Mar 15, 2008 Table of Contents

Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site.

Information from Your Family Doctor

Treating Depression: What You Should Know

Am Fam Physician. 2008 Mar 15;77(6):795-796.

See related article on adult depression.

What is depression?

Depression is a serious illness that affects your mood. Most people with depression feel sad or empty. It is probably caused by changes in the chemicals the brain uses to send messages from one nerve cell to another.

Who gets it?

Depression is common. Anyone of any age, sex, or race can get it. As many as 10 to 14 percent of patients who go to see their doctor have depression. Some people get it when stressful life events happen or because of a medical illness. Sometimes depression happens even when things seem to be “going right.” Many people get genes from their parents that make them more likely to become depressed.

How do I know if I have it?

If you have depression, you may feel guilty or worthless. You may feel like crying a lot for no reason and have problems sleeping. You may feel like you are always slowed down or tired, but you may also feel restless. It may be hard for you to focus on what you are doing a lot of the time. Talk to your doctor if you have any of these problems. You may have depression if these feelings have lasted for two weeks or longer.

Some people with depression may have thoughts about hurting themselves or others, and they may even think about killing themselves. If you have these kinds of thoughts, call your doctor right away or tell a friend or family member. You can also call a hotline such as the National Suicide Prevention Lifeline at 1-800-273-8255.

How is it treated?

Depression can be treated with medicine, talk therapy, or both. You and your doctor should choose a treatment plan that works best for you.

Many medicines can treat depression. The most common ones belong to the “selective serotonin reuptake inhibitor” (SSRI) family. Another type is a tricyclic antidepressant (TCA). Your doctor may start you on SSRIs because they are safer and have fewer side effects.

The medicines may take one to four weeks to start working, but sometimes it can take longer. It is important to visit your doctor during this time so that your doctor can make sure your treatment is working and not causing a lot of side effects.

What are some of the side effects?

Some side effects of SSRIs may be:

  • Trouble sleeping

  • Upset stomach

  • Diarrhea

  • Sexual problems

Some side effects of TCAs may be:

  • Dry mouth

  • Weight gain

  • Sleepiness

  • Constipation

Where can I get more information?

Your doctor

American Academy of Family Physicians

Web site: http://familydoctor.org

Depression and Bipolar Support Alliance

Web site: http://dbsalliance.org

Telephone: 1-800-826-3632

National Institute of Mental Health

Web site: http://nimh.nih.gov

Mental Health America

Web site: http://mentalhealthamerica.net

Telephone: 1-800-969-6642

National Alliance on Mental Illness

Web site: http://nami.org

Telephone: 1-800-950-6264


This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org.

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

Copyright © 2008 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

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