I am diagnosed as case of atypical depression. From past few years I was not in mood of starting antidepressant medications. So after being seeing positive reviews of people on the internet and support from Lybrate doctors. Finally I got convinced to start medications. So started on tab. bupropion. Even I have seen some reviews on the internet where people are on antidepressants from several years. If antidepressants really works then why people are on antidepressants for years. Is it dependence or wht? I really don't want to knock with someone which will really make me addicted for lifetime.

Dr. Deepali AjinkyaPsychologist16yrs exp

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Hi I am very glad that you asked this question, which many people have in mind. To explain you this I will give you one example. When we get frequent acidity that is mainly because of our wrong eating habit and sometimes other causes. We advise such patients to be on diet and medicines. Once patient stops medicines but goes back to old wrong eating habits, then the condition worsens and he needs to start on medicines again. So is he addicted to medicines or wrong food habits. He needs to change lifestyle with temporary support of medicines. Same way as our thinking is so our actions are and so the brain neurotransmitters released. Constant habit of negative thinking leads to same release of neurotransmitters and person needs to take medicine to correct depression to get these neurotransmitters in balance. He feels better, stops medicines and if he again falls back to same old negative thoughts he will suffer again. But during medications if he takes some thought changing therapies (includes gaining insight in thinking patterns), meditation, to improve his thinking to make himself strong to face adversities of life. He doesn't fall back to same problem whether it's depression or anxiety. Remember thoughts are our mental diet. If we are careful of our diet about calories even in biscuits now, then why can't we take some preventive measures of learning some self improvement techniques and mediation. For this reason we suggest our client to take therapy sessions along with medicines. Thank you. 

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