Living with depression, anxiety and bipolar disorder
November 2007
Home
Newsletter
Articles
Bookstore
Send page to a friend
Resources
About us
Community
Contact us
Site map

Of Like Minds is now Mood!
Find us at www.moodletter.com
and change your Favorites listings

Sign up for our newsletter

Over 175 articles on:

Help support Mood --
$1/month for a year?

Donate by mail

Bookstore

©Moodletter, 2008
For people living with mood and anxiety disorders and others who want to be happier and healthier. Moodletter is a non-profit organization.


HONcode accreditation seal.
We comply with the HONcode standard for health trust worthy information:
verify here.

 

Maybe it’s not depression
Other medical conditions may be to blame


 

Summary

Symptoms of illnesses that have physical causes, such as thyroid conditions, can mimic those of depression. Certain medications can cause them, too. Your doctor can make a diagnosis only on the information you provide, so it’s important to recognize what’s important to tell her.

Low energy, lack of interest in things once found pleasurable, fatigue and difficulty concentrating are typical symptoms of depression, but can also be caused by hypothyroidism, sleep disorders, chronic infections, alcohol use and stroke.

Medications that can cause symptoms of depression include some steroids, hormones, painkillers, tranquilizers, many medications for blood pressure, anxiety and heart conditions; and over-the-counter nighttime cold remedies.

If you’re being evaluated by your primary care physician or a psychiatrist for what you think might be depression, be sure to discuss all your symptoms, especially physical ones. And, don’t forget to tell her what medications you’re taking.


Have you read these?

 

Symptoms of illnesses that have physical causes, such as thyroid conditions and infection, can mimic those of depression. Certain medications can cause them too. Your doctor can make a diagnosis only on the information you provide, so it’s important to recognize what’s important to tell her about what you’re experiencing.

Low energy, lack of interest in things once found pleasurable, fatigue and difficulty concentrating are typical symptoms of depression. But, here are some other conditions that are characterized by similar symptoms.

“Low levels of thyroid hormone (hypothyroidism) can cause depression,” says psychiatrist Jim Phelps, MD, author of Why Am I Still Depressed?.  “High levels (hyperthyroidism) can cause anxiety and agitation.”

The thyroid gland pumps out hormones that regulate metabolism, heart rate and body temperature.  Imbalances in these hormones can cause depressed mood, weight loss or gain, fatigue and memory and concentration problems –just like depression. 

“An evaluation of mood problems should include a check of your thyroid status, ” says Phelps. If your doctor doesn’t mention it, he suggests you gently wonder aloud about whether it might be a good idea.

Bipolar disorder is often misdiagnosed as major depression. It’s important to diagnose it correctly, because if bipolar disorder is treated with antidepressants, your condition may not improve and can even worsen.

Other conditions that mimic depression include:

Sleep disorders, such as ongoing insomnia or sleep apnea, can contribute to depression and make it more resistant to treatment. Sleep apnea is a condition which causes snoring, interrupted breathing and fragmented sleep. The person will not remember these nighttime struggles. The disorder can be treated.

Alcohol use or abuse can cause the fatigue and fuzzy-headedness of depression. And, the underlying causes of alcohol abuse may be related to depression.   

 

 

 

 

 

 

Doctor with stethoscopeSome chronic infections (e.g. Hepatis B or C) or malignancies (including Hodgkin's lymphoma) can also cause the type of fatigue and lethargy typical of depression

Stroke and Parkinson’s Disease can cause symptoms typical of depression

Some medications can cause depression symptoms:

  • Oral steroids, such as Prednisone, often taken for asthma or joint pain
  • Hormones, such as progesterone and estrogen
  • Pain medications, such as Percocet
  • Tranquilizers, such as Valium and Xanax
  • Most blood pressure medications
  • Prescription antianxiety medications known as benzodiazepines
  • Heart medications, such as digitoxin (Crystodigin) and digoxin (Lanoxin)
  • Over-the-counter nighttime cold remedies

If you’re being evaluated by your primary care physician or a psychiatrist for what you think might be depression, be sure to discuss all your symptoms, especially physical ones, even if you don’t think they’re related. There may be hidden causes. And, don’t forget to tell her what medications you’re taking.

Related articles
Symptoms of depression
Understanding depression
Guide to psych meds

 

Sources
Fieve, Ronald R., (2006) Bipolar II: …The Essential Guide to Recognize and Treat the Mood Swings..., Rodale Books
Mondimore, Francis Mark, MD, (2006) Bipolar Disorder Bipolar Disorder: A Guide for Patients and Families (2nd Edition) Johns Hopkins University Press 
Phelps, Jim, MD, (2006) Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder McGraw-Hill
Walsh, Teri Hidden Cause of Fatigue & Depression, Prevention.com

More articles