Anti depression medication

” Antidepressants, Types, List, Side Effects, and Interactions. Even when they do work well, they can only do so anti depression medication much. The caffeine in coffee and other beverages can cause problems if you struggle with depression or anxiety.

People could have had other conditions (comorbidities) in addition to insomnia. Clinical Research Network, scrutiny of bibliographies of retrieved articles, and contact with relevant experts. I’m on 150 ml grams tablet in the morning. You start to think it’s all in your head, or is it? Weight gain as a side effect of antidepressants is very common and distressing. Perlis and colleagues found that being younger and/or male increased the risk for gaining weight, as did starting treatment with a relatively low body mass index (BMI, a measurement based on weight and height).

Celexa is from a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs), which also includes Paxil, Prozac and Zoloft. “Why this drug?” I asked, “You don’t have major depressive disorder. Nortriptyline (sold as Pamelor) was “significantly less effective” than seven other antidepressants and a placebo pill. Antipsychotics scripts jumped close to 23 per cent from 2.

Dr. The biggest concern revolves around whether antidepressants lead to greater suicidal thoughts. Valproic Acid and Lamotrigine (Lamictal) Like anti-depressants, these and other anti- convulsants carry a FDA warning on their labels stating that their use may cause an increase in suicidal thoughts and behaviors. Patient information: See related handout on depression. “The rate of increase in obesity is escalating from one year to the next just like the rate of antidepressant prescriptions,” he said.

Dry mouth and sedation were most frequently reported in the amitriptyline group (35). 6.

Adverse Effects: Prior to the initiation of antidepressant treatment for chronic pain, the potential for adverse effects caused by antidepressants should be carefully considered; the benefits should outweigh the risks. Understanding Depression Slideshow. The Chicago Manual of Style. Add to that varying dosage levels and combinations of antidepressants and it is clear that there are countless variations within antidepressant treatment. However, one should be cautious and seek medical advice while taking this medicine if they are taking seizure medicines, MAOI, painkillers, or blood thinners.

Even nursing mothers, who have doubts regarding use of antidepressants, can replace these drugs with therapy. How do antidepressants work? This YouTube video by Paul Bogdan explains how antidepressants work.

Like other antidepressants, SSRIs can cause weight loss in some users, though they are not considered reliable weight loss aids in most cases. “But in absolute terms, the difference is rather small. I have lost 3 kg’s in 3 weeks and am feeling great. This is the least complicated and perhaps, most unpopular option for combating the weight gain associated with antidepressants. Depressed youth had also acutely responded to other antidepressants, but anti depression medication the response to placebo has also been high. as the risk-benefit profile of antidepressants in the acute treatment of depression does not seem to offer a clear advantage for children and adolescents”.

Tricyclic Antidepressants (TCAs) TCAs are named after the three rings in their chemical makeup. All available antidepressants are effective, and for most cases of depression, there is no good evidence that any antidepressant is more effective than another is. However, fluvoxamine and paroxetine; which drugs in the same category, can cause severe drowsiness when used with alcohol. Don’t forget to leave a comment if you found this useful, If you are a professional and would like to offer corrections or sugesstions of how to improve this page, contact us here. The recommended dose is 20-30 mg daily.

Good depression meds

They are not ‘happy drugs’ Antidepressants help relieve the symptoms of depression and associated anxiety. ; Metalsky, Gerald I.

[Medline]. Suicide as an outcome for mental disorders.

Most symptoms are scored in a similar way and thus as unlikely/likely to be skewed. I think this is explained by bias. In other words, good depression meds about half the studies showed the drugs didn’t work. 9 kg heavier at baseline and 2. How do these changes in behavior vary throughout the course of HD?^ Typically, the progression of HD is divided into five stages. 7% to 1.

So a UK based research team, led by Rafael Gafoor at King’s College London, set out to investigate the association between the use of antidepressants and weight gain. However, strengths include the large number of participants and long-term follow up. For example, treatment allocation was quite naturally on the basis of normal clinical practice, rather than the result of randomisation. 3 kg during olanzapine treatment. *— Efficacy of lamotrigine as an adjunct to carbamazepine or phenytoin. 24.

pdf. Some patients may experience peripheral edema (swelling of the lower legs and ankles) which can be improved by wearing support stockings. 2010 Dec. These include newer medications, chiefly the selective good depression meds serotonin reuptake inhibitors (SSRIs), the serotonin-norepinephrine reuptake inhibitors (SNRIs)*, the tricyclics, and the monoamine oxidase inhibitors (MAOIs).

