particular symptoms:

Recurrent acute anxiety (episodic anxiety): Diazepam (Valium), Lorazepam (Ativan), or Alprazolin (Xanax).

Depression: Selective serotoninuptake inhibitors: Fluoxetin (Prozac), or Paroxetine (Paxil) or other antidepressant medication.

Insomnia: Zaleplon (Sonata), Zolpiden (Ambien) or Temazapan (Restoril).

If you would like more information about dealing with stress, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today. 

Dr. Gunn proudly serves Fullerton and all surrounding areas.

Maintain Your Blood Pressure Naturally | Fullerton, CA

Because heart disease is such a common disease for Americans, it is important that we all try to do our best to maintain a healthy lifestyle in order to keep our systems in working order. If you’ve recently been diagnosed with high blood pressure, also referred to as hypertension, you may be prescribed medication to keep your blood pressure down, but there are things you can do on your own to not have to rely on meds. Here are just a few of the ways you can keep your heart healthy for years to come:

Watch your weight. Blood pressure typically increases as weight increases. Losing just 10 pounds can reduce your blood pressure immensely.

Exercise regularly. Regular physical activity can help you lower your blood pressure. Consistency is key, as your blood pressure can increase again. The best kind of exercise to lower blood pressure include, walking, jogging, swimming, cycling and dancing.

Maintain a healthy diet. Consuming a diet that consists of fruits, vegetables, whole grains and low-fat dairy can help lower your blood pressure. Be sure to avoid foods high in saturated fat and cholesterol, as these foods can increase blood pressure.

Careful with the salt. Even just a small reduction in your sodium intake can reduce blood pressure. To decrease your sodium intake, you can read food labels, eat fewer processed foods and not add salt to meals.

Reduce your stress. To reduce your stress levels, you should take some time to think about what is causing your stress in the first place. Once you figure out what is causing your stress, think about how you can eliminate or reduce it.

If you would like more information on blood pressure, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today. Dr. Gordon Gunn proudly serves Fullerton and all surrounding areas.

It’s a New Year. Relax. | Fullerton, CA

Now that we are done with the holiday season and well into a new year, it is time to start assessing our lifestyle choices and make some changes to how we live our lives. One of the ways we can do this is to lower our stress levels. Because it’s tough to admit, but our lives have become more stressful as we age, and this stress can lead to illnesses as a result. Chronic stress is believed to raise the risk of increased blood pressure (hypertension), heart disease, irritable bowel syndrome (IBS), chronic back pain, depression and a reduced immune response. This is why it is imperative to notice signals our bodies are telling us.

Understanding your current state of wellness improves your knowledge, helps you set goals and empowers you to make better choices for a healthier life. Here are some basics you need to know about stress and how to deal with it:

First, the symptoms:

  • Headaches
  • Backaches
  • Rapid heartbeat
  • Fatigue
  • Difficulty sleeping
  • Recurring nightmares
  • Irritability
  • Loss of concentration

Here are some causes. Do any look familiar?

  • Health problems
  • Financial concerns
  • Communication issues at work and home
  • Social isolation

Effective steps for dealing with stress:

  • Discuss your symptoms and your feelings about them
  • Keep a diary to gain insight into your concerns and emotional patterns
  • Exercise regularly engaging in both aerobic and weight training
  • Practice relaxation techniques such as yoga, meditation deep breathing exercises
  • Maintain your immune system by eating well balanced meals, exercising regularly and getting sufficient sleep
  • Avoid destructive behaviors, including overindulgence of alcohol, caffeine or smoking
  • Seek professional help if any of your symptoms persist, interfering with your sense of well-being and/or your personal/work relationships
  • Medications

If you would like more information on stress, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today. 

Dr. Gordon Gunn proudly serves Fullerton and all surrounding areas.