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Do Antidepressant Medications Work? — Talkspace

Do Antidepressant Medications Work? — Talkspace


Factors That Influence the Effectiveness of Antidepressants

When we look at how depression medication works, we need to review the various factors that come into play. Antidepressant efficacy can depend on anything from unique genetic makeup to your overall health, lifestyle habits, dosage, and the type of medication you’re on. 

Genetics

Just like genetics play a role in conditions you might be predisposed to, they can also factor into how well a drug does or doesn’t work for you. Pharmacogenomics studies how genes play a part in response to certain types of medication, including any depressants. For example, some people have a gene that helps their body break down medication more quickly, which can impact overall efficacy.

“The effectiveness of antidepressants varies between different patients. A patient’s particular symptoms, medical conditions, and previous antidepressant responses by a family member are all considered in choosing the right antidepressant.”

Talkspace psychiatrist Dr. Dion Metzger

Type and severity of depression

The specific type of depression you’re trying to manage and how severe it is can impact how well an antidepressant works. People with severe depression often find that one medication is more successful than another. Tailoring treatment based on individual symptoms and reactions to drugs is a critical part of any treatment plan. 

Co-existing medical conditions

There’s a high prevalence of experiencing depression comorbidly with other physical health conditions — like cancer — according to research. The rate of depression with other mental health conditions is also high. For example, studies show that depression and anxiety are often experienced together. 

Lifestyle

Lifestyle habits also directly impact medication outcomes — a healthy lifestyle can enhance how well any treatment plan works. Regular exercise, a balanced diet, and a consistent, healthy sleep habit can boost mood and improve the outcome of antidepressant medication.

Dosage and adherence to medication 

Taking any drug as prescribed is a vital component of a successful treatment plan. Missing doses or abruptly stopping any antidepressant can do more than make your medication less effective — it can lead to withdrawal symptoms. Never stop taking your antidepressant or change your dosage without talking to your doctor first. Treatment adherence is critical when you are taking any antidepressants.

Dosage guidance isn’t the same for everyone. Your doctor will start you on most antidepressants with a low dose. They may gradually increase dosage if needed until you see optimal performance with minimal side effects. In some cases, you might need to switch medications. 

Type of antidepressant 

We know that different types of antidepressants can work differently for everyone. Sometimes, there’s an element of trial and error in the process as you and your doctor try to find the best medication to alleviate your symptoms and improve your condition. Fortunately, there are several variations of antidepressants in different classes of drugs — one may work better for you. Be patient as you go through the process of starting or changing depression medications. It will be worth it in the long run.

If you still aren’t convinced, consider these signs of when to consider antidepressants.



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