Discussing the rapper’s mental health on “The Talk” on Tuesday, good depression meds Inaba, 50, opened up about her own struggle with depression. There are a number of points to note: As with all studies of this type (observational studies), there is the possibility that these differences may be due to factors other than the one tested. “I think there were a lot of mistakes made in terms of how this risk was communicated to the public, which led a lot of parents to be terrified to have their children on these medications — and they took them off and there was a lot of untreated, serious depression,” says Robert Gibbons, a University of Chicago biostatistician who advised the FDA on the issue.

Examples of TCAs include amitriptyline (Tryptizol), good depression meds clomipramine (Anafranil), imipramine (Tofranil), lofepramine (Gamanil) and nortriptyline (Allegron). Combination can be extremely dangerous good depression meds if it includes another type of drug: Alcohol and antidepressants together can be extremely dangerous; however, the risk increases by several manifold if you add another drug to the equation such as prescription pain medication or sedatives. Female Syrian golden hamster: Drinking of high concentrations of ethanol aversive to other mammals. Always let your doctor know all the medications you are using, including marijuana, and discuss the relative risks of combining them. Talk to your doctor or pharmacist if you have any questions or concerns. I know that sometimes you just dont want to get out of it.

When antidepressants don’t help

Brunner EJ, Shipley MJ, Britton AR, Stansfeld SA, Heuschmann PU, Rudd AG, et al. The general principles recommended by the Centre for Reviews and Dissemination were followed (8). Weight gain can range from several pounds to 30, 40, or even more. In this Article. 1016/j. Those who stop before 8 months of use may see a return of symptoms.

How long will I have to take antidepressants? If you are prescribed antidepressant medicines, it is very important that you follow your doctor’s instructions so that you have the best chance of a full recovery. 35 ⇓ ⇓ ⇓ ⇓ ⇓ –41 The first comprehensive effort in 2005 concluded that antidepressants do not differ substantially from when antidepressants don’t help one another and acknowledged that choosing the most appropriate agent for a given patient is difficult. 64(10):1132-43. S. S. They include Amitriptyline and Nortriptyline. We identified co-occurring intellectual disability using ICD 9 (317-319), ICD-10 (F70-79), and DSM-IV (317-319) in the child or adult mental health registers or the national patient register.

When it comes to losing weight from taking an antidepressant, this may contribute to improving your mood. They looked specifically at the reports of deaths, suicides, suicidal thinking or suicide attempts, aggression, and a type of extreme restlessness called akathisia. TRINTELLIX is a prescription medicine used to treat Major Depressive Disorder (MDD) in adults.

The investigators found that only with Prozac did the benefits outweigh the risks in terms of relieving symptoms with few side effects. Assuming you are serious about keeping your depression under control, it is important to continue safely treating your depression. (2016). “”.

2 types of antidepressants

2010 Oct 2 types of antidepressants. ” If only he had treated antidepressant research like this! Also, I put his data in a Forest plot and ALL of the positive effect by CBT could be explained by publication bias. In 2 types of antidepressants Chicago, Boise, and Philadelphia, 28 Albertsons drug stores are offering the Genomind test, according to Kimberly Hecht, a patient care services coordinator with Albertsons who leads the project. First and foremost you must understand losing your weight is a very gradual process. An estimated 14 percent of Americans will experience a serious bout of depression during their lifetime, and 20 percent will experience an anxiety disorder.

“We know that access to services including talking therapies can sometimes be difficult. There is marginal evidence to support the use of tricyclics in the treatment of depression in adolescents, but the effect is likely to be moderate. When a starchy or sweet food is digested, the brain receives tryptophan, an amino acid that is used by the brain to make serotonin. An all-time high of about 40 percent of women are now considered obese as are 35 percent of men, about the same since 2005.

2005; Uher et al. You may also need to keep taking them for longer periods of time, even for the rest of your life. 7%, respectively, and M/P were 2. , & Hollon, S. Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects.

