Teenage Depression Beware of utilizing Alcohol and Marijuana

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As a psychiatrist that focuses primarily on alcoholism and addiction, we treat a number of depressed college students with antidepressants. This age group tends to experiment with drugs and alcohol. I have observed over the years of my practice, that the antidepressants I prescribe do not seem to be as effective in someone who is marijuana that is using alcohol whether or not the use is infrequent. Listed below are 2 situations i've treated that illustrate this point.
mental health helpline : I treated a 19 year college that is old for anxiety and depression. He said he occasionally used marijuana to calm himself before a social event (weekly or every other week) because he felt more comfortable around people when he was high. He failed to react to two antidepressants that are different prescribed over the course of 12 weeks. I told him that his alcohol and marijuana use on the week-ends could be interfering with the medications effectiveness. He agreed to go without cannabis or alcohol for a month. Sure sufficient, their social anxiety started to diminish even though I had not changed the dose of his antidepressant or added any new medications. He experienced significantly reduced depression and anxiety and has not came back to marijuana or alcohol. He reported planning to social functions, having a great time, and feeling more self confident than when he first came to see me personally.
Case 2: I treated a 21 year old college girl for depression that would go out with her friends drinking on week-ends. She said she used drinking to anesthetize herself and escape her feelings of depression. She did not drink at all during the week. I prescribed the same antidepressant she had done well on when she was 14 years old. However, after 6 weeks on a dose that is therapeutic remained depressed. At 14, she was not drinking alcohol. I explained to her that alcohol was a central nervous system depressant and was probably counteracting the effects of the antidepressant. I asked her to stop drinking and let the medication do its job. She consented to this because her depression had gotten progressively even worse over a few weeks and she felt miserable. Four weeks later on, she felt less depressed. She reported looking forward to the day, finding it easier to keep up with her work, and participating in more activities with her friends.
Both these cases provide anecdotal research that the antidepressants I prescribe for depression or anxiety don't appear become as effective when my college people are actively alcohol that is using marijuana. I explain to him/her that it is tough for me to make positive biochemical changes in the brain with the medications I prescribe when the substances he/she is using counteract the positive effects of the medications when I put a college student on medication.
Research on teenage depression with substance abuse, has tended to focus on teen drug abuse or teenage drinking at the level of abuse or dependence. There has not been https://ask-gabbiebry.tumblr.com/ask on recreational use of marijuana or alcohol in this population. What exactly are the dangers of cannabis and also the dangers of alcohol use whenever used at a low level?
Reduced response that is antidepressant.

The findings of an extremely recent study, conducted by Dr. Benjamin Goldstein et al at the University Of Pittsburgh dealing with depressed adolescents who were using marijuana and alcohol at a recreational level support this. The study was presented on October 26th, 2009 at the American Academy of Child and Adolescent Psychiatry and was summarized in the Medscape medical news. The study revealed that the antidepressant response had been dramatically reduced in depressed teens using marijuana or alcohol on a recreational basis. They studied 334 adolescents with major depressive disorder of which 28.1% used marijuana or alcohol on a recreational basis. The scientists also unearthed that those that quit marijuana/alcohol during the study showed a response that is good antidepressants and those who began utilizing marijuana/alcohol through the study had a lower response to antidepressants.
depression quizlet wouldn't be surprised if the findings outlined in Dr.Goldstein's research regarding teenage marijuana and alcohol use apply to college kids and even older grownups.
Let me reveal the take home message for depressed teens on antidepressants:
You Use, You Lose
In other words, you lose antidepressant response. Keep in mind, recreational usage of alcohol and cannabis interferes aided by the response that is antidepressant.
If antidepressants breastfeeding want to feel better, let the antidepressants do their job in your brain without mixing its effects with other drugs you may want to experiment with. According to this study, antidepressants are most effective for your age group if you are not using drugs or liquor.