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Other than the death of a loved one or a major illness, divorce is one of the biggest life stressors you may face. It's a complicated decision, both legally and emotionally, and it's not uncommon for depression and divorce to occur together.
Depression after divorce is common because it's a major loss that can bring with it immense grief. Sometimes, a traumatic event like divorce may exacerbate a preexisting mental health condition or lead to the development of a new one. What are the signs you should look out for, and how can you prepare for them as you navigate this difficult time?
During a divorce, you're attempting to live your everyday life on top of juggling all of the divorce-related stressors. It can be emotionally and mentally draining for anyone, so it's not surprising if you're wondering whether what you're feeling right now is from divorce, depression, or both.
Common stressors during this time can include needing to start over, deciding whether to keep your marital home or move, losing the life and lifestyle you know, paying high lawyer fees, and managing your children's reactions if you're a parent. And then, of course, there's the stress of the unknown. You may wonder if the divorce settlement agreement will be just, if you'll get the assets you want and need, and if your employment status will need to change (e.g., if you need to go back to work after you've been a stay-at-home parent). You may also wonder how divorce will affect your kids and other relationships in your life, like mutual friends.
If you're also managing symptoms of depression, these stressors can be even more difficult to manage. It can be hard to distinguish whether you're experiencing expected stress and/or depression, especially since the two often coexist. However, there are some specific symptoms of depression that aren't caused by everyday stress. These symptoms can include fatigue, feelings of worthlessness or hopelessness, weight loss or gain, and thoughts of death or suicide.
While you might feel that this isn't the right time to seek treatment, remember that depression can also impact decision-making capacity, and it's critical to be able to think clearly and advocate for yourself while you're dealing with a life decision as complicated as divorce. When symptoms from depression and divorce start impacting your life—if you have trouble making it to work or keeping up with your responsibilities, for example—it may be time to seek treatment.
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One of the best ways you can advocate for yourself if you're experiencing depression during your divorce is to seek care. Your first line of treatment will likely be either talk therapy or medication. You may want to talk to your primary care provider and see if they have a referral to a therapist. If you're prescribed medication, don't be discouraged if the first pharmacological treatment you try isn't the one for you—less than 30% of people find the right one on the first try.
However, if you've tried two or more medications and are still experiencing symptoms of depression, you're not out of solutions. Another option to consider is transcranial magnetic stimulation (TMS), a treatment that uses magnetic pulses to gently stimulate areas of the brain. TMS is non-invasive, and its treatments are short (about 20 minutes), creating minimal disruption to your already full routine.
It's common to experience depression during or after divorce, but you don't have to feel this way. If you're not feeling better after medication and therapy, then consider looking into other treatments, such as TMS. But above all, be sure to give yourself grace while going through this hard time, and as much time as you can when making a big decision.
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NeuroStar Adult Indications for Use
The NeuroStar Advanced Therapy System is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety symptoms in adult patients suffering from Major Depressive Disorder (MDD) and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode.
The NeuroStar Advanced Therapy System is intended to be used as an adjunct for the treatment of adult patients suffering from Obsessive-Compulsive Disorder (OCD).
NeuroStar Adolescent Indications for Use
NeuroStar Advanced Therapy is indicated as an adjunct for the treatment of Major Depressive Disorder (MDD) in adolescent patients (15-21).
Important Safety Information
NeuroStar Advanced Therapy is only available by prescription. A doctor can help decide if NeuroStar Advanced Therapy is right for you. Patients’ results may vary.
The most common side effect is pain or discomfort at or near the treatment site. These events are transient; they occur during the TMS treatment course and do not occur for most patients after the first week of treatment. There is a rare risk of seizure associated with the use of TMS therapy (<0.1% per patient).
Visit neurostar.com for full safety and prescribing information.
Important Safety Information
What is the most important information I should know about SPRAVATO®?
SPRAVATO® can cause serious side effects, including:
Do not take SPRAVATO® if you:
If you are not sure if you have any of the above conditions, talk to your healthcare provider before taking SPRAVATO®.
Before you take SPRAVATO®, tell your healthcare provider about all of your medical conditions, including if you:
Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Taking SPRAVATO® with certain medicine may cause side effects.
Especially tell your healthcare provider if you take central nervous system (CNS) depressants, psychostimulants, or monoamine oxidase inhibitors (MAOIs) medicine. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.
How will I take SPRAVATO®?
What should I avoid while taking SPRAVATO®?
Do not drive, operate machinery, or do anything where you need to be completely alert after taking SPRAVATO®. Do not take part in these activities until the next day following a restful sleep. See “What is the most important information I should know about SPRAVATO®?”
What are the possible side effects of SPRAVATO®?
SPRAVATO® may cause serious side effects including:
See “What is the most important information I should know about SPRAVATO®?”
Increased blood pressure. SPRAVATO® can cause a temporary increase in your blood pressure that may last for about 4 hours after taking a dose. Your healthcare provider will check your blood pressure before taking SPRAVATO® and for at least 2 hours after you take SPRAVATO®. Tell your healthcare provider right away if you get chest pain, shortness of breath, sudden severe headache, change in vision, or seizures after taking SPRAVATO®.
Problems with thinking clearly. Tell your healthcare provider if you have problems thinking or remembering.
Bladder problems. Tell your healthcare provider if you develop trouble urinating, such as a frequent or urgent need to urinate, pain when urinating, or urinating frequently at night.
The most common side effects of SPRAVATO® include:
If these common side effects occur, they usually happen right after taking SPRAVATO® and go away the same day.
These are not all the possible side effects of SPRAVATO®.
Call your doctor for medical advice about side effects. You may report side effects to Johnson & Johnson at 1-800-526-7736, or to the FDA at 1-800-FDA-1088.
What is SPRAVATO® (esketamine) CIII nasal spray?
SPRAVATO® is a prescription medicine used:
SPRAVATO® is not for use as a medicine to prevent or relieve pain (anesthetic). It is not known if SPRAVATO® is safe or effective as an anesthetic medicine.
It is not known if SPRAVATO® is safe and effective for use in preventing suicide or in reducing suicidal thoughts or actions. SPRAVATO® is not for use in place of hospitalization if your healthcare provider determines that hospitalization is needed, even if improvement is experienced after the first dose of SPRAVATO®.
It is not known if SPRAVATO® is safe and effective in children.
Please see full Prescribing Information, including Boxed WARNINGS, and Medication Guide for SPRAVATO® and discuss any questions you may have with your healthcare provider.
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