The Pain of Clinical Depression

Many of us think of depression as a psychological condition. The causes of depression are sought in the person's childhood or in her personal circumstances as an adult. But within the last 10 or 20 years depression is increasingly being evaluated within a physiological context. Various disease states and physical disorders are being recognized as important contributors to depression. This viewpoint is empowering to persons with depression and often provides a way forward when progress has been minimal or absent.
Those with depression experience both physical and psychological pain. It is well-documented that chronic physical pain can lead to depression. Also, it is well-known that depressive states can cause physical pain. A feedback loop (vicious circle) is often created in which physical pain makes a person's depression worse and the person's depression makes the physical pain worse.
In addition, changes in brain physiology may cause a person to be depressed. In other words, abnormal electrical activity in the brain - which, of course, is not under the person's conscious control - may result in depression. The brain's electrical activity is evaluated by a method known as quantitative EEG (QEEG).1 For those with clinical depression, the QEEG often demonstrates too much slow-wave activity in the left front brain (prefrontal cortex) and too much fast-wave activity in the right prefrontal cortex.
For those with clinical depression, the light of the world is considerably dimmed. The mood of a depressed person is low and he loses interest in normally pleasurable activities. Depressive disorders interfere with a person's work and/or school activities, family life and social life, and overall health. Lack of energy, lack of appetite, and decreased physical activity are all associated with clinical depression.
An access to relieving chronic depression may be found in encouraging the person to begin to engage in physical activity.2,3 Such activity may be difficult for those who are severely depressed, and yet all persons with depression should be presented with this form of therapy.
Additionally, chiropractic care may be of great benefit for those with clinical depression. The pain relief and improved musculoskeletal function afforded by chiropractic care may help reduce the physical component of ongoing depression.
1Hargrove JB, et al: Quantitative electroencephalographic abnormalities in fibromyalgia patients. Clin EEG Neurosci 41(3):132-139, 2010
2Gill A, et al: Clinical Inquiries: Does exercise alleviate symptoms of depression? J Fam Pract 59(9):530-531, 2010
3Uebelacker LA, et al: Hatha yoga for depression: critical review of the evidence for efficacy, plausible mechanisms of action, and directions for future research. J Psychiatr Pract 16(1):22-33, 2010

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  • "Dave, Hard to put into words how much better I feel. After I left your office, I returned to the shop preparing to go home due to my pain. A customer came in needing a set of 4 tires. I somewhat resisted but decided to gut it out. Halfway through the set I realized I headache was gone. Amazing. Thanks so much for your care and professional expertise."
    Mike
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    Dr. Silbert is a caring, compassionate and extremely knowledgeable practitioner. My appointments not only relieved my pain but also my mind, as he patiently gave me more insight as to what was really happening in my body. He was very reassuring and confident that he could help my condition. Definitely the best experience I have ever had with anyone in the medical field."
    Kate J.
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    I found the staff at this office to be very friendly and helpful. They made me feel like an old friend. Surprisingly I was recommended by an ER doctor for “Active Release Therapy ” on my back and was surprised to learn that Dr. Silbert is the only chiropractor within about an hour drive that does this therapy. It is a slow process and I’ve only had 2 appointments but I would recommend them to anyone. Thank you."
    Cindy R.
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    While home training this summer, I began to encounter discomfort while working out. The joints around my knee were giving me pain. My greatest fear was I would have to give up my bobsled racing. A family friend recommended I see Dr. Silbert. After one visit I noticed a difference right away. My body is moving better and my training has resumed my competitive level. The success of my office visits has made my teammates want to see Dr. Silber."
    Valerie S. USA Women Bobsled Team