Dili ta ka compare ug herbalics or homeopathic to chemical therapy in some instances.
Working out helps in some instances, pero some individuals who are clinically depressed, they have a neurological condition. Some are chronically depressed because of a depressed serotonin pathway, or a dopamine pathway. Even exercise cannot remedy these instances. That is why supplementary medication is used; chemical therapy is basically human hormones that are created and taken via- oral or parenteral form to supplement that particular hormonal deficiency.
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I can give you an example of a severe psychotic disease: Schizophrenia.
This is due to excessive dopamine activity in the brain--leading to hallucinations, paranoia, catatonic states, marked depression etc.
Exercise cannot solve this. Nor can herbalics. Since the mechanism of action of the disease is due to the derangement of COMT-inhibitors and MAO-Inhibitors.
This is critical because we know that excessive dopaminergic activity causes psychosis/psychotic states. So, therefore, if we have a depression/inhibition of the inhibitor pathway (the ANTI-COMTS, and ANTI-MAOS are inhibitors)---this leads to the exacerbation of the depressive phenomena. Right?
OF COURSE!
So, we treat this by taking anti-dopinamergic drugs whose main goal is to metabolize the excess dopamine within the CNS. This requires pharmacological science since very few endogenous enzymes cross the CNS barrier--so doctors and pharmacologists design drugs than can cross teh BBB(blood brain barrier) and are lipid soluble and inhibit the and degrade the excessive dopamine within the brain that is responsible for the psychotic symptoms.
The problems in depressio is that its not only just a hormonal deficiency.
Sometimes its a deranged hormonal machine, or a deficiency of an inhibitory pathway.
In that case, medical intervention is the Only cure.
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