Category: Depression


Clinical Depression is the presence of depressive manifestations that ascent to the level of major depressive issue, a psychological instability. Clinical Depression characterizes the state in which the depression symptoms must be dealt with by a specialist.

The reasons for clinical depression are not particularly characterized. Be that as it may, as with the causes of depression in general, the reasons for clinical depression are believed to be a blend of hereditary, natural and ecological components.

Clinical Depression Symptoms

The signs and symptoms of clinical depression are often first noticed as physical complaints. These physical ailments may be the clinical depression symptoms first presented to a doctor. Physical complaints of those clinically depressed includes:

  • Headaches
  • Stomach pain
  • Fatigue
  • Weight change
  • Trouble sleeping

It is only later, generally during a diagnostic interview, that the classic symptoms of clinical depression, such as sadness and a lack of pleasure, become clear. See more on the symptoms of depression here.


Clinical Depression Treatment

Treatment for clinical depression is typically begun with the prescription of an antidepressant. Many types of antidepressants are available, but doctors generally use a selective serotonin reuptake inhibitor (SSRI) as the frontline treatment. They include fluoxetine (Prozac), paroxetine (Paxil), fluvoxamine (Luvox), citalopram (Celexa), and escitalopram (Lexapro). Several medications may have to be tried in order to successfully treat clinical depression. Types of antidepressants other than SSRIs may also be used.

Clinical depression is also treated with psychotherapy, often in combination with medication. Several types of therapy have been shown to be useful. Psychotherapy used in the treatment of clinical depression includes:

  1. Cognitive behavioral therapy
  2. Interpersonal therapy
  3. Family therapy

What is Depression and Anxiety

Depression and anxiety are sometimes confused. In fact, I have noticed that people come to me and say that they have depression but upon evaluation, I find out that it is something else. While depression and anxiety are different medical conditions, they share similarities. The symptoms, causes, and treatments of depression and anxiety can overlap. It’s also not unusual for people to suffer from both depression and anxiety.


When we have depression, everything can feel very muted and dull. We often feel very low and sad. We cry easily. It feels as if one has no energy, drive, and motivation. Everything can feel much slowed down, including our thoughts and reactions to things.

When we have anxiety, everything can feel much heightened. We often feel very jittery and on edge. Our thoughts can speed up and it can feel as though our reactions to everything can feel very extreme.

The Difference Between Depression And Anxiety

While these initial descriptions seem distinct, depression and anxiety do share some symptoms. Issues like irritability, nervousness, noise sensitivity arise with both conditions. Problems with concentration, eating and sleep can come with both depression and anxiety.

While these symptoms can feel like, they may present themselves for different reasons.  With noise sensitivity, someone with depression might need absolute quiet. They might find that even the tiniest sounds feel incredibly loud. With anxiety, it could be that our thoughts are already so loud that adding in another noise can tip us over the edge.


Sometimes the symptoms of depression and anxiety can feed into each other.

As an example: depression can cause low mood and low energy, which makes it hard to leave the house. When do eventually come to leave the house, we feel really anxious and panicky. We might worry about not having the energy to complete our trip, or about seeing someone we know and having an awkward conversation. These anxieties might prevent us from going out, further contributing to our low mood and feelings of isolation.

In cases like this, it’s hard to know whether our symptoms are depression or anxiety based because they are so interlinked and it is best to let the psychiatrist evaluate it. If depression has been present for a while and remains untreated anxiety may generate as to why is it not getting well and vice versa.


There isn’t a single, straightforward cause for either depression or anxiety. Life events can trigger both. Stress, low self-esteem, and long-term physical health conditions can play a part. Our genes can also contribute to our likelihood of developing either condition.

There’s still a lot of research to do about the biology of depression and anxiety. However, it’s thought that imbalances in our brain chemicals can contribute to both.

Evidence suggests that low levels of serotonin and dopamine can contribute to depression. Norepinephrinecan also plays a part in depression, though research varies. There’s some evidence that low levels of norepinephrine contribute to depression. But some depressed people show hyperactivity within the neurons producing norepinephrine.

