Depression patients feel better after taking medicine for two years. Can they not take medicine?

First of all, the specific number of depressive episodes is an important data that must be understood, because different episodes of depression, the time required for treatment and the time required to maintain symptoms after remission are very different. Of course, the degree of remission that can be achieved after recovery is also different.

Generally speaking:

Therefore, you can't stop taking the medicine if you feel better. You must scientifically judge whether you can stop taking drugs, minimize the recurrence rate and stay away from depression.

Today, one of my patients with depression came back to prescribe medicine. She was diagnosed with a major depressive episode with psychotic symptoms in the hospital. She was discharged from the hospital for about six months. Recently, she doesn't feel well at sleep. She continued to take olanzapine to improve her sleep and stopped taking the antidepressant citalopram. When I disagreed with her, she said, "I'm not depressed either. Should antidepressants stop? " . Is it true?/You don't say. No, in the following conversation, I found that my patient was depressed recently, feeling particularly tired, and at the same time had obvious inferiority complex. He felt that his colleagues around him used mobile phones to work, but he didn't. He even thought that he had dragged down the teaching level of the whole college, and he was depressed at home, lost his appetite and called in sick. ...

My friend, a patient, fell into depression again without his own consciousness and cognition, and showed a series of symptoms such as insomnia, social withdrawal, decreased interest, decreased energy, low self-evaluation and self-guilt. But she always felt that all this had nothing to do with depression. She was just unhappy? So many people really "don't know the true face of Lushan Mountain, just because they are in this mountain".

From your description, I seem to feel that your depressive symptoms just disappeared, or disappeared soon, at least you didn't insist on enough maintenance treatment. Although I don't know the specific number of depressive episodes, I suggest that you don't blindly stop taking drugs and stick to taking drugs. Even if the dose is much lower than the therapeutic dose, it is still the most important way to reduce the recurrence rate.

If you have more than three episodes of depression, in principle, you should maintain medication for a long time, but nothing is absolute. If you have maintained it for five years, you have never experienced the symptoms of depression recurrence, and your family, emotions, society, psychology and other aspects are stable. Why not try to gradually reduce the dosage until the drug is stopped?

The remission period of depressive episode (depression) is the complete recovery of social function, so patients with depression can definitely return to their original lives. Detoxification is just a crutch to help us return to society. If you are really strong enough, you can of course throw away your crutches, but if you really stumble, why not use it for a while?

Depression, also known as depressive disorder, is a common mental disorder in clinic. It is characterized by persistent and obvious emotional disorders, depression, lack of interest, slow thinking, decreased speech, stiff movements, lack of energy, low libido and sleep disorders, often accompanied by cognitive disorders and psychomotor disorders. During the onset of depression, patients are depressed, from depression to grief, and then feel inferior and world-weary, and may have suicidal thoughts or behaviors.

The treatment of depression should achieve three goals: first, eliminate clinical symptoms as soon as possible, minimize the disability rate and suicide rate, and improve the clinical cure rate; Second, improve the quality of life, increase the interest and fun of daily activities, and restore social skills; Third, prevent recurrence. The recurrence rate of depression is as high as 50%-85%. Drug therapy can effectively control the symptoms of depression and reduce the recurrence of depression, especially for postpartum women, menopausal women, high-risk groups with mental stress, family history, heavy burden of life and chronic physical diseases.

Depression is a disease with high recurrence rate. At present, the whole course of treatment is advocated, which is divided into three stages, namely acute treatment, consolidation treatment and maintenance treatment. The purpose of acute treatment is to control symptoms and achieve clinical recovery as much as possible. The onset time of drugs is generally 2-4 weeks, and it takes 4-6 weeks to take effect. The purpose of consolidation therapy is to prevent the recurrence of clinical symptoms, which should last at least 4-6 months, because the possibility of recurrence at this stage is relatively high; The purpose of maintenance treatment is to prevent the recurrence of symptoms. Maintenance treatment should last at least 3-4 months. If it recurs more than 2 times, especially teenagers, patients with serious diseases, mental symptoms, suicidal tendencies and family history, maintenance treatment should last for at least 2-3 years. If it recurs many times, it is recommended to maintain treatment for a long time. If the patient's condition is stable after treatment, it can be gradually reduced under the guidance of a doctor until the drug is stopped, so as to avoid sudden withdrawal, so as not to cause dizziness, sensory disturbance, sleep disturbance, anxiety, headache and other withdrawal syndromes. After stopping the drug, it should be closely monitored, and once there are signs of recurrence, treatment should be resumed immediately.