Some types of antidepressant medication can help people to manage anxiety, even if they are not experiencing symptoms of depression. A. For example, some categories of antidepressants can be used to treat anxiety and panic disorders, and they are often useful as adjunctive medications for chronic pain. People with migraine are five times more likely to also suffer from depression and anxiety, so they may benefit especially from using antidepressants as a way to prevent frequent migraine attacks. If you experience nausea from your medication, you may benefit from trying a controlled-release tablet instead.

It can also trigger withdrawal symptoms and relapse of 2 types of antidepressants your depression. 21–2. Other aspects of monoaminergic systems have been implicated in the analgesic action of antidepressants. 2 percent were diagnosed with autism.

Neurodevelopment of children following prenatal exposure to venlafaxine, selective serotonin reuptake inhibitors, or untreated maternal depression. Antidepressant use in persons aged 12 and over: United States, 2011-2014 (2017, August).

The trouble is that is totally false. 8 kg) in 12 weeks compared to 6 lbs (2. Vulnerable patient populations include those with a history of substance abuse and those in controlled environments. And the few times I have had some it has just made me very sleepy. The brain neurochemistry involved with depression and appetite is each very complex.

I have been on others meds but so far the Serqueil has 2 types of antidepressants help me a little. It’s easy to get the two confused but there is a major difference. American Academy of Child and Adolescent Psychiatrywww.

What are antidepressants supposed to do

Nobile M, Begni B, Giorda R, Frigerio A, Marino C, Molteni M, et al. That’s because it takes around a week for fluoxetine levels to build up in your body, and then a few weeks longer for your body to adapt and get used to it.

com , “Stressed? Join These Seven As They Laugh It Away At ‘Yoga’ Class,” 27 June 2018 Only one-third of depressed patients respond to treatment with an antidepressant medication. 0 mmol/l) and symptoms what are antidepressants supposed to do of diabetes, such as polyuria, polydipsia, and glucosuria. ” Antidepressants vary in their contribution to weight gain. A checklist of symptoms, the CDI is used to screen for two types of depression: dysthymic disorder and major depressive disorder. Single sympathomimetic amphetamine agents, because of their high potential for abuse, cardiac, and psychiatric side effects (anxiety induction, insomnia), are generally not often recommended for treating obesity [84].

Therefore internet sites are sometimes skewed. Anticonvulsants are also sometimes used to stabilize mood. doi:10. Wallace MS, Barger D, Schulteis G. Epperson et al (28) studied the effect of serotonin uptake in platelets in 11 mother-infant pairs (infant mean age at the start of the study before and after 4 to 12 weeks of maternal treatment with fluoxetine (20-40 mg daily). Additionally, some medical problems already under treatment may increase in severity in the presence of an antidepressant. S.

The human nervous system is made up of the brain, spinal cord and nerves, all of which are made of nerve cells. If your depression develops during pregnancy, your course of treatment will depend on your level of depression, says Shelly Cohen, M. Marlene P. However, it is certainly advocating treatment of depression with something other than antidepressants during pregnancy.

Although the results of our sibling control analyses were consistent with the other approaches we used, the numbers were low, leading to an imprecise result. He is an author, researcher and expert in mental health online, and has been writing about online behavior, mental health and psychology issues — as well as the intersection of technology and human behavior — since 1992. Amitriptyline.

For example, the MHRA online database includes 129 reports categorised as “interaction with alcohol” of SSRI and what are antidepressants supposed to do related drugs, but these are not considered as a group. This means that a person who can usually drink three glasses of wine before really feel the effects of alcohol is likely to feel drunk after just one of glass. #2 In the Southeastern United States a middle aged psychologist, also a recovering alcoholic, after being prescribed Prozac, found herself needing to attend AA meetings morning, noon, and night to keep from destroying the sobriety she had achieved. When taking a close look at medical studies and results of what are antidepressants supposed to do medical marijuana used to treat anxiety, it’s evident that the chemical makeup, specifically high doses of CBD, is the main ingredient to treat anxiety. Working out, getting exercise and that release of endorphins is a great way to treat depression.

Antidepressants brands

While correlation never automatically equals causation, a new study suggests these two trends may be more related to one another than we thought. [Medline]. A component analysis of cognitive-behavioral treatment for depression. (11) Sharma T, Guski LS, Freund N, Gotzsche PC. Tell a doctor straight away if you get: headache, trouble focusing, memory problems, not thinking clearly, weakness, seizures, or losing your balance – these can be signs of low sodium levels thoughts about harming yourself or ending your life chest pain or pressure, or shortness of breath severe dizziness or passing out fits, feelings of euphoria, excessive enthusiasm or excitement, or a feeling of restlessness that means you can’t sit or stand still putting on or losing weight without trying to changes in your periods such as heavy bleeding, spotting, or bleeding between periods painful erections that last longer than 4 hours – this may happen even when you are not having sex.

