simon2wright wrote:
are these herbal pills any good for depression, I have had depression for 14 years and I don't get on with the SSRIs
I am refractory to SSRIs as well. St. John's wort has some mild MAOI activity and MAOI is a good alternative for those for whom SSRIs are ineffective. Actually, MAOIs are more effective than SSRIs, but had bad side effects.
St. John's Wort is a broad-spectrum anti-depressant. It has mainly some SSRI effects but a mild MAOI effect as well. It's very effective for a lot of people, more effective than most manmade antidepressants have been, probably because it has more than one mechanism for antidepressant action. It's a popular antidepressant in European medical practice, where they use natural herbs more than here in the U.S.
If you have a problem with SSRIs due to serotonin syndrome, which is what I get, I don't recommend taking 5 HTP, with or without St. John's worth. You may not have a problem with low serotonin at all, but with another class of neurotransmitters. If you don't have a problem with low serotonin, you aren't going to gain much by taking nutritional support to boost it. And it's good advice to not combine 5 HTP with St. John's Wort, since it has some SSRI activity.
Also, if your depression is linked to anxiety and stress, you can benefit from taking other amino acids that support calming and relaxing effects on brain function. Please see Callista's "Stress Tips" thread for a post I just put up there, if your depression is anxiety-or-stress related, if you want to read about some supplements for that.