Our expert says:
Sometimes there are very obvious reasons why one feels depressed : this form used to be called a Reactive Depression. Situations can arise in life which are so miserable anyone would feel depressed. But in the more common form of depression, and especially of Bipolar Depression, are caused more by chemical anomalies within the nervous system. And for someone who likes to find logical explanations for everything, it can feel very frustrating not to be able to identify obvious factors in life which seem to explain why one is feeling so bad.
Often, treatment may include antidepressants (like the Cilift here ) to help with the depressions that arise, medication to help calm the manic / hyper episodes, and drugs called Mood Stabilizers such as the Camcolit in this case, Lithium, which helps to stabilize the extreme mood swings which can be so disabling.
Fluanxol ( Flupenthixol) is used mainly to treat depression and anxiety. It was, earlier, also used in psychotic illnesses like schizophrenia.
When depression is treated, it sometimes happens that as the mood starts to lift a little, paradoxically, someone may for a time think more of suicide, which is why I prefer to ensure that the individual also gets counselling and emotional support to help them through this phase.
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