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Depression Treatment Recommendations

Royal_College_of_Psychiatrists_logo.pngIf you suffer from depression your doctor may suggest therapy and medication. Lifestyle changes, education, and support from friends can help.

general-medical-council-logo.pngPsychotherapy can be broken down into a variety of types of sessions. For instance, behavioural activation therapy helps you identify links between your activities and your mood. Psychotherapy for interpersonal relationships involves discussing the relationships you have with others and your role within them.

Psychotherapy

Psychotherapy, also known as talk therapy is a vital treatment option for people with depression. It can help people identify and change self defeating ways of thinking, irrational fear and problem behavior. Psychotherapy can also help individuals deal with difficulties in relationships, at work or in school. It can be combined with other treatments, such as medication and exercise, or used alone.

The type of psychotherapy one receives is based on a number of factors, including their depression severity and their preferences. Patients with mild symptoms can benefit from psychotherapy as well as other lifestyle changes, like getting enough sleep and reading reputable self-help books and websites. You may be able join a support group. People suffering from moderate to severe depression can usually be helped by antidepressant medications and psychotherapy. In some cases, psychiatric care in a hospital is required for those who are unable to take care of themselves or have thoughts about harming themselves or others.

It is important to choose a therapist that you are comfortable with. If you can, pick one who has experience in treating depression and with whom you are at ease. You should also pick an appointment time with the therapist that works best for you. If you have to drive to your appointment, plan ahead for traffic and other unexpected delays. If you're worried about the cost of therapy, ask your physician if you qualify for an exemption through Medicare or other health insurance programs. Therapy can be costly, but it's worth the investment in your mental wellbeing.

Medication

In cases of moderate to severe depression, psychotherapy can be coupled with medication. This is especially important in those with an history of previous episodes, severe symptoms or thoughts of suicide. Medications used to treat depression include mood stabilizers as well as antidepressants, and occasionally an antipsychotic drug.

For mild depression, doctors may suggest "watchful waiting," in which patients are closely monitored as they receive psychotherapy or other treatments. If you're experiencing symptoms that range from moderate to severe, then medication is typically the first option to treat.

Doctors will start with selective serotonin reuptake inhibitors (SSRIs). These medications are less harmful and have fewer adverse reactions than older antidepressants. Examples include citalopram (Celexa), Escitalopram (Lexapro), fluoxetine (Prozac, Prozac XR), paroxetine (Paxil, Pexeva) and sertraline (Zoloft). The second category of antidepressants is the serotonin-norepinephrine reuptake inhibitors (SNRIs), including duloxetine (Cymbalta), venlafaxine (Effexor XR, Pristiq, Khedezla) and desvenlafaxine (Pristiq, Fetzima). Finally, there are the tricyclic antidepressants, which are extremely effective, however they can also cause more serious adverse effects than the newer drugs. Examples of this category include imipramine (Tofranil), the doxepin (Surmontil) and nortriptyline (Pamelor).

Psychological therapies -- also called talking therapies or cognitive behavioral therapy (CBT) -- are the best-studied treatment for depression. They help you recognize and alter negative thinking patterns and improve your coping abilities. Other psychotherapies include interpersonal psychotherapy counseling ketamine for treatment resistant depression marriage and family and other methods.

It may take a while for an antidepressant medication to treat anxiety and depression to start working. It is crucial to talk with your doctor if are not seeing any improvement after a few weeks. If you don't respond to a medication the doctor may alter the prescription or prescribe different medications to boost the antidepressant effects.

Exercise

Physical activity is a great way to relieve depression symptoms and improve your mood. Try walking, jogging, gardening, or swimming. Avoid alcohol and recreational drugs because they can make depression worse over time. Contrary to psychotherapy and medication, exercising and sports are completely free and have minimal negative effects. They may not be effective for everyone with depression. Some people may even feel worse after exercising.

Other Lifestyle Changes

Depression can feel like you're in a deep pit that has no exit. Even severe depression can be dealt with through therapy, medication and self-help coping strategies as well as lifestyle changes. People with depression can benefit from all of these things and the techniques learned through treatment can be used to avoid recurrences in the future.

Reduce stress is one of the most important actions you can take to reduce your depression. This includes figuring out ways of managing and reducing the amount of stress that you encounter in your own life, like getting enough sleep, working out and spending time with friends and family who make you feel happy. Making time to relax with yoga, meditation, or other mindfulness activities can also improve mood and help you get better sleep.

Avoiding alcohol and other substances, especially those that have the highest sedative effects is a good idea if you suffer from depression. This will help you feel better and remain on your medication, which is a key part of treatment for depression. Antidepressants can take a long time to take effect and can cause undesirable adverse effects. The addition of other treatments, such as cognitive-behavioral treatment (CBT), relaxation exercise or acupuncture can aid in easing these side effects.

You may be able find a therapist you can work with via word of mouth, or your primary care doctor or other health care professionals can provide a referral. If you are concerned about cost Community mental health programs such as senior centers, religious organizations, and many other locations offer therapy on a sliding scale or even for free. For severe depression you could try an experimental treatment called transcranial magnetic stimulation (TMS), which uses a non pharmacological treatment for depression-invasive device that sends regular magnetic pulses through your skull to boost brain cells that affect your mood.

Support Groups

Depression can be a lonely, isolating condition. While family and friends can offer assistance but they do not have the depth of understanding that sufferers of similar experiences have. This is the place depression support groups come in, which are typically led by peers and meet regularly, whether in person or on the internet. They can be a great addition to any medical treatment for depression program and can help people feel less isolated in the battle against depression.

Most of the time these groups are cost-free to join and are available in your area or online. They can be run by community organizations as well as mental health professionals or other individuals who have had experience with the disease. Some have a professional moderator or facilitator who helps guide the discussions. While more research is needed to determine the long-term efficiency of depression treatment nice support groups they do appear to be beneficial. They could also be a good addition to psychotherapy.

These support groups offer an opportunity for those suffering from depression to talk about their experiences with others and provide each other comfort, advice and coping strategies. These groups can be a great source for those who are unable to attend regular therapy sessions due to financial constraints, scheduling conflicts or other reasons. They are a great option for those who don't have symptoms that are so severe that they need hospitalization or psychiatric treatment.

The ADAA website will provide an array of depression support groups both in person and online. It is important to choose a group that is comfortable and secure for you, and it's recommended to try a variety of groups before settling on one. Some groups are synchronous, meeting weekly or biweekly in person or via video chat, whereas others are more ad-hoc and are available anytime.