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Depression Treatment Recommendations

If you are suffering from depression, your physician might suggest medication or psychotherapy. Education, lifestyle modifications and support from friends are also helpful.

Psychotherapy can be divided into a variety of types of sessions. Behavioral activation therapy, for instance, helps you understand the connection between your mood and the activities you engage in. Interpersonal psychotherapy involves discussing the relationships you have with others and your role within them.

Psychotherapy

Talk therapy or psychotherapy is an important treatment option for depression. It can help patients learn to recognize and overcome self-defeating habits of mind or irrational fears as well as problem behavior. Psychotherapy can also assist people to manage issues in relationships, at work, or in school. It can be used in combination with other treatments such as exercise and medication or alone.

The kind of psychotherapy a person receives depends on a number of factors that include their depression level and their personal preferences. Patients with mild symptoms can benefit from psychotherapy and other lifestyle changes, like getting enough sleep and reading trusted self-help websites and books. They may also be able to participate in a support group. Psychotherapy and antidepressant medications can aid people suffering from moderate to severe depression. In certain cases, psychiatric care in a hospital may be required for those who are unable to take care of themselves or are having thoughts of harming themselves or others.

It's crucial to find a therapist with whom you are comfortable. If you can, pick a therapist who has experience in treating depression and with whom you feel comfortable. It is also important to choose a time that works for you to meet your counselor. If you're required to drive to your appointment, be prepared for traffic or other unexpected delays. If you're worried about the cost of therapy, ask your physician if you qualify for a rebate through Medicare or other health insurance programs. Psychotherapy can be expensive however it's an investment worth the investment in your mental health.

Medication

For depression that is moderate to severe, medication may be prescribed in combination with psychotherapy. This is particularly important for those who have a history of previous episodes, severe symptoms, or thoughts of suicide. The medications used to treat depression include antidepressants and mood stabilizers, and also an antipsychotic drug.

Doctors may recommend "watchful waiting" for mild depression. This involves closely monitoring patients while they continue receiving treatment such as psychotherapy or another. If you're experiencing moderate to severe symptoms, medication is typically suggested as the main treatment.

Doctors will start with the selective serotonin reuptake inhibitors (SSRIs). These medications are less harmful and have fewer adverse effects than older antidepressants. Examples include citalopram (Celexa) as well as the escitalopram (Lexapro) as well as the fluoxetine (Prozac, Prozac XR) and 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). Tricyclic antidepressants also are available. They are efficient, but they may have more severe adverse effects than the more recent medications. Examples of this class include imipramine (Tofranil) and Doxepin (Surmontil) and nortriptyline (Pamelor).

The most researched treatments for depression are psychological treatments, which are also referred to as talking therapies or cognitive behavior therapy (CBT). They teach you to recognize and change negative thinking patterns and help you improve your coping skills. Other psychological treatments include interpersonal psychotherapy as well as marriage and family counseling, and other approaches.

It may take a while for an antidepressant medication to begin working. It is important to speak with your doctor if you are not seeing any improvement after a couple of weeks. If you're not responding to a certain medication, your doctor might change your prescription or prescribe other medications to enhance the antidepressant effect.

Exercise

Physical activity can help to boost your mood and reduce depression symptoms. Try jogging, walking, gardening, or swimming. Also, ensure you get plenty of sleep and avoid using drinking or taking recreational drugs - they generally make depression worse in the long term. Sports and exercise have fewer side effects than psychotherapy and medications. They might not be suitable for everyone suffering from depression. Some people may even feel worse after exercising.

Other Lifestyle Changes

Depression can make you feel as if you're stuck in a dark pit that has no exit. Even severe depression can be treated with therapy, medication and self-help coping strategies as well as lifestyle modifications. All of these treatments are beneficial for people with depression, and the techniques they learn can help them to prevent recurrences in the future.

Stress reduction is one of the most important things you can do to manage depression. This means finding ways to reduce and manage the amount of stress that you experience by getting enough rest, exercising, and spending time with your family or friends that make you feel happy about yourself. Yoga, meditation or other mindfulness-based activities that can help you relax can improve your mood and help you get better sleep.

Avoiding alcohol and other drugs, especially those that have a high sedative effect, is also advisable if you suffer from depression treatment in pregnancy. This can help you to feel better and stick with your medication. This is a crucial element of tackling depression. It is common for antidepressants to take time to begin working and may have negative side effects that can be uncomfortable or irritating. Other treatments, such as cognitive-behavioral treatment (CBT) or relaxation exercises or acupuncture can aid in easing these side effects.

You may be able locate a therapist to work with through word of mouth, or perhaps your primary care doctor or other health care providers can refer you to a therapist. If you are concerned about cost, community mental health programs and senior centers, as well as religious organizations, and many other locations offer therapy on a sliding scale or even free. For severe depression you could test an experimental treatment resistant depression treatment known as transcranial magnetic stimulation (tms treatment for depression), which uses an innocuous device to send regular magnetic pulses through your skull to boost brain cells that impact your mood.

Support Groups

Depression is 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 peer groups and meet regularly either in person or via the internet. They are an excellent addition to any treatment plan and can aid people in feeling less isolated in their struggle with depression.

Most of the time these groups are cost-free to join and can be found in your area or online. They are often operated by community groups or mental health professionals, or other individuals who have experiences with the illness. Some groups have a trained facilitator or moderator who facilitates the discussion. While more research is needed on the long-term effectiveness of support groups for depression, they appear to be beneficial and could be a great 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, guidance and strategies for coping. They can be a great resource for those who are struggling to keep up with regular therapy sessions due to financial constraints or scheduling conflicts, among other factors. They are a great option for people who do not suffer from symptoms that are severe enough to need hospitalization or psychiatric electromagnetic treatment for depression treatment ect (Technetbloggers blog entry).

The ADAA provides a list of depression and anxiety support groups, both in person and online, that can be found by searching the website. It is important to find a group that is comfortable and secure for you, and it's usually recommended to try a variety of groups before choosing one. Some groups meet biweekly or every week, either in person or by video chat. Others are more hoc and accessible anytime.