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Guidelines For Treating Depression

The APA, CANMAT BAP NICE and Texas Medication Algorithm Project have issued a variety of guidelines to treat depression. They recommend exercise, psychotherapy and antidepressant medications.

The guidelines suggest that patients who don't respond to monotherapy should use CBT or SGA prior to starting medication and increase dosages if needed. Patients who are not responding to monotherapy could benefit from augmentation with psychostimulants, lithium or SSRIs.

1. Diagnosis

A diagnosis is the first step in treating depression. This requires a conversation with your doctor or mental health professional and certain kinds of psychotherapy (talk therapy).

Your GP will inquire about your symptoms, and how they have affected your life in the last month. They'll also ask whether you've ever been a victim of thoughts of suicide or self-harm. Your GP will also take a look at your general health, family history, and life style to determine if you suffer from depression or another mental health problem.

You must be honest and open with your doctor, so that they get a full picture of how you're feeling. This will allow them to recognize the signs of depression. They can then use these symptoms to rule out other conditions like cancer or heart disease, which may cause similar symptoms.

After your GP determines that you be suffering from bipolar depression treatment, he or they will run tests to rule out any other ailments. For example, blood tests can check for anemia or thyroid problems that might be causing your depression. They will also test your blood to look for deficiencies in vitamins, alcohol and drugs that can mimic depression.

If your GP has diagnosed depression the doctor will explain the cause and best antidepressant for treatment resistant depression treatment options. This might include psychotherapy or a combination of medications and therapies. Antidepressants are the most effective drugs to treat depression. They work by changing the balance of chemicals in the brain. They can be administered orally or by injection and it could take several weeks before they begin working. These drugs can also have side effects such as dry mouth and constipation.

2. Medication

The use of medications can benefit many who suffer from depression. At first, your doctor