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Areas › Low mood and hard feelings › When everything feels flat
It works on the systems carrying drive and alertness rather than on serotonin, which is why its effects, wanted and unwanted, sit at an angle to the rest of the field. Sexual side effects are uncommon with it. Anxiety and sleeplessness are more likely. If general advice about antidepressants keeps failing to match your experience, this may be the reason.
There truly is a sign in this for those who think (Quran 16:69). Attention to the particular case, rather than the general rule, is part of what thinking is for.
النحل
ثُمَّ كُلِي مِن كُلِّ ٱلثَّمَرَٰتِ فَٱسۡلُكِي سُبُلَ رَبِّكِ ذُلُلࣰ اۚ يَخۡرُجُ مِنۢ بُطُونِهَا شَرَابࣱ مُّخۡتَلِفٌ أَلۡوَٰنُهُۥ فِيهِ شِفَآءࣱ لِّلنَّاسِۚ إِنَّ فِي ذَٰلِكَ لَأٓيَةࣰ لِّقَوۡمࣲ يَتَفَكَّرُونَ
Then feed on all kinds of fruit and follow the ways made easy for you by your Lord.’ From their bellies comes a drink of different colours in which there is healing for people. There truly is a sign in this for those who think
Qur’an 16:69read it in the library
Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.
What holds across a field does not always hold in one corner of it. A meta analysis of behavioural activation in older adults found that it reduced depressive symptoms, while noting that the number of trials was small and their quality variable. General findings and particular cases have to be checked separately.
Orgeta V, Brede J, Livingston G. (2017). Behavioural activation for depression in older people: systematic review and meta-analysis.. The British journal of psychiatry : the journal of mental science doi
Strength of evidence: one line of research. A single study, or a theoretical account.
A drug that works through a different system produces a different set of effects.
Nearly all of them do the one thing: keep a monoamine hanging about in the synapse for longer. So when you hear that some other tablet is stronger, be a little sceptical.
Ask what the behaviour does for them, and then ask how they would like to feel instead. Both questions open more than telling them to stop ever does.
Heaviness in the body, aching, and a tiredness that sleep does not touch are part of low mood. They are not a separate complaint to raise another time.