Question
Jon, please help me asap. I want to check myself into some institution next week that can service me under a voluntary commital program. I live in Virginia & have been going through a depression now for over a year. I am willing to "try" some medication but I don't want to go to a place that forces drugs on anyone or forces any other "medical treatment" like shock therapy or lock-up rooms with straight jackets. Don't laugh, I really want to get help but not have it forced on me like I hear happens. How do I get into a place, do I just arrive on their doorstep or what? Please give me a web reference to learn more about these kinds of institutions too. Maybe I have to go to another state? Thanks

Answer
Taken from http://www.vcuhealth.org/

Specific treatment for depression will be determined by your physician based on:
your age, overall health, and medical history
extent of the depression
your tolerance for specific medications, procedures, or therapies
expectations for the course of the disorder
your opinion or preference
Generally, based on the outcome of evaluations, treatment for depressive disorders includes medication or psychotherapy, or a combination of the two.

You can also help yourself. Depressive disorders can make a person feel exhausted, worthless, helpless, and hopeless. Such negative thoughts and feelings make some people feel like giving up. It is important to realize that these negative views are part of the depression and typically do not accurately reflect the actual circumstances. Negative thinking fades as treatment begins to take effect. In the meantime, consider the following:

Set realistic goals in light of the depression and assume a reasonable amount of responsibility.


Break large tasks into small ones, set some priorities, and do what you can as you can.


Try to be with other people and to confide in someone; it is usually better than being alone and secretive.


Participate in activities that may make you feel better.


Mild exercise, going to a movie, a ball game, or participating in religious, social, or other activities may help.


Expect your mood to improve gradually, not immediately. Feeling better takes time.


It is advisable to postpone important decisions until the depression has lifted. Before deciding to make a significant transition - change jobs, get married or divorced - discuss it with others who know you well and have a more objective view of your situation.


People rarely "snap out of" a depression. But they can feel a little better day-by-day.


Remember, positive thinking will replace the negative thinking that is part of the depression and will disappear as your depression responds to treatment.


Let your family and friends help you.

Jon