Are anti-depression pills in India safe for long-term use? Need advice on side effects

Question

I've been on anti-depression pills (prescribed by my doctor) for almost 8 months now. While they did help with the initial symptoms, I’ve started feeling like a zombie most days—numb and disconnected. Sometimes I have trouble sleeping, other times I can’t get out of bed, and it's like I’m just moving through life without any real energy. I’m worried about becoming dependent on these medications, but I’m also scared to stop because I don’t want to fall back into that dark hole again. Are there safer alternatives or Ayurvedic options in India that can actually help without these side effects? I want to try something natural but not sure where to start. Anyone gone through this?

Dr. Harsha Joy · Accepted Answer

Bipolar disorder, from an Ayurvedic perspective, is often seen as a disturbance in the mental and emotional balance, which can be primarily linked to an imbalance in the Vata and Pitta doshas. Vata governs movement, thoughts, and the nervous system, and when it becomes aggravated, it can cause instability in mood and energy levels. Pitta, on the other hand, is associated with intense emotions, frustration, and irritability, which can exacerbate the mood swings experienced in bipolar disorder. Ayurveda emphasizes treating both the root cause and the symptoms, aiming to restore balance and calm the mind and nervous system naturally.

Herbs like Ashwagandha, Brahmi, and Jatamansi are commonly used in Ayurveda to support mental health. Ashwagandha helps reduce stress and anxiety, stabilizing mood and boosting energy, while Brahmi is known for its calming effects on the nervous system and enhancing mental clarity. Jatamansi is another herb often used to calm the mind and reduce excessive mental activity. These herbs, when used under the guidance of an experienced Ayurvedic practitioner, can help balance the doshas, promote mental clarity, and reduce stress, which may lead to a more stable emotional state.

In addition to herbs, Ayurveda recommends a holistic approach that includes a balanced diet, regular exercise, mindfulness practices, and proper sleep hygiene. For example, incorporating warm, grounding foods and avoiding overly stimulating or acidic foods can help balance the Vata dosha. Yoga and meditation practices that focus on grounding and calming the mind can also significantly reduce the intensity of mood swings and support emotional stability. While Ayurvedic remedies can be very effective for managing the symptoms and improving overall well-being, it is important to consult with a healthcare professional before making any changes to your current treatment plan, especially when it comes to a condition like bipolar disorder. Ayurveda can be a supportive therapy alongside conventional treatments, but it is crucial to approach this condition with a comprehensive and individualized treatment plan.

Dr. Ayush Varma · Answer

First off, it's definitely understandable to feel concerned about the side effects you're experiencing with anti-depressants. They indeed can sometimes make you feel detached, almost like shedding one's own skin. While these medications have their place and can be crucial for some, it's wise to explore options that feel more aligned with your body and mind.

In Ayurveda, we believe in treating depression by addressing dosha imbalances, particularly the Vata and Pitta doshas, which often play a central role. These imbalances can manifest as mental numbness, disconnection, or anxiety, much like you're feeling now. An Ayurvedic approach could help to find balance by nourishing the mind in a holistic way.

Before making any changes, though, it's crucial to consult with your prescribing doctor about tapering off the medications safely, if that's what you decide.

As for natural methods, you might consider incorporating Ashwagandha into your routine. It's a renowned adaptogen which can help in reducing stress and improving energy levels. Take a teaspoon in warm milk or water, once or twice a day. Subtle but consistent practices often bring about change over time.

Meditation and Pranayama (breathing exercises) are also valuable. Set aside a few minutes daily for practices like Nadi Shodhana (alternate nostril breathing); they can gently guide the mind towards calmness and clarity.

A routine is essential, begin with daily Abhyanga (self-massage) using warm sesame oil, followed by a warm shower. This can help in grounding Vata energy, providing a sense of stability.

Also, mind gentle dietary adjustments - consume warm, cooked meals, favoring foods like rice, ghee, milk, almonds, and spices like ginger, which nurture the digestive fire or 'Agni.' Avoid overly spicy or dry foods as these can aggravate both Vata and Pitta.

Reach out to an Ayurvedic practitioner in your area, they’ll be able to delve deeper into your specific constitution and symptoms, offering more personalized guidance.

Just a reminder, when it comes to serious conditions like depression, never hesitate to reach out for help from professionals. It's absolutely okay to seek solace in traditional medicinal wisdom, but it should complement, not substitute, professional medical advice. Hang in there, you're doing the right thing by seeking options and advocating for your own well-being.

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