It’s thought that an imbalance of serotonin and norepinephrine causes anxiety. Anxious people also show over activity in areas of the brain involved in emotions and behavior. However, no one particular chemical is responsible for causing both these conditions.


Treatments for depression and anxiety vary, depending on our symptoms and circumstances.  However medication and talking therapies are commonly offered for both.

Cognitive behavioral therapy (CBT) is widely used for both anxiety and depression. Mindfulness can also help both conditions.

Some medications, such as selective serotonin reuptake inhibitors (SSRIs) are prescribed for both anxiety and depression. Similarly, serotonin and norepinephrine re uptake inhibitors are commonly used for the treatment of depression and different types of anxiety disorders.

Other medications, such as pregabalin or benzodiazapinesare only used for anxiety. Some other antidepressants are only prescribed for depression.


Whether we suffer from depression or anxiety – or both – help is available to us. We most commonly discuss our medical conditions with our general physicians hence in most of the cases help is readily available. However if you think that your condition is much more complicated, please don’t shy to visit a psychiatrist.

Depression and anxiety are both serious conditions. We don’t need to struggle alone. We deserve help, whatever difficulties we’re facing.

Letting Go of Someone

The process of letting go of someone you love is one of life’s most painful experiences. When you have invested a considerable amount of time and emotional energy in someone, the prospect of living without them may be unthinkable.

You may look back on the memories you shared, the plans you made, and feel nothing but psychic (mental)agony. If you are newly broken up, envisaging a new future may feel close to impossible. You may find yourself ruminating on what you could have done differently, the arguments you may have had,  and the things you regret saying.

Every relationship is unique, and there are many reasons why cutting ties may be the kindest solution for all parties. Maybe you discovered as time went on that your values and dreams did not align. At first you may have hoped that you could overcome your differences, but in the end they part. Sometime, love just isn’t enough  to drive  you  and you come to the sad conclusion that it’s time  to part ways. Perhaps you love one another and  even revel in your differences, but seem unable to  communicate or resolve conflict. Maybe you had to face the facts. What  are you really releasing when you let go?  Letting go of a person involves letting go of hope. We may have believed this person to be our soulmate, or at least someone upon whom we could rely to stick around for a long time. It can be tremendously difficult to face the stark reality that we need to carve out a new path for ourselves, and allow the other person to do the same.

You may be feeling lonely, even when surrounded by friends and family who want to comfort you. If you can, allow yourself to be nourished by their support.  Taking the momentous decision to let go of someone you love is a brave step. In doing so, you are proving to yourself that you are capable of creating your own happiness, and that you do not need to rely on someone else to make you feel as though life is worth living. In evaluating your relationship, deciding that you would be best off apart and then letting them go, you are demonstrating that you have faith in nature/ God . Again as you let go of that person you might come to the understanding that your relationship might be toxic. What are you really releasing when you let go? You are releasing the negativity that has been accumulating inside you in that relationship. Set your self free, try to find opportunities around you . Try to create opportunity.At times we need to step out of our comfort zone, so take baby steps. By doing this you will be really surprised to find your hidden potential. I understand it’s tough, but it is not impossible.  Why letting go can herald a beautiful new beginning .Letting go of harmful relationships allows you to move forwards a brighter future. Remember the old saying, “If you love someone, let them go?” If you look deep within yourself, you will realize that in freeing yourself and the other person from a relationship that is holding you both back, you are helping two people to create a happier, more authentic life.

In this way, letting go of someone you love can be an act of supreme care and kindness. Every relationship can teach us something, and occasionally the whole purpose of a relationship may come only when it ends. Although it may feel as though your world is ending when you break up with someone you love, over time you will realize that you are merely embarking on a new beginning. Let the lessons you have learned from your interactions with this person serve to guide you in forming healthier relationships in the future, and rest assured that you can and will find love again. See this painful period as a step closer to getting what you really need and want from life.

Losing someone we love is like a part of our heart being pulled out of our body & we can never be the same. We can however, go on ~ at our own pace, and if someone walks by…….

Dr F. Mamsa MD