Depression can manifest with many different symptoms including sadness, apathy, loss of interest, insomnia, eating changes and fatigue, according to the American Psychiatric Association. Depression can occur naturally as a reaction to life events, or it can constitute a mental disorder, such as major depressive disorder, dysthymia or bipolar disorder. Some patients feel uncomfortable about taking pharmaceutical drugs, and therefore may try natural approaches instead. Commonly used naturopathic approaches include herbal remedies, nutritional supplements and physical activity. Consult a physician before beginning any naturopathic regimen for depression symptoms.
Herbal Supplements
Common herbal supplements for depression include St. John's wort and ginkgo. St. John's wort has been widely used and scientifically investigated as a natural antidepressant in Europe for several years. Standardized extract of 300mg two to three times per day for mild to moderate depression may be effective for some patients, according to the University of Maryland Medical School. It has fewer side effects than pharmaceutical antidepressants but has some potentially serious side interactions with medications such as birth control pills, so it is generally recommended to consult a physician before trying it.
Ginkgo biloba was originally investigated as a treatment for memory problems in the elderly, but was also found to help alleviate depression symptoms. Standardized at 40 to 80mg three times a day, it may increase the number of binding sites in the brain for the neurotransmitter serotonin, thought to be a central component of mood regulation, according to the University of Maryland Medical Center.
Nutritional Supplements
Nutritional supplements include substances normally produced or found in the body naturally. S-Adenosyl-L-Methionine (SAMe) is an amino acid made in the body that may cause dopamine levels to rise. It may help alleviate mild to moderate depression to a similar degree as pharmaceutical antidepressants, according to a recent report from the Agency for Healthcare Research and Quality.
Another supplement, 5-hydroxytryptophan (5-HTP), is a precursor to the neurotransmitter serotonin. Research has suggested it may be as effective as antidepressants for mild to moderate depression. Typical dosage is 100mg three times per day, according to the University of Maryland Medical Center. Like other natural supplements, 5-HTP can sometimes be subject to poor manufacturing practices which can lead to serious side effects, so physician monitoring is recommended.
Naturopaths often recommend certain vitamins and essential oils for depression. Researchers have studied the effectiveness of omega-3 fatty acids found in fish, but results have been inconsistent. Low levels of vitamin B6 and B12 have also been implicated in depression, according to the University of Maryland Medical Center.
Physical Activity
Although depressed people often feel lethargic and lack motivation to exercise, research has suggested it can offer therapeutic benefit. Exercise may increase levels of certain neurotransmitters in the brain, reduce immune system chemicals that contribute to depression and increase body temperature, according to the Mayo Clinic website. Any type of activity that increases movement and blood flow may be effective.
Other Natural Approaches
Several other natural approaches exist. Mindful meditation, yoga and massage may lead to a calmer mind and relaxed feeling. Some research has suggested that electroacupuncture may relieve depression as effectively as an antidepressant. Some alternative practitioners may recommend certain homeopathic remedies for depression, according to the University of Maryland Medical Center.


