What's the connection between diabetes and depression? How can I cope if I have both?

Diabetes and depression: Coping with the two conditions

What's the connection between diabetes and depression? How can I cope if I have both?

Answer

If you have diabetes, you have an increased risk of developing depression. And if you have depression, you have a greater chance of developing type 2 diabetes. The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive outcome on the other.

How they're related
Though the relationship between diabetes and depression isn't fully understood:

• The rigors of managing diabetes can be stressful and lead to symptoms of depression.
• Diabetes can cause complications and health problems that may worsen symptoms of depression.
• Depression can lead to poor lifestyle decisions, such as unhealthy eating, less exercise, smoking and weight gain — all of which are risk factors for diabetes.
• Depression affects your ability to perform tasks, communicate and think clearly. This can interfere with your ability to successfully manage diabetes.

Managing the two conditions together

• Diabetes self-management programs. Diabetes programs that focus on behavior have been successful in helping people improve their metabolic control, increase fitness levels, and manage weight loss and other cardiovascular disease risk factors. They can also help improve your sense of well-being and quality of life.
• Psychotherapy. Similarly, participants in psychotherapy, particularly cognitive behavioral therapy, have reported improvements in depression, which has resulted in better diabetes management.
• Medications and lifestyle changes. Medications — for both diabetes and depression — and lifestyle changes, including different types of therapy coupled with regular exercise, can improve both conditions.

If you have diabetes, watch for signs and symptoms of depression, such as loss of interest in normal activities, feelings of sadness or hopelessness, and unexplained physical problems like back pain or headaches.

If you think you might be depressed, seek help right away. Your doctor or diabetes educator can refer you to a mental health professional.

I'm curious about marijuana and depression. Can marijuana cause depression?

Marijuana and depression: What's the link?

I'm curious about marijuana and depression. Can marijuana cause depression?

Answer  

Some research suggests that marijuana smokers are diagnosed with depression more often than nonsmokers are — particularly regular or heavy marijuana users. However, it doesn't appear that marijuana directly causes depression.

It's likely that the genetic, environmental or other factors that trigger depression also lead to marijuana use. For example, some people may use marijuana as a way to cope with depression symptoms. Heavy users may also appear depressed as a result of the dulling effects of the drug on feelings and emotions.

There are also links between marijuana and other mental health conditions. Marijuana use may trigger schizophrenia or detachment from reality (psychosis) in people who are at higher risk of psychosis. The symptoms of diagnosed psychotic illness and its course may be aggravated if marijuana use continues. There is also some evidence that teenagers who attempt suicide may be more likely to have used marijuana than those who have not made an attempt. As with marijuana use and depression, more research is needed to better understand these associations.

The bottom line: Marijuana use and depression accompany each other more often than you might expect by chance, but there's no clear evidence that marijuana directly causes depression.

Is there a link between pain and depression? Can depression cause physical pain?

Pain and depression: Is there a link?

Is there a link between pain and depression? Can depression cause physical pain?

Pain and depression are closely related. Depression can cause pain — and pain can cause depression. Sometimes pain and depression create a vicious cycle in which pain worsens symptoms of depression, and then the resulting depression worsens feelings of pain.

In many people, depression causes unexplained physical symptoms such as back pain or headaches. This kind of pain may be the first or the only sign of depression.

Pain and the problems it causes can wear you down over time, and may begin to affect your mood. Chronic pain causes a number of problems that can lead to depression, such as trouble sleeping and stress. Disabling pain can cause low self-esteem due to work, legal or financial issues. Depression doesn't just occur with pain resulting from an injury. It's also common in people who have pain linked to a health condition such as diabetes or migraines.

To get symptoms of pain and depression under control, you may need separate treatment for each condition. However, some treatments may help with both:

• Antidepressant medications may relieve both pain and depression because of shared chemical messengers in the brain.
• Talk therapy, also called psychological counseling (psychotherapy), can be effective in treating both conditions.
• Stress-reduction techniques, physical activity, exercise, meditation, journaling and other strategies also may help.
• Pain rehabilitation programs, such as the Pain Rehabilitation Center at Mayo Clinic, typically provide a team approach to treatment, including medical and psychiatric aspects.

Treatment for co-occurring pain and depression may be most effective when it involves a combination of treatments.

If you have pain and depression, get help before your symptoms worsen. You don't have to be miserable. Getting the right treatment can help you start enjoying life again.