In short, depression is a common emotional disorder in clinic, and its treatment can be divided into three stages: acute treatment, consolidation treatment and maintenance treatment. Because of the high recurrence rate of depression, it usually takes a long time to treat, and even some patients need lifelong treatment. Therefore, it is up to the doctor to judge whether the clinical treatment goal is achieved, and then decide whether to stop taking the drug. Patients should not stop taking drugs or adjust the dosage of drugs on their own, so as not to cause depression recurrence or withdrawal syndrome.

References:

Guidelines for the Prevention and Treatment of Depression (2006)

What is the reason why you don't want to take medicine? Have side effects? High cost? If it's not, it's because it's been a long time, and it's estimated that the disease has recovered. You can try to reduce the drug appropriately or consult a doctor.

What medicine do you usually take? Neurotrophic? Sedative? Excited or placebo?

What is the reason for your illness? Did you find the reason and change it?

Everything is controlled by the brain, but what's wrong with the brain, hardware or software?

If it is virus, bacteria, blood vessel blockage, brain cells and brain trauma, it is all organic and the hardware is injured. Be sure to resist virus, sterilize, promote blood circulation and remove blood stasis, and rest.

If your mood is unstable, you don't have a good rest, you don't eat well, or you have local spasm of nerve and blood vessels due to your own external reasons, it belongs to software, so you must adjust it yourself, or be persuaded by friends and psychologists. You can't take some sedatives to calm yourself down.

Life is not easy, life is short. The brain is like a computer. If something goes wrong, you need to find out the problem, otherwise it will be a vicious circle until it collapses. Healthy brain use will attract more and more people's attention.

You can gradually reduce the dose and then stop taking the medicine. Don't stop at once.

In addition, for patients with depression, exercise plus hobbies is a more effective prescription than taking medicine.

Whether you take medicine or not, your body will produce a lot of dopamine to treat depression by sweating and detoxifying yourself through exercise. Many patients with depression are caused by insufficient dopamine secretion.

Be sure to cultivate several hobbies and ask yourself what you like best. No matter what others say, do it yourself first. When you are busy, you have no time to be depressed.

Depression is mostly a kind of heart disease, so we should find the root of depression and lower our demands on ourselves.

Finally, I hope everyone can stay away from depression and be happy every day.

If it is mild or moderate at the beginning of medication, and the symptoms disappear after two years of continuous medication, you can stop taking the medicine slowly. Don't stop taking medicine suddenly, or it will be repeated. If the condition is not too serious, you can basically recover after taking medicine for two years. But after stopping taking medicine, we should pay more attention to all aspects, avoid emotional excitement, injury and stimulation, do more outdoor activities, do more things we like, keep a good mood, work and study normally, and guard against the recurrence of illness.

You have been taking medicine for two years, and you have been interacting with the attending doctor for a long time. You can ask him, just don't take it. If you want to shoot again, you can ask why, and the doctor will answer you.

Body and mind can complement each other in many cases. You can also exercise more, let it take on the mind, and help you stabilize and consolidate as soon as possible. Psychological counseling can also be carried out at the same time, and both body and mind are constantly concerned. I believe your attending doctor will tell you good news.

Yu Wei, a psychological counselor at Zhuai, said.

Don't stop taking medicine immediately, it will take several months. The dosage starts to decrease from a quarter of each drug, and gradually decreases until the drug is finally stopped. Otherwise, there will be a reaction to stop taking the medicine immediately.

You are taking drugs that regulate nerves, right? You answered this question two days ago. The living environment is very important, which can make patients live a happy life and the disease will get better slowly! To be happy, we must stay away from our own diseases, live in the environment, adjust ourselves and get help from friends around us. In short, I just can't pass [cute] [cute] [cute].

Need to follow the doctor's advice, don't blindly stop taking drugs.

The doctor should have told you that you can't stop taking the medicine at once, and you need to gradually reduce it with the doctor's consent until you stop taking the medicine. In short, you need the doctor's consent.