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| John wrote:
> Hi,
>
> I just wonder if there's anyone who has had a low Testosterone level for a
> long time (many years), and during that time developed depression? In that
> case, was it enough to restore the Testosterone level to normal to get out
> of the depression? Or can it be that a non-Testosterone dependant depression
> develops during the period of low Testosterone? In that case can
> anti-depressants be needed (in addition to restoring the Testosterone level)
> to combat the depression?
>
> Please comment.
>
I've been attending a bipolar-depression support group as a supporting
relative for several years. The group has seen cases of both females
and males who suffered clinical depression as a result of severe hormone
deficiency. Results have varied but I think the odds are in favor of
giving TRT/HRT a chance to work, possibly with brief psycho therapy to
identify and help with any issues (substance abuse, PTSD, hormone
deprivation, etc.) that might be contributing.
Bottom line: If it were me and I wasn't thinking suicide and was
functional on a daily basis (i.e. get up, work, and show at least
minimal socialization), I'd be tempted to let the 'T' work along with a
visit to some counseling. If the pain of depression wasn't leaving
within a month or two, I'd then consider a combination of therapy and
anti-depressants. OTOH, if I were unable to get out of bed in the
morning, was neglecting basic hygiene or was suicidal then I'd want
psycho-therapy + an anti-depressant.
Opinion: Too often, HMOs and M.D.s use the pill route as a quick, low
cost means to elevate mood. It's more cost effective than therapy.
Unfortunately, many users of anti-depressants complain of reduced libido
and lack of satisfaction when they dutifully force themselves into sex.
This is a lot like diabetes. Insulin can correct the chemistry but
starting out with a diet and exercise regimen might avoid Insulin all
together.
Best wishes for a good recovery. ....LMac
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