What Do You Know About St. John's Wort?

I received a request for information on St. John's Wort. I'm happy about this request because I have taken this herbal remedy (a yellow flowering plant) on and off for about 9-10 years. St. John's Wort, also known as Hypericum Perforatum, has absolutely nothing to do with warts and everything to do with stabilizing moods. For over 2,000 years, people have used St. John's Wort to treat mental disorders, nerve pain, depression, sleep disorders, and to treat wounds, burns, and bites. The main use of the herb today is to treat mild to moderate depression. The herbal remedy comes in a tablet/capsule, liquid extract, and in tea bags.

There is an ongoing debate around the effectiveness of St. John's Wort. Some tests have shown that it's useful in treating mild to moderate depression and even severe depression, while other studies say it is no more effective than a placebo. In my personal experience with the herbal remedy, it is effective for treating minor bouts with depression and regulating moods. As a Gemini, my mood swings can be a little off the hook and I have used St. John's Wort to decrease my anxiety and keep my mind calm. The plant has practically no side effects and more affordable and safer than prescription antidepressants. I've included the formal definition and symptoms of depression below. And for the record, most adults will deal with some degree of depression at some point in their lives.  

According to the National Institute of Mental Health, depression is " a medical condition that affects nearly 21 million American adults each year. Mood, thoughts, physical health, and behavior all may be affected. Symptoms of depression commonly include:

• Persistent sad, anxious, or "empty" feelings
• Feelings of hopelessness and/or pessimism
• Feelings of guilt, worthlessness, and/or helplessness
• Restlessness or irritability
• Loss of interest or pleasure in activities that the person once enjoyed
• Fatigue and decreased energy
• Difficulty concentrating, remembering details, and/or making decisions
• Insomnia, early–morning wakefulness, or excessive sleeping
• Overeating, or appetite loss
• Thoughts of suicide, suicide attempts
• Persistent aches or pains, headaches, cramps, or digestive problems that do not ease with treatment.

Depression comes in several forms and its symptoms and severity can vary from person to person. For example:

• In major depression (also called major depressive disorder), people experience symptoms that interfere with their ability to work, study, sleep, eat, and take pleasure in activities they once enjoyed. Symptoms last for at least 2 weeks but frequently last for several months or longer.
• In dysthymia (also called dysthymic disorder), a less severe, but more chronic form of depression, people experience symptoms that are not as disabling but keep them from functioning well or feeling good. Symptoms last at least 2 years. Many people with dysthymia also have episodes of major depression.
• In bipolar disorder (also called manic–depressive illness), people have periods of depressive symptoms that alternate or may co-exist with periods of mania. Symptoms of mania include abnormally high levels of excitement and energy, racing thoughts, and behavior that is impulsive and inappropriate.

In addition, milder forms of depression exist that fall into the category of minor depression. In minor depression, people experience the same symptoms as major depression, but they are fewer in number and are less disabling. Symptoms last at least 6 months but less than 2 years continuously."

You can take anywhere from 200mg - 1000mg of St. John's Wort daily. I recommend starting at 200mg and working your way up to 1000mg so that you can monitor the effects. I'm a big fan of journaling and if you are having major ups and downs in your life, I encourage you to write down your day's events and how you felt/handled different situations. Journaling will help you see patterns and trends, and help you monitor the effectiveness of the herb.

Do not mix St. John's Wort or any other herbal remedies with prescription antidepressants or other prescription drugs like birth control pills. However, if you do decide to mix drugs please consult your doctor to see if the drug interactions are harmful.

Take good care of yourself.