I have read this thread with great interest at to see what others think about depression, other mental illness (bi-polarism), and the use of medications. Unfortunately, I have come to the conclusion that most people still do not understand the nature of these diseases and the treatments available.
I do agree that many doctors perscribe medications as a quick fix when the illness has not been diagnosed correctly. Losing ones loved one is not clinical depression, though it may feel like it at the time. It is normal for one to greive the loss of someone close to them. This can last quite a time. I'm not stating that this is not a form of depression, it absolutely is, however in most cases, after time the person will be able to resume full functionality. Divorce, alimont payments, loss of a pet, loss of a job, etc. can cause the same temporary effect.
Clinical depression, (a feeling of uselessness, sadness, lack of motivation, cronic sleeping or insomnia, feelings it will never get better, possible thoughts of suicide) is usually caused by a chemical imbalance in the brain. Bi-polarism, is a cross between depression and mania (excitableness, jitters, cronic talking and fidgeting, sometimes confusion, anxiety, etc.).
Another way to think about it is to bicture a graph. If there was a flat horizontal line running across it that represented the emotions of a normal persion, depression would be below that line. Mania would be above the line and bi-polar would be fluctuating between the two extremes.
The typical causes of depression and bi-polarism id that the brain either produces too little or too much seratonin. The receptors that pick up the seratonin, have a problem regulating the amount needed to function normally. SSRI drugs regulate this imbalance, and allow the brain to function "almost" normally. One of the problems being, that different people react differently to different amounts of these drugs, and different variations of them. Effexor might work well at a low dose for one person, at a high dose for another, and not at all for a third. A qualified doctor may spend many months trying to figure what drugs and in what quanitities work best.
A lot of work has gone into these drugs in recent years. When I first started taking them, if I saw a child hit by a truck I wouldn't have batted an eye. I was totally emotionally numb. With the newer meds, my emotions, (sans depression), have almost fully returned. Colours are not as bright, and roses don't quite smell so sweet, if you know what I mean, but the alternative is far worse.
Further, these drugs may have some pretty harsh side effects. For some people it is impotence, problems ejaculating, dry mouth, anxiety, stomach aches, nausea, and muscle soreness. The question one must ask themselves before taking these medications is "are the side effects better than the problem of depression?" This is a question only the patient and his/her doctor can answer. It is for nobody else to decide, as others have no idea what is going through an individuals mind, and have no idea what sort of emotional pain tolerance they are capable of enduring.
Psychyitrists can and do help. Good luck getting one though, quite often they are booked months in advance and are only able to take a person on a waiting list. Qualified therapists can help as well, however not many, (if any), are covered by OHIP. At the cost of $100-$300 per week though, they may not be affordable to the masses, especially if one does not have a comprehensive benefit plan. I firmly beleive that friends and family may do more harm than good by offering advice as they are not trained and qualified, and basically do not understand and individuals issues.
One of the common misconceptions is that depression is more likely in the poor folks. Infact, depression strikes about 1 in 10 people in their lifetime regardless of age, race, or social status. It is one of the leading causes of workplace cronic absenteeism. On top of that, many depressive turn to substance abuse to help ease the pain of the depression. One of the causes of addiction is exactly that, a temporary relief from the underlying issues that are causing pain in ones life. Therefore, addiction is a symptom of a cause, an effect.
In short, in my opinion, many people do not understand what depression is, what causes it and what effective treatments are. People jump on the 'drug are bad' bandwagon, believe that a person can just shake it off, or are basically ignorant about mental illness, (through no fault of their own). The same was true of AIDS in the 1980's, with people believing it was a gay disease. With more knowledge, people learned that no one is immune, and how to take precautions to protect themselves. Unfortunately, mental illness is still usually swept under the rug and people do not understand it for what it is. An illness.
Peace, health and happiness all.