Posted by dougW (142.179.82.208) on December 18, 2001 at 23:32:32:
In Reply to: Thanks, Doug, but... posted by Todd on December 18, 2001 at 21:51:28:
I guess I misunderstood the question.
First, lets define depression. from the web site: http://mentalhelp.net/poc/center_index.php?id=5
"Depression is one of the most common and most serious mental health problems facing people today. While it is only human to experience feelings of sadness, gloominess, or melancholy every now and then, clinical depression occurs when these feelings endure for long periods of time that can last for several weeks to several years if left untreated. Depression can interfere with a person's ability to function effectively throughout the day or even to have the motivation to get out of bed in the morning."
We also get into Primary vs Secondary conditions.
Example 1: If the cluster headaches are primary (no duh), then the depression would be secondary IF the depression lifts following the cycle (you chronic folks, don't read this!!). The depression may need to be treated dependant on the expected length of the CH cycle and how the depression interferes with your normal living activities (beyond the disruption caused by the CH). This has also been called reactive depression
Example 2: if depression is already occuring (primary) then the effects on the individual are already happening before the next CH cycle (perhaps the anticipation??). This individual may now have 2 condions at the same time, both requiring treatment. They may manage one better than the other.
It really comes down to which came first, the chicken or the egg. (Me, I'm glad I'm a rooster!)
The debate goes on and on in the medical literature. A great question Todd, one we should discuss further in Vancouver.
Regards
Doug Wright