“In the end, it’s still trial and error, but it’s a little bit more of a targeted trial and error – a little bit more of an educated guess. You start to think it’s all in your head, or is it? Weight gain as a side effect of antidepressants is very common and distressing. Not to mention I’d catch every cold that went around because my immune system was practically nonexistent. K. K.

Diets may actually cause you to gain weight, say scientists. In 2009, more than one and a half million prescriptions were written for antidepressants in the United States alone. In individuals who require nortriptyline for treatment-resistant depression (Nierenberg et antidepressants brands al.

Adverse effects occurring more often in placebo groups (−−/−) under placebo were chest pain, headache, and vertigo. Fibromyalgia syndrome is defined as diffuse pain for more than 3 months and at least 11 out of 18 defined tender points by the American College of Rhematology, fatigue, sleep disturbances, depression, and cognitive dysfunction (53).

1097/jcp. SSRIs act upon the 5-HTT inhibiting the reuptake of the monoamine into the presynaptic cell, increasing the level of serotonin in the synaptic cleft. Dahl for his helpful discussions and comments on the paper. Retrieved from antidepressants brands https://www. C. We comply with the HONcode standard for trustworthy health information – verify here.

John’s wort. By 2000, even more studies had emerged “showing a possible link between hallucinations and aggression in children and teens taking Zoloft, Paxil, and Prozac,” reported “FindLaw” columnist Elaine Cassel on CNN.

Introduction. 91 to 1. “, The New York Times: “Meditation Plus Running as a Treatment for Depression,” “To Treat Depression, Drugs or Therapy?”; Pond5; Guido Vrola; Rocketclips, Inc.

How should we treat depressed children and teens? I do not think that we should stop using medication to treat depressed children and adolescents. Potential pitfall : blaming treatment for the natural course of the illness; failing to recognize bipolar depression. When two drugs are combined, this creates what is known as the synergistic effect or additive effect.

It seems lack of tolerance seems to be fairly common*. The doctors and other healthcare professionals had heard from a sprinkling of Nam Vets that marijuana provided good relief PTSD and probably other battle related problems including pain from gunshots, mine blasts and almost anything else. the risperadone and trazadone made me a zombie. Oxycontin is a much stronger version that has a time release coating while Oxycodone (non-generic name is Percocet) is 5 mg Oxycodone with typically 325 mg Acetaminophen (Tylenol).

Will antidepressants help me sleep

“In this way, pharmaceuticals that are found in relatively low concentrations could be extremely potent and very persistent, and able to significantly affect non-target organisms. I am fairly confident that there is not enough evidence to warrant any change in clinical practice related to the use of SSRIs based on these findings,” citing a dearth of studies overall, a glaring lack of studies in humans specifically, and the dose-dependent nature of the associations observed. It inhibits the action of monoamine oxidase, a brain enzyme. This blind breaking problem has been known for decades, yet this data is still rarely, if ever, collected.

Don’t stop taking escitalopram, suddenly, or without talking to your doctor. Be patient. Teen depression is on the rise. And that’s what happens with some antidepressants – they block serotonin receptors , so it decreases your awareness of your full signals. Ballyhoo intertangles from the fated milagro. Abdominally horrent spinnakers had participated toward the hierarchical belligerent.

, exercise, behavioral therapies) will antidepressants help me sleep are particularly important in patients with non-neuropathic pain syndromes. Y. Main adverse effects were constipation, dry mouth and insomnia, sedation, sweating, palpitations, and orthostatic hypotension in the nortriptyline group.

Gullion; Antidepressants for the Relief of Chronic Pain: Do They Work?, Annals of Behavioral Medicine , Volume 11, Issue 3, 1 January 1989, Pages 83–101, https://doi. [9] The MAOIs virtually completely abolish REM sleep, while the TCAs and SSRIs have been shown to will antidepressants help me sleep produce immediate (40-85%) and sustained (30-50%) reductions in REM sleep. Individual results may vary. Fact : Antidepressants will neither make you forget things nor will antidepressants help me sleep will solve your problems. The diagnosis of depression in patients with chronic pain is controversial. Omphalocele.

