Anemia

Underlying medical causes can indeed cause depression, and in fact when a patient comes to my office, one of the first things they do on the first visit is take a comprehensive medical history, sometimes get the patient's permission, consent and contact their primarily medical doctor, get at least of cases they are on, and also order certain labs.

So, it's very common that patients who have any of these untreated can go on to develop depression. Somebody who has anemia, for example an iron deficiency anemia, vitamin B12, or fully deficiencies, [xx] untreated or even treated diabetes, cancer. So, it's really important that if you can ascertain of their medical cause, there's also often a treatment to that.

So, you do see that if this patients are replenished in whatever area they are [xx], you can treat the depression. There is with bracken that we know there is kind of dopamine, you have deficiency is that so, there is a real biological basis for the depression that we see in cancer patients or people who have a stroke related to the last in the temporary area, in the frontal area, are more risks so there is definitely a biological component, I think separate from the psycho-social stress that is being caused.

So, it's a combination of both, but when you're talking about somebody whose got a deficiency in thyroid or iron deficiency fully to be 12, usually simply replacing that missing hormone, or missing electrolyte can take your depression away. So, I think it's a combination of both, the stresser as well as that their is a real biological component..