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These studies demonstrate that anabolic steroids mould the effects of substances in the brain and vice versa, possibly by acting as an antidepressant. These findings also provide a possible explanation for why the drug is often abused after long-term use.
There is also increasing anecdotal evidence which suggests a role for anabolic steroids in anabolic-androgenic steroid-induced depression. For example, as recently as 2012, a group of Australian researchers found that a group of recreational users of anabolic-androgenic steroids, reported a significant increase in depression.
Although there is no scientific evidence to suggest that anabolic steroid abuse causes depression, it is thought that psychological stress is the most likely explanation for the increase in depression seen in many steroid users.
Why are anabolic steroids linked for depression?
It is difficult to pinpoint the cause of anabolic steroids abuse of depression but it likely comes down to various factors. First and foremost, it is thought anabolic steroids are metabolised within the body and in turn lead to increases in the levels of stress hormones. In some cases this may lead to problems such as mood changes and insomnia.
Another possible reason may be a lack of support and support mechanisms being put in place if a user develops depression after using anabolic steroids. One of the factors contributing to this phenomenon may be increased levels of testosterone in women.
Research suggests that many users develop depression after using anabolic steroids. However, a large, cross-sectional study found that the rates of depression are low, at around 1 per cent. The reasons why this is may be that the rate of depression is high in men who take large doses of testosterone. This may relate to the fact that a large proportion of drug users in this sample had already undergone a testosterone cycle prior to being tested for steroids use.
There will likely continue to be a need to better understand the nature of anabolic steroid use and the relationship it may have with depression.
How are drug use, anabolic steroid abuse and depression treated?
There are two treatment options: psychological and surgical. Psychological treatments are used to help reduce the psychological effect of the misuse of anabolic androgenic steroid abuse and can be used with drugs such as steroids. Surgical options are not available for steroid abuse but they have potential therapeutic value, especially when the underlying causes of depression also exist.
Psychological treatments tend to be based on an individual model, involving cognitive behaviour therapy (CBT), positive social skills training, counselling and a variety of therapeutic approaches such as psycho-education, support groups and motivational training. In extreme cases
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