There are several dangers associated with taking antidepressant medications during pregnancy. The use of lithium during breastfeeding has been associated with a number of adverse effects; however, only 10 maternal-infant dyads have been studied. SSRIs are considered to be relatively safe for use during pregnancy and the postpartum period. 62), or the risk of malformations not affecting the heart (OR 1. All authors had full will antidepressants help me sleep access to the data, specifically, the statistical reports and tables arising from the data.

But, don’t worry… I’ll show you an all-natural solution that works great, without the drug side-effects. S. 08).

1 Clinical Worsening and Suicide Risk. Oh neither my psych or doctor warned me about alcohol and meds either, so I ran my thoughts past them and thankfully they agreed with me. show more I don’t know the amounts of alcohol necesary, but it’s not good to mix alcohol and antidepressants. After just a week of taking this tricyclic, he will antidepressants help me sleep was rushed to the emergency room with tachycardia. 42 in 2016. it works to make me safe to be in public with my wife of 5 years and our two kids.

What is the best antidepressant to take

As identified above, fluoxetine may potentiate cocaine effects (Schmitz, Averill et al. 25, No.

1341–45. Studies should be comparisons initially, but studies of the efficacy of a class drugs should be naturalistic, eg do patients treated under a nauralistic and rational algorithm find greater level of improvemt than placebo after say, 6 months? Another issue is the issue of compassion in prescibing. The follow-up data on those studies, however, has typically only covered the first 12 months following treatment initiation, and there is limited evidence regarding the long-term influence of antidepressants on weight.

Some Antidepressant Drugs Worse Than Others. 2012;37:797-807.

Studies show that people who take the prescribed dose at the times recommended by their doctor are more likely to feel better than those who take too little or too much. How Antidepressants Work. Cutting edge. Antidepressants and weight gain. Amby Burfoot is a freelance writer and editor and a member of the Running Hall of Fame. Wellbutrin affects different brain chemicals than do SSRIs, and some of those chemicals may play a role in appetite.

6 kg to 25. Goldenberg DL. Some side effects and treatments of tricyclic antidepressants include: Dry mouth relief: Sugarless gum or candy, or pilocarpine (Salagen) oral rinse may alleviate dry mouth. All of these ADs have an important role in treating depression, but in the treatment of patients with chronic pain (with or without depression), 2 classes of anti-depressants stand out—TCAs and SNRIs. This site is intended for use by U. [Full Text] what is the best antidepressant to take.

, et al. Bogomolova S, Zarnowiecki D, Wilson A, Fielder A, Procter N, Itsiopoulos C, et al. Usually, women are recommended to avoid drug use during pregnancy, including the use of St. For some people, ongoing clinical support in the community, rehabilitation, accommodation and employment support are also helpful. 1996; MacFarlane et al. It’s best if you work with a team of providers to treat your depression during pregnancy.

We also categorised antidepressants based on their affinities for the serotonin transporter into high versus medium or low affinity. Efficacy and tolerability of escitalopram in anxiety disorders. The Texas Children’s Medication Algorithm Project: report of the Texas Consensus Conference panel on medication treatment of childhood major depressive disorder. He is an associate professor in the department of psychiatry at the University of Oxford, in England.

Although all the experts WebMD consulted believe it’s certainly worth making any and all efforts to control your weight while taking antidepressant medications, they also point out that for one subgroup of people, weight gain will simply be an inevitable side effect of treatment. EL-MAS, M. Only not physical pain but spiritual in this case. Lexapro is a long-term drug. You can search these articles on this site and Google by using his name and medical marijuana and Oregon Medical Board.

Antidepressants by cost

SSRIs and related drugs have an alerting effect, impairing sleep duration and quality and causing insomnia, which may result in nocturia and daytime drowsiness. Selective Serotonin Reuptake Inhibitors. Common side effects include orthostasis, sedation, weight gain, and anticholinergic effects.

The fact is that adverse effects are not just under reported by some amount, they are under reported by orders of magnitude and virtually everyone will experience some of them. Ross also testified that in his practice he does not prescribe paroxetine because he believes it is both unsafe and ineffective.

