The other thing that a lot of my patients will ask about is what causes depression and what causes anxiety. I know lot of people will come in, go sit in my couch and yes they actually do have a couch in my office and go sit down and will say "I don’t want to be crazy, you know, I don't want you to tell me this is something that is in my head". Well, it is not just something that is in your head. If you look at the researches that are showing today, depression and anxiety can actually be caused by physiological problem in your body and in your system. So what happens in layman's terms, to make it kind of sweet and simple for you all is that we have neurotransmitters in our body and when those things get out of whack, we start feeling depressed and we start feeling anxious, so that's one of the physiological causes of that and if you have situational stressors such as work stress or if you have family stress, relationship stress, whatever it might be, that will only make the symptoms worse, so you have go to look at from 2 different perspectives. The other part of it what therapy can do is that it can actually come in and it can help improve those symptoms, so in addition to therapy, another part of that is medication management, those are the other two pieces that I get asked about a lot. So if you look at the prognosis of treatment outcomes and patients who are wanting to overcome depression, anxiety, or any emotional symptoms that they may be presenting with, if you do therapy alone, you will make some improvement, but if you actually do therapy plus medication management together, you will typical get a better outcome in the long run and the reason that is, is because whenever folks are coming into therapy, it is usually not the most comforting thing to talk about your problems and your stressors, you know lot of people don’t like to do that, but when you come into therapy and you got some medication to actually help stabilize and you want use that term to help the person feel a little bit better to actually help them process that experience that they are going through, therefore the treatment outcome is improved and the length of time that somebody is actually in therapy also improves too.
