Brief Answer:
It is not sure and no one can predict

Detailed Answer:
Hello - It appears to me from your brief history that you have been diagnosed with depression with thryroiditis. As your thyroid status is maintained from the last 2 years, the physician has advised you no active intervention but only regular monitoring of thyroid status. Now you want to know the prognosis of your depression.

It appears from your query that you had depression primarily followed by development of thyroiditis. Due to occurrence of these disorders in this sequence, it appears that you have attributed thyroiditis directly to depression, but this is not the case. Although, thyroid status do gets affected as well as produce an effect on prognosis of depression but they do not directly cause each other.

To summarize, the improvement in your thyroiditis will improve your chances of recovering from depression but it does not mean that it will surely and completely recover you from depression. You will still need to take treatment for your depression and need regular follow up with your psychiatrist.
I hope I have answered your query. If you need any more information you can contact again.
Take care.

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Brief Answer:
May be it helps but not for sure

Detailed Answer:
Hello.
Sorry for the delay in responding.

Now to start with your query it seems that you have not responded adequately to any treatment in last 12 years for depression. You have been tried on many modalities but none worked for you so well. Now that you have started omega - 3 fatty acid replacement you want to know what will be the outcome and why other people have not thought about it.

To answer your question, firstly I would like to tell you that deficiency of omega fatty acid is not a very common cause of depression. Secondly even with deficiency it not necessary that person has developed depression due to its deficiency only ,not otherwise. It can be just be a precipitating factor or may be causative, but this conclusion can not be reached before seeing a response to the replacement therapy, which you are currently taking. As it is not a common cause, doctors usually miss such angles in diagnosis. Moreover, supplementing patient with omega fatty acid who are not responding to other treatment is a method of treatment now a days. May be your physician have started your fatty acid in that regard , to augment your already existing treatment. There is no confirm answer that every augmenting agent works as we all know that there is no surety that all anti depressant will work in all patient. So only time can tell about that your depression will respond to this treatment or not.

As far as your problem with doctors asking you about your sister, I would like to tell you the reason for it. Most probably they were not comparing you with your sister but trying to know your family history of depression as it is common and also very important to figure out the prognosis. Those who have a family history of psychiatric disorder have poor prognosis due to genetic loading for disease and also treatment response of a family member help in deciding treatment of patient. Due to these reasons, psychiatrist frequently ask about family history and there is nothing to feel offended about it.

I understand that remaining in a state of depression for so long makes it difficult for any person to be patient and calm with the treatment methods of various doctors, but still I would advice please persist with the advice of the psychiatrist as this illness can be chronic and some times do not respond completely. Just because it is not responding well, you should not quit the treatment. If you will persist your psychiatrist will try different modality which will help you in one or other way. However, if you are not satisfied with the behavior of your psychiatrist you can always change. Don't stop treatment because of non satisfactory behaviour of doctor as it will be bad for your illness in long term.

I hope I have given adequate explanation for your query.

For any more query you can ask again

Take care

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Brief Answer:
Answer for such question is never yes or no.

Detailed Answer:
Hello
In response to your latest question I would like to say that , such questions can not be answered as yes or no. Depression is diagnosed on the basis of similar symptoms in many patients but response is not same in all. Response depends on many factors, like Patient profile, symptom profile, family history , duration of illness, treatment compliance ect. So one one cannot predict what will be the outcome in each patient. Only we can tell who have better prognosis among so many patients depending on all the factors I mentioned. So there is nothing like that, " depression go away in 30".
Depression may remit spontaneously also but who will have that remission and who will not can not be declared by anyone. As these things are not predictable with confidence , so we always advice people to consult the psychiatrist and to take treatment if required, because untreated depression is always bad then treated depression.

Now I hope you will be clear in your doubts about depression
Take care.

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Brief Answer:
These are statistical finding.

Detailed Answer:
Hello
In response to your recent question, the fact you have mentioned is a statistical finding . It states that population who eat more fish have 60 % lesser chances of depression in some part of the world. These studies have many other additional causative factors which are not highlighted and these findings should be evaluated in light of these additional factors. What I mean to say by this, that there are many factors which contribute to lesser occurrence of any disorder in one area than just one. Also if you search extensively,you will also find some studies which will refute such findings. So I am saying, these studies are good and informative, helps us in implementing new treatment strategy but we can not follow them blindly and need to see them with all other factors.
Just on the basis of few studies we can not say depression is directly caused by deficiency of omega fatty acid in majority of patient and give them fish to eat and people will not have depression. If that would have been the case , majority of treatment guidelines would have included omega fatty acid / fish in primary treatment of depression , which is not a truth by the way.
So finally to conclude I want to say is, that omega fatty acid are important to our body and can contribute to depression,but no one can promise just by supplementing omega fatty acid depression can get resolved for sure. It may or may not, depending on the fact that -Is your depression is directly caused by severe deficiency of omega fatty acid or defeciency is just a additional factor.

I hope you got your desired answer. For any more query you can always contact.
Take care.

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