What are the two most common treatments for emotional distress?

The two most common treatments used by professionals for emotional distress are psychotherapy and psychotropic medications, drugs that affect the central nervous system and can change emotions or moods. Antidepressants are now commonly used, often recommended by family and friends and prescribed frequently by health care providers. While these drugs help some people, their promotion and use are not without problems.

Prozac, Zoloft, Paxil, and Celexa are the brand names of some widely used drugs called selective serotonin reuptake inhibitors, or SSRIs. Like many drugs submitted for FDA approval, SSRIs have often been studied for a relatively short period of time before they are approved, and their negative effects, such as sleep, digestive, and sexual problems, as well as increased risk of suicide, tend to be downplayed or even concealed by the companies that sell them. Thus, it is not widely recognized that for some people who react well initially to SSRIs, the beneficial effects may wear off after a few months.

For women who choose to take mood-altering drugs in order to blunt disturbing feelings enough to get through a crisis, that might not be a problem. But women who hope that a drug will make them feel better over the longer term should know that the good effects sometimes wear off or diminish, and sometimes the drug that originally made one feel better can begin to make one feel worse. Indications that you may be suffering from depression include prolonged periods of fatigue; loss of pleasure in activities; feelings of worthlessness, sadness, or hopelessness; decreased or increased appetite; indecisiveness; tearfulness; and suicidal thoughts.

But these symptoms may not signify that a person is depressed because they are common among the general population. Professionals differ in where they draw the line between the kind of depression that is sometimes just part of life and the kind that is serious and includes the risk of suicide. Furthermore, many symptoms may be the effects of physical illnesses.

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