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Guidelines For Treating Depression

There are a variety of guidelines for treating depression, published by the APA, CANMAT, BAP, NICE, and Texas Medication Algorithm Project. They recommend exercise, psychotherapy and antidepressant medication.

The guidelines generally recommend the use of CBT or an SGA prior to starting medications and titrate up dosages according to the need. Patients who do not respond to monotherapy might be able to benefit from augmentation with psychostimulants, lithium or SSRIs.

1. Diagnosis

A diagnosis is the first step to treating depression. This is done through a discussion with your physician or mental health professional, and certain forms of psychotherapy (talk therapy).

Your GP will ask about your symptoms, and how they've affected your life over the past month. They'll also inquire whether you've ever had thoughts of suicide or self-harm. Your GP may also consider your general health, family background and lifestyle when determining whether you suffer from depression.

You should be honest and open with your doctor so that they get a full picture of how you're feeling. This will make it easier for them to recognize the signs of depression. These symptoms can be used to rule out other illnesses like cancer or heart disease.

Once your GP has determined that you may have depression, they'll rule out other conditions through tests. Blood tests, for instance test thyroid or anemia problems which could be the cause of depression. They will also examine your blood to look for deficiencies in vitamins or alcohol or drugs that cause depression.

If your GP determines that you suffer from depression treatment elderly, they'll tell you what's causing it and the best approach to treat it. This could involve psychotherapy or a combination of therapies and medication. Antidepressants are among the most effective medications to treat depression. They work by changing the balance of chemical substances within the brain. They can be taken either orally or by injection and it can take a few weeks before they start working. The drugs may also cause adverse effects, such as constipation and dry mouth.

2. Medication

Many people benefit from medication. Your doctor might initially prescribe one or more antidepressants. If the initial treatment does not provide a satisfactory outcome Your doctor may suggest that you try another medication or alter the dosage or frequency at which you take it. To get the most benefits of your medication, it is essential to take it regularly. You should not stop taking your medication unless instructed to take it off by your physician.

Depending on the severity of your symptoms, you could be given a prescription for a general antidepressant or an SSRI. An SSRI is an antidepressant that increases the levels of the chemical serotonin in the brain. Examples of SSRIs include citalopram (Celexa), the escitalopram (Lexapro) and fluoxetine (Prozac). Your doctor might also prescribe a serotonin-norepinephrine reuptake inhibitor, or SNRI. Examples of SNRIs include duloxetine (Cymbalta) and venlafaxine (Effexor XR, Khedezla).

Other antidepressants, including tetracyclics, can be prescribed if a doctor believes that these medications would be more effective than an SSRI or an SNRI. SSRIs or SNRIs may be used safely by adolescents and children.

It is important to inform your doctor if you have any allergies or health issues before you begin taking treatment. Some medications may cause side effects, such as an upset stomach or a dry mouth. Generally, these are mild and will go away by themselves in one or two weeks. Do not drive or operate machines if you're taking medication.

Other recreational drugs and alcohol can worsen some depression symptoms, such as restlessness or difficulty sleeping. These substances should be avoided, since they can make depression harder to treat. Continuing to use them, especially for an extended period of time, may cause more serious issues.

3. Psychotherapy

Psychotherapy, also referred to as talk therapy, can help you address issues that are contributing to depression. This type of treatment is long-term but has been proven to be effective in treating depression. Psychotherapy can be performed in a variety of settings, such as private therapists’ offices, hospitals, clinics for rehabilitation and psychiatry facilities. It is usually conducted one-onone but group therapy is possible.

Your therapy therapist will discuss your thoughts, feelings, behaviors, and relationships with you in a private and safe environment. During the initial sessions your therapist gets to get to know you better and suggests the best treatment program. This can include psychotherapy, medications exercise and activity, or other treatments such as repetitive transcranial magnetic stimulation (rTMS) or electroconvulsive treatment (Ect Treatment For Depression And Anxiety).

Some of them are short-term and are focused on specific issues. For instance the interpersonal therapy (IPT) helps people understand underlying problems such as unresolved grief or conflicts with significant others. Depression can manifest in many ways, from stress to loss and unresolved traumas. These may require more intensive therapy and other treatment.

Cognitive behavioral therapy (CBT) helps people change patterns of thinking that contribute to their symptoms and improve coping skills so they can deal with life's stresses and conflicts. Dialectical behavior therapy (DBT) combines elements of CBT with mindfulness techniques that help you to observe and accept your emotions.

Psychological treatment can often be as effective as antidepressants in treating acute depression. However, it may take longer to work and not everyone responds to it in the same way. It is important to continue to attend therapy sessions and complete your homework (like journaling or meditation) between sessions.

4. Counseling

It's important to find the right treatment, whether your depression symptoms are not severe. Often, that includes psychotherapy or counseling. The assistance of an outside professional with your emotions could be life-changing. It may take several therapists to find the one who resonates with you. However, it's worth the effort.

There are several types of psychotherapy. However, the majority involve discussing your concerns and developing strategies to manage major depression treatment. It can also be beneficial to discuss your experiences with a group of others who are experiencing similar issues. Group counseling is available at hospitals, medical clinics and therapists' offices. It can also be done on your phone through online Telehealth services.

Counseling for depression seeks to change negative thoughts and behavior patterns that contribute to the disorder. A therapist may help, for instance, instruct you on how to manage stress to improve your mood. You can learn to recognize irrational thought patterns and challenge preconceptions which make you feel down. You could try EMDR (eye movement desensitization and processing) to ease the burden of traumatizing or painful memories that may contribute to depression.

Other therapies, such as cognitive behavioral therapy and behavioural activation therapy, are employed to assist you in identifying and alter your patterns of behaviour. For instance, behavioural therapy can be useful if depression makes you stop social activities. The goal is to encourage you to take part in more social activities and to identify the ways in which your actions affect your mood. Generally, these methods are utilized in conjunction with medication. You can find a qualified therapist in your region by asking your physician to refer you or by calling a community mental health center.

5. Exercise

The benefits of exercise for the prevention and treatment of depression are well-established. But it's not generally considered a treatment of choice as psychotherapy and medication being the most popular. However, a growing body of research suggests that exercise can be as effective in treating depression as talking therapies and antidepressants, perhaps even better.

A meta-analysis of over 150 studies concluded that exercise was more efficient than drugs or psychotherapy on their own. The study found that, on average those suffering from depression who exercised improved their symptoms by five points with one measure and 6.5 points using another which is clinically significant. And the effects were potent regardless of whether they exercised for only an hour or so or more than an hour per day.

Exercise is a great alternative to psychotherapy and medication that aren't suitable for all people. Exercise also helps to keep us physically fit and may help prevent other mental health issues, such as anxiety.

Exercise is not stigmatized like drugs or talk therapy. Exercise is accessible to everyone and is cost-effective and can be a powerful approach.

However, it's not easy to research the effects of exercise on a person as it is difficult to monitor factors such as how often people normally exercise and other medications they are taking. So more research is needed to determine the most effective kind, frequency and duration of exercise to prevent and treating depression. And to help with that, doctors and other health professionals are increasingly prescribing exercises to their patients as part of a treatment plan. This is known as a "green prescription', and it involves writing an exercise plan in accordance with the needs of the patient and encouraging them to be active through regular face-toface or telephone contact with a trained fitness professional such as an exercise physiotherapist or physical educator.