If a diagnosisofClinicalDepression allows insurance companies to deny coverage, where do you go ?
Group plans do not have the same stringent clauses that private policies have. Since there will be (on an average) a equal number of healthy people covered as those with chronic, preexisting or mental health related issues they figure the profits off those who will not need medical coverage will cover those who do make claims.
The only thing your friend can do is to shop around. There may be some companies willing to overlook the clinical depression. If worse comes to worse, she will need to look into PPO’s or HMO’s. The coverage may not be as liberal as a private policy but at least she will not have to go uninsured.
How is getting a Private Pilot’s license affected by a diagnosisofdepression?
The regs dont say squat about depression. Is this caused by a bi-polor disorder? That IS disqualifing,
Often is the meds that they put you on that disqualifies you from flying not the cause.
§ 67.307 Mental.
Mental standards for a third-class airman medical certificate are:
(a) No established medical history or clinical diagnosis of any of the following:
(1) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.
(2) A psychosis. As used in this section, “psychosis” refers to a mental disorder in which—
(i) The individual has manifested delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition; or
(ii) The individual may reasonably be expected to manifest delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition.
(3) A bipolar disorder.
(4) Substance dependence, except where there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. As used in this section—
(i) “Substance” includes: alcohol; other sedatives and hypnotics; anxiolytics; opioids; central nervous system stimulants such as cocaine, amphetamines, and similarly acting sympathomimetics; hallucinogens; phencyclidine or similarly acting arylcyclohexylamines; cannabis; inhalants; and other psychoactive drugs and chemicals; and
(ii) “Substance dependence” means a condition in which a person is dependent on a substance, other than tobacco or ordinary xanthine-containing (e.g., caffeine) beverages, as evidenced by—
(A) Increased tolerance;
(B) Manifestation of withdrawal symptoms;
(C) Impaired control of use; or
(D) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.
(b) No substance abuse within the preceding 2 years defined as:
(1) Use of a substance in a situation in which that use was physically hazardous, if there has been at any other time an instance of the use of a substance also in a situation in which that use was physically hazardous;
(2) A verified positive drug test result, an alcohol test result of 0.04 or greater alcohol concentration, or a refusal to submit to a drug or alcohol test required by the U.S. Department of Transportation or an agency of the U.S. Department of Transportation; or
(3) Misuse of a substance that the Federal Air Surgeon, based on case history and appropriate, qualified medical judgment relating to the substance involved, finds—
(i) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or
(ii) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.
(c) No other personality disorder, neurosis, or other mental condition that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—
(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or
(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.
Look into herbal alternatives, like Wild Kratom and Salvia Herb. Both can help.
shouldn’t those overwhelming feelings of hopelessness depressed people experience always warrant a diagnosis?
Situational depression does not always warrant a diagnosis because, once the situation is over the depression lifts even though you do have those overwhelming feelings at the time.
Although it all depends on the doctor.
Do you feel clinicaldiagnosisofdepression and medication is worth the stigma that comes with it?
You sound just like me. I was verbally and physically abused by my mother growing up and my brother sexually abused me. I carried the horrible secret around for years and even when I told years later no one believed me. I finally went into t therapy and I finally learned how to heal. I was suffering from post traumatic stress. I talked to my therapist about everything. Stuff that I tuned out for a long time. At first I developed nightmares from talking about everything but now I am nightmare free and so happy that I sought help. I was diagnosed with clinical depression and Bipolar disorder. It took a while for me to get my medication right as far as the right medications and the right doses. I take20 mg of Lexapro a day for anxiety and depression. I take 250 mg of Lamictal a day for my Bipolar Disorder. It is especially for women. I don’t worry about the stigma because I am the one who had to live with the horrible depression and mood swings. Unless someone suffers from depression then they have no idea what it is like. You can’t just snap out of it or treat it without medication. My depression is from a chemical imbalance and there is no cure for Bipolar Disorder so I have to be on medications for the rest of my life but I don’t mind because I feel great. You don’t have to tell everyone you come across that you are on medication for depression. You should still be able to do all the things that you want to do and if you are under a doctor’s care she can write a letter stating how well you are doing. Medication worked for me and I am so glad that I sought help when I did because I was unhappy for so many years. Good luck to you.
Is a blood test for serotonin an accurate and/or reliable way of diagnosing or determining clinicaldepression
By definition (from the DSM-IV), major depressive disorder can’t be diagnosed if there is a medical condition that could be causing the symptoms. Anemia would make him feel lethargic. While it shouldn’t in itself make him irritable or edgy, people sometimes become that way when they feel like crap. I wasn’t there when he was diagnosed and there may have been other symptoms of depression that could not be attributed to anemia.
Without having seen your husband back then and how he is now, this is a tough question to answer. If he really did have Major Depressive Disorder, then he needs to stay on the antidepressant for at least three months before trying to come off of it (assuming he has never had depressive episodes before–if he has he should stay on the meds longer). At the same time, I have a nagging suspicion that he is right and he did not truly have depression.
A diagnosis of depression is made based on questions and answers with the patient. There is some belief that patients with depression have decreased serotonin activity in their brain. This is still being debated and in order to test for this accurately, you need to do a spinal tap to check for 5-HIAA (breakdown product of serotonin) in the cerebro-spinal fluid. Blood or urine tests are not useful because the results will be skewed by serotonin produced in other parts of the body.
There isn’t any real downside to staying on the antidepressant (unless he is experiencing side effects). If you are that concerned about it, it wouldn’t hurt for him to stay on it for the three months.