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Mental Health  (Expert Forum)
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Re: Heart Defects relating to depression
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Re: Heart Defects relating to depression

by HFHS M.D.-HG, Jan 01, 1995 12:00AM
Posted By HFHS M.D.- HG on April 16, 1999 at 14:17:25
Topic Area: Depression
My daugther is 17 1/2 yrs. old and she was born with a heart murmur which I was assured closed by 8 mths of age. Within the passed 7 mths she was raped, got pregnant, received a therapeutic abortion. Instead of receiving counselling, or talking she started to use street drugs. The first inital assestment from the hospital was she was experiencing withdrawal shock. Presently, she has been detoxified for 2 mths and she is catatonic (meaning withdrawn and doesn't talk or response, however,when in uncomfortable situations she breaks out in uncontrollable laughter or tears. Presently, she is hospitalized at a excellant hospital that specializes with mental disorders and illnesses. The Doctors well be starting to run tests this week. She is being assest for depression or manic depression. The hospital team is also concern about her biological history, (meaning her Heart Murmur at birth or perhaps a Thyroid imbalance). My questions and concerns are how can a heart murmur effect, bring about symptoms of depression? Is a heart murmur relavant? Thank you for your time and response.




Dear Debbie,
                      The link between the heart and the emotions has been described  for thousands of years in religious  writings and ancient medical texts. Increasing attention has been paid  to the interaction of psychiatric  disorders, cardiac symptoms (chest pain and tachycardia ), and cardiac disease. Psychiatric illness can  have direct and indirect effects on the heart disease. Heart diseases like Mitral Valve  Prolapse  (a valvular abnormality which can cause  heart murmur), Angina and Myocardial infarction (heart attacks) are known to be associated with  anxiety and depressive disorders. There are several types of heart murmurs in different heart diseases. There is  no evidence that a heart murmur or a valvular disease can cause depression. Thyroid  problems   may contribute to depression . The most important factor  may be  depression secondary to undergoing stressful situations ( rape, Therapeutic abortion  ). Street  drugs can also  contribute to depression.
                    She may need a thorough medical evaluation  to rule out any physical causes for her problems. Treatment may include medications and counselling for drug abuse, rape and therapeutic abortion. You can discuss with  her physician in detail about her treatment plan. I hope this information is helpful to you. This information is provided for educational purposes only and should not be replaced by evaluation with a physician.
Key words: Heart disease












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