Porphyria Postpartum preeclampsia Preeclampsia Prescription drug abuse Primary aldosteronism Pulse pressure: Diagnosing depression can be difficult and should be left to a professional. Why higher at home? Stress Stress affects most people, whether it has to do with work or difficult life situations. However, exercising three to five times a week for 30 minutes can reduce your stress level.
People with RA experience the physiologic stress of pain, stiffness, and inflammation, the cognitive stress of uncertainty about the future, and the emotional stress of anxiety about the course of the disease and how it will affect the body over time. RA challenges a person to live with quite a bit of uncertainty. Stress may have an effect on the immune system and may have a role in triggering an RA flare or worsening of RA symptoms.
Adapted from Sutton AL. There are many effective interventions that you can use to reduce stress in your life, including a regular exercise program , yoga , meditation and other relaxation techniques , and counseling. One effective way to acquire skills to help you reduce stress is to work directly with a professional trained in strategies for stress reduction. Depression is common in people with RA, especially those with active disease who experience RA-related disability.
Since depression is a dangerous condition that can increase your risk for doing harm to yourself, it is important to be aware of the signs of depression so that it can be diagnosed and treated as quickly as possible. Diagnosing depression can be difficult and should be left to a professional. If you notice the symptoms of depression in yourself or a friend or family member, alert your doctor and ask for an evaluation. There is agreement among mental health experts that the best treatment for major depression is a combination of antidepressant medication and psychotherapy or counseling.
While each type of treatment can provide some relief for depression, the combination works together and can be highly effective. Only a qualified physician typically a psychiatrist can determine which antidepressant medication will be best for you. However, a variety of types of antidepressants have been used successfully to treat major depression. These include a group of antidepressants called tricyclics, such as Elavil amitriptyline , Pamelor nortriptyline , and Tofranil imipramine , and another group of antidepressants called serotonergic antidepressants, including Zoloft sertraline , Paxil paroxetine , Effexor venlafaxine , and Prozac fluoxetine.
Other types of antidepressants may also be useful, including Wellbutrin bupropion HCl , Serzone nefazodone , and Desyrel trazodone. Because different antidepressants cause slightly different kinds of side effects and no individual person will react the same to every medication, you will need to work with a psychiatrist to find the right antidepressant for you, based on how well it works and how well you tolerate it.
It may take up to 6 weeks to find out how well a particular medication will work for you. So, work closely with your psychiatrist and be prepared to give the process time. A support group can be particularly useful as a place to talk about the emotional challenges and stress associated with living with RA. A support group may be led by an experienced health professional, such as a social worker, psychologist, nurse, or doctor, or it may be member-led such groups are sometimes called peer or self-help groups.
Even if you see yourself as an independent, rugged individual, there are a number of practical benefits that you can get from being a member of a support group. Wiley Publishing, Inc; To find an RA support group in your local area, talk to your doctor or call the Arthritis Foundation at Good news - you're already subscribed! Let us know at contact RheumatoidArthritis.
You may have identified several things in the list above. It can be useful to track your mood to help identify what things are impacting on your stress levels. Learn more about taking care of yourself and staying well. Skip to Navigation Skip to Content. For leaders For employers For managers For employees For small businesses What is a healthy workplace? Why it matters Return on investment tool Workplace stress Workplace bullying Legal rights and responsibilities Strategies for healthy workplaces Step 1: Gain leadership support Step 2: Identify needs Step 3: Develop a plan Step 4: Monitor, review and improve Create your action plan Tips for managers Tips for employees Healthy workplaces for small businesses For police and emergency services Information for health services.
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