In this article, I shall explain something about what to expect when you seek acupuncture treatment for depression. In a survey of 9000 UK acupuncture patients, 11% were presenting with psychological complaints; in many practices, depression represents a significant portion of this category. Additionally, the 2017 Global Burden of Disease Study (1), found that over 264 million people suffer from depression internationally. It is a common problem, and two-thirds of adults will at some time experience depression severe enough to interfere with normal activities.
What to Expect When You Come
Should you decide to come for acupuncture, I shall be interested in whether you have a history of depression previously, when and how it began (eg. identifiable events or disproportionate reactions thereto), and how it affects your daily life (eg. ability to work, family and social relationships etc). Your wider health is enormously important too. Do you feel the depression is a reaction to the burden of chronic pain or to limitations imposed by some other medical problem? Might it even stem from medication used to control that problem? Did it arise out of chronic stress, from say work, a difficult relationship or caring for relatives?
Have you had depression in the past which now seems to have recurred in response to a new health problem, a recent life event, or stressful circumstances? Perhaps you are only in your twenties, have studied hard for a job, but are now disenchanted by it. Is there any link with hormonal changes such as being pre-menstrual or peri-menopausal? Oestrogen levels fall at these times, in turn reducing serotonin levels.
A significant new trigger for depression, has been the lockdown measures imposed in response to the covid-19 pandemic. Factors could be loss of work, relationship stress, social isolation, or working alone from home, to name but a few.
Looking more widely still, I am interested in the full array of other symptoms which accompany your depression. These can encompass fatigue, poor concentration, sleep disturbance, appetite or weight changes, or feelings such as irritability, anger, anxiety, panic or guilt. I can then begin to re-frame the picture of your health from a Chinese medical perspective, and devise a plan of treatment. If it is practical, we can try to directly help obvious causes of your depression, such as stress or chronic pain. In other cases, the causes do not lend themselves to such an approach, in which case we just try to tackle the depression.
Lifestyle advice is often a particularly useful part of treatment. In Chinese medicine, the health of our physical body is considered important for our mental and spiritual health too. This gives our shen or spirit, a good home in which it can settle. We may need to discuss your diet, any possible nutrient deficiencies, sleep, exercise, social life, alcohol intake, and drugs both prescribed and recreational. Diet and nutrient considerations may include omega-3 oils, B vitamins, magnesium, zinc, gut health/biome and blood glucose control.
Rest assured, acupuncture can safely and effectively be used alongside other interventions like counselling or anti-depressant medication.
Please do contact me if you would like to discuss anything further. Below you will find the results of recent research, some into acupuncture for depression, and some which suggests worthwhile self-help measures. Scientists at the University of Bern for example, published a paper(2) confirming the benefits of exercise for patients with depression. We also nowadays consider whether inflammation might lie to some extent and in some cases, behind depression: scroll down below to my 2018 article on the beneficial effects of the Mediterranean diet.
The research varies in quality, but systematic reviews and randomised controlled trials are generally considered to provide the highest quality evidence. If you would like to read more about evidence quality, I would refer you to the British Acupuncture Council’s description of the evidence pyramid.
(1) Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.
(2) Effects of Exercise on Anxiety and Depression Disorders: Review of Meta-Analyses and Neurobiological Mechanisms. CNS & Neurological Disorders-Drug Targets, 2014.