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British men are suffering high rates of stress and depression due to overwork, a survey suggests.

More than one in three men turn to alcohol to try and switch off from work and 17% have been to see a doctor about their stress levels.

Experts said men were making themselves ill by not facing up to problems and using drink as a coping strategy.

The poll of 2,200 men found the highest levels of stress in the legal profession and banking and finance.

More than a quarter of men are suffering from new impotence medications as a result of stress and 38% are dissatisfied with their jobs, with a third feeling that their company rarely recognises their achievements.

One in five men have aggressive outbursts as a result of stress at work and 22% suffer from depression because they are unhappy with their jobs.

“Men tend to go to the pub, blot it out and they don’t talk to anyone about their problems” Professor Cary Cooper, stress expert.

Pressures at work led to sleeping problems in 35% of men and 40% struggle to switch off from work.

Professor Cary Cooper, professor of organisational psychology and health at Lancaster University, said men didn’t seek help because they didn’t want to be seen as “weak”.

“If you look at stress-related illnesses, such as heart disease, mental ill health, immune system diseases, they are higher in men.

“Women probably have double the pressures of men but their rates of illness are lower because they have better coping strategies.

“Men tend to go to the pub, blot it out and they don’t talk to anyone about their problems.”

Work problems

Professor Cooper welcomed the fact that one in six men had visited their GP because of stress but said problems in the workplace needed to be addressed.

“Jobs are less secure than ever before, people are working longer hours and they are being micromanaged,” he said.

“Don’t stay in a job you don’t like because it will make you ill.

“Seek employers that are more impotence medicine to people and take control.”

The survey, commissioned by the makers of Wellman vitamins, also found that stress was affecting men’s love life.

Around 15% of men said they suffered from a lowered sex drive and 5% had sexual impotence as a direct result of stress at work.

GP Dr Rob Hicks said: “Stress can be responsible for real physical symptoms but many men don’t make this link.

“They often just keep worrying about the symptoms they are experiencing but don’t do anything about them, so they find themselves in a vicious cycle that makes matters worse.

“Even if they do acknowledge that stress may be responsible for how they are feeling, although they shouldn’t feel afraid or home impotence remedy to seek help many still do feel this way and keep on suffering in silence.”

Bob Patton, a researcher from the Action on Addiction Alcohol campaign group, said: “We know that men often turn to alcohol when they feel stressed because they think it will make them feel better but drinking too much alcohol will actually book complete exercise health library scribner soft stretching the stress that they are feeling.

“If you are drinking alcohol every night as a coping mechanism for stress it will really creep up on you until it starts causing other problems including anxiety, depression as well as other health erectile dysfunction and smoking.”

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Older adults with generalized anxiety disorder treated with the antidepressant Lexapro showed significant improvement in symptoms, a new study reports.

Generalized anxiety disorder is one of the most common psychiatric disorders in older adults. Its symptoms include chronic worry and anxiety and other problems, such as muscle tension, sleep disturbance and fatigue.

“This was the first large-scale study of antidepressant medications as a treatment for anxiety disorders in older adults,” said lead researcher Dr. Eric J. Lenze, an associate professor of psychiatry at Washington University School of Medicine in St. Louis.

As many as 7.3 percent of older people suffer from anxiety, and the percent is even higher among those receiving medical care, Lenze said. People with general anxiety can spend up to 40 hours a week consumed by worry, he added.

For many years, the treatment for anxiety in older adults has been either no treatment or such sedatives as Valium (diazepam) or Xanax (alprazolam), Lenze said. “There have been concerns about the safety of these medications in older adults,” he added.

Lexapro (escitalopram) is in a class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs), which are thought to be safer, Lenze said. These drugs are approved for treating anxiety, he noted.

Although the researchers used Lexapro for this study, Lenze believes that other SSRIs would produce the same beneficial effect.

