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Antidepressants. For people with moderate-to-


severe depression, medicine may be needed. Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs) are most often used to treat depression. Your provider or therapist can help you decide which medicine might work best for you. Keep in mind, it may take a couple of weeks to find the right dose. Be sure to ask whether any new medication will interact with others you take. Cardiac rehabilitation. For eligible patients, cardiac rehab


offers supervised exercise training and psychosocial support. Cardiac rehab not only can improve your heart health, it also can help improve your mental well-being. Support groups. Find out if your hospital or cardiology


practice knows of local support groups. Talking with other people who have had a heart attack or a cardiac procedure can help you feel less alone.


Who’s at Risk


Some people appear to be more prone to depression than others, especially as it relates to dealing with a chronic condition. For example, people may be more likely to become depressed if they: v Lack self-efficacy or a sense of control; they feel as if they don’t have the know-how or skills to manage their condition well.


v Don’t have anyone to confide in or lack a supportive social network.


v Already feel overwhelmed with life’s demands. v Haven’t built coping skills to get through hard times. v Have a family history of depression.


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If any of the above applies to you or a loved one, consider consulting with your provider about how to ward off possible depression.


Talk With Your Healthcare Team Make sure to tell your provider if you think you might be depressed. It’s nothing to feel ashamed of or embarrassed about. You’re not alone: More than 15 million adults in the U.S. suffer from major depression. The danger is that if you don’t speak up or seek treatment, depression can take a toll on your life, including your heart health. You may want to ask the following questions: v I worry I might be depressed. What are the signs? v How can I ward off depression? v Is there a safe exercise program for me? v Do I need counseling? v Can I try to manage my depression without taking medication?


v Is there a therapist you would suggest? v If I need an antidepressant, what type do you recommend? v How long will it take for medicine to work or to find the right dose?


v Do these medications interfere with any others I take? v Am I eligible for cardiac rehabilitation? v Are there support groups available? v How can I explain my depression to my family and what I need from them?


v Is there anything else I can do to manage depression and my heart risks?


For more information, visit CardioSmart.org.


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