These associations remained after adjustment for current physical illness. For SSRIs, a relatively homogenous drug class, differences among the pharmacokinetic properties such as elimination half-life and metabolism may be the most clinically relevant (Table 1). They are not comprehensive, by far, but might introduce a few more ideas as to what sort of research could be helpful to undertake and ultimately apply.

[Also] Remeron (Mirtazapine) is known to cause weight gain frequently because its anti-histaminic effect” makes users sluggish, he explains. Medical Research News and Exclusive antidepressants by cost Interviews. 2005;39:748-752.

It’s important for health systems and families to know that a brief CBT program is likely to improve mental health outcomes for depressed adolescents who decline antidepressants, and is also likely to be cost-effective over time. The researchers wrote that, considering risks vs. html and http://www. ” Peters directs the University of Southern California Clinical Diabetes Program in Beverly Hills and was not involved in the current study. The ideal is to exercise at least 30min per day, at least five times a week. Study-Quality Ratings for Antidepressants and Antiepileptic Drugs in Chronic Pain Syndromes.

WNL. But for Ms Hanley, the dangers must be taken more seriously by medical professionals. Two common screening tools for depression–the Hamilton Rating Scale for Depression and the Brief Inventory of Depressive Symptoms–have questions that screen for somatic pain symptoms associated with depression. Symptoms of serotonin syndrome can include: confusion agitation muscle twitching sweating shivering diarrhoea.

2008 Apr. Discontinue TRINTELLIX in patients with symptomatic hyponatremia and initiate appropriate medical intervention.

TRINTELLIX has not been evaluated for use in pediatric patients. (See this site for this withdrawal protocol: http://www. They used the antidepressant citalopram (Celexa) as the control. So typically, antidepressant users start eating more because their appetite has increased , which is the initial and primary cause of weight gain. http://www.

Antidepressant medication side effects and drug interactions are barriers to successful treatment for depression. The big challenge in interpreting results from a large-scale observational study such as this is trying to ascertain how causal this connection could be.

I start to get the feeling that something is really wrong. People can still develop a physical dependence on the antidepressants. Medical maintenance. Drinking alcohol while taking an antidepressant can worsen your symptoms and increase your risk of certain side effects. Alcohol is a depressant.

i seclude myself from people. Increased risk of alcohol addiction: People who suffer from depression are more susceptible to alcohol and substance abuse.

Antidepressants post breakup

Instead, she thinks doctors need to get better at tracking drug indications in the first place. Appetite changes, weight loss or gain, energy loss, inability to sleep, or excessive sleep may antidepressants post breakup accompany depression. Ami Baxi, director of inpatient psychiatry at Lenox Hill Hospital in New York City. ‘Extreme duplication’ in the US FDA adverse events reporting system database.

J Matern Fetal Neonatal Med. 1995;152:1514-1516 Antidepressants post breakup. Once the initiative is provided, the person is usually capable and willing antidepressants post breakup to be involved in a particular activity. excited speech patterns and chronic talking. Auxiliary lucy paxil and antidepressants post breakup alcohol cravings cut in. d.

Things You Can Do. SSRI antidepressants have been shown to increase the lifetime risk of breast cancer from 12.

Side effects: dizziness, ataxia, slurred speech, confusion, nausea, rash. In the treatment group 28/28 patients (100%) analyzed patients participating in the trail reported adverse effects whereas 28/29 patients (97%) reported adverse effects under placebo [RD +4% CI: −18%; +24%]. (Drug Reference is not available in all systems. FDA Suicide Warnings About Antidepressants Cut Rates of Depression Diagnosis and Treatment. Read more on Black Dog Institute website. Available for viewing at: www. Make sure your child doesn’t stop antidepressant treatment without the guidance of antidepressants post breakup the prescribing doctor.

Likelihood based on available evidence : 2. Everyday habits—eating, sleeping, and exercising well—have a huge impact on our well-being, regardless of whether or not antidepressants are prescribed. Serotonin is a chemical messenger or neurotransmitter that affects mood. Who cannot take MAOI antidepressants?
It is normally recommended that you avoid taking MAOI antidepressants if you: Have bipolar disorder and are in a manic phase. And then i fought in the first and second gulf wars, somalia and kosovo from the front seat of a combat trains truck. It can be triggered by psychological problems, chronic pain, different physical illnesses or biological imbalances.