For the study, Lenze’s team tested the effectiveness of Lexapro in 177 adults 60 and older suffering from general anxiety disorder. The participants were randomly assigned to Lexapro or a placebo for 12 weeks.

The result: 69 percent of people taking Lexapro saw reductions in their anxiety levels, compared with 51 percent of those taking a placebo. Those on Lexapro also had greater improvement in functioning, activity and social functioning, the study found.

The researchers also found that people with high blood pressure taking Lexapro had a significant decrease in blood pressure. “This may suggest some additional health-related benefits of getting treatment for anxiety in this age group,” Lenze said, adding, “There are effective treatments for anxiety in older adults other than sedatives.”

The study results were published in the Jan. 21 issue of the Journal of the American Medical Association.

Lenze said he hopes this study will help raise awareness that anxiety disorders are common among older people, and are often undetected or treated only with sedatives.

Douglas Mennin, an assistant professor of psychology at Yale University, agrees that physicians should be alert to anxiety problems among their older patients.

“Older adults should certainly be asked about their anxiety,” Mennin said. “Many older adults are faced with increasingly stressful situations, such as loss of friends, mobility and job, and anxiety is a natural result,” he said.

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The research on this treatment isn’t very good. We found one summary (called a systematic review) of three studies.

* The summary included only 106 people. They all had severe depression and had tried antidepressants for at least four weeks.
* Half added pindolol to their antidepressant. The other half were given a dummy treatment (a placebo).
* The people who took pindolol did no better than the people who took a placebo.

We found one other study. It also found no difference between the people who took pindolol and the people who just took antidepressants.

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When you are depressed, it’s hard to cope with everyday things like looking after yourself. But eating well, doing some exercise and keeping in touch with friends, may all be helpful.

There’s some research to show that taking exercise may help you feel happier. If you are depressed, exercise may be the last thing you feel like doing. But gentle exercise like walking or swimming may lift your mood.

A herbal treatment called St. John’s wort is likely to help you if you have mild or moderate depression. However, the research on St. John’s wort isn’t as good as the research on antidepressants.

St. John’s wort comes as a tablet containing concentrated extracts from the plant, but exactly how much is in the tablets varies from brand to brand. In the UK, St. John’s wort is sold as a food supplement, not as medicine. This means it hasn’t been tested for safety in the same way as medicines. The most common side effects seem to be stomach problems (such as nausea or diarrhoea), dizziness or confusion, tiredness, and a dry mouth.

It’s important to know that St. John’s wort can interfere with the way other medicines work. You should never take it as well as an antidepressant because it might cause serious side effects. It can also make the contraceptive pill less effective, so you could get pregnant. Check with your doctor to see if it might interfere with any medicines you take.

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Depression is usually treated by taking antidepressant medicines or by talking treatments (psychotherapy). Both can work well. Antidepressants may take a while to start working. You may need to keep taking them, even if you start feeling better. Having both antidepressants and talking treatment works better for some people, especially if you have more severe depression.

Talking treatments

If you have mild or moderate depression, talking treatments may be helpful. Some types may work better than antidepressant medicines. Your doctor can explain what is available locally and which type of talking treatment is most suitable for you. Here’s what we know from research about some common talking treatments:

Cognitive therapy can improve your symptoms of depression and increase your chances of getting completely better. About half the people who have this therapy recover during treatment. You normally have about 20 sessions with a trained therapist, over three or four months. The aim is to help you get rid of negative thoughts and beliefs, and to help you think more positively.

Interpersonal therapy works well for younger people (under 55) but we don’t know if it works for older people. You usually have about 12 to 16 weekly sessions with a trained therapist. During interpersonal therapy, your therapist encourages you to learn new and better ways of relating to other people.

Counselling may help your symptoms of depression, but the benefits may not last. Most people talk regularly to a trained counsellor at their doctor’s surgery. The counsellor listens then encourages you to solve your own problems.

Some people have antidepressants and cognitive therapy together. There’s good evidence that this works, especially for people with more severe depression.

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