St John's Wort for depression

Without big drug pharmacuetical company backing St. John's Wort has never become too popular in the states. It really is too bad since it is a nice, clean antidepressant. It shouldn't be used if there are signs of biploar tendancies or a family history of bipolar because, like all antidepressants, it can make the depression worse or throw a person into mania and psychosis. I have had patients that have done very well with it and others that have felt very anxious or manic with it. If there is depression, I would recommend a visit with a physican or a psychiatrist. Especially if there is a possible bipolar issue, see the best psychiatrist you can as it can be very tricky to manage.