“What do you know about herbal remedies for depression?”
The good news about depression is that we now know more than ever about this extremely common medical condition. The bad news is that I’m not convinced that there’s any truly effective herbal remedy that really works, especially for more severe cases. Natural remedies like St. John’s wort may get talked about quite often in internet chat rooms and supermarket magazines but the science behind them is often less compelling than it might seem.
But if you would like to take a stab at addressing symptoms of mild depression with herbs and nutritional supplements, here are a few to discuss during your next visit to your physician:
St. John’s Wort
In recent years, much attention has been paid to a small flowering herb known as St. John’s wort. Approved by Germany’s Commission E, this remedy is usually sold not as a “cut” herb but as a standardized extract. And some studies have found that this extract performs as well as some of the most popular prescription depression medications. St. John’s wort, for some people who take it, may help ease related symptoms, too—like insomnia and fatigue.
But one issue that gets only a cursory glance on health forums is the potential for side effects. St. John’s wort is known to interact with dozens of prescription medications and can also cause, in rare cases, severe sunburn-like injuries that doctors call phototoxic reactions. Then there’s the problem of time. St. John’s wort won’t work for everyone and when it does, it often takes a month or more to begin.
Ginkgo biloba
Ginkgo biloba, which is usually just referred to as “ginkgo” is another herb sold mainly as a standardized extract and, like St. John’s wort, is showing potential. But unilke SJW, ginkgo may be especially helpful to older people who may not respond well to mainstream depression medications. Exactly how (or even if) ginkgo actually works for depression is unknown at this time.
Non-Herbal Approaches to Mood Disorders
As our knowledge about depression continues to expand, science sometimes presents conflicting information about how best to address it. A few studies have suggested, for instance, that allergies to food additives may trigger some forms of depression while exposure to sunlight may help alleviate symptoms. (In fact, the link to sunlight exposure is so strong that sunlight-linked depression actually has its own name—SAD or seasonal affective disorder.)
Exercise may also help many people. Dr. Andrew Weil tells his web site’s visitors that there’s no better approach to mild depression than regular exercise. Indeed, researchers beleive that regular aerobic exercise may provide a one-two-punch against symptoms of mild depression. Exercise increases levels of “happy” hormones and helps your body better use insulin, which in itself is linked to better control of depression symptoms.
SAM-e
SAM-e, or S-adenosyl-l-methionine, is a chemical found naturally in every living cell. In the human body, this vital substance is an active player in at least 40 different reactions. SAM-e is best-known as a natural treatment for cirrhosis and some types of arthritis but SAM-e may also help many people better deal with depression. SAM-e may not be appropriate for people with bipolar disorder but for most others, SAM-e is well-tolerated and seems to have far less potential for drug interactions than herbs like St. John’s wort.
Now, it should go without saying that depression is a medical condition and only a qualified health care professional should be giving medical advice to depression sufferers. And remember, “natural” doesn’t automatically make something “safe”. Every herbal remedy discussed in this article has at least some potential for side effects and most have at least some potential to interact with other herbs and/or prescription medications. So, if you would like more information about these or any other herbal remedies for depression, talk to your doctor for the information that’s right for you.
References:
Blumenthal, M., et al. (1998). The Complete German Commission E Monographs.
Schubert, H., et al. (1993). Depressive episode primarily unresponsive to therapy in elderly patients; efficacy of Ginkgo biloba extract (EGb 761) in combination with antidepressants.
Weil, A. Natural Depression Treatment. Retrieved from drweil.com on May 15, 2008.
Brown, M., et al. (1981). Food allergy in polysymptomatic patients.
Matinsen, E. (1985). Benefits of exercise for the treatment of depression.
Bressa, G. (1994). S-adenosyl-l-methionine (SAMe) as antidepressant: meta-analysis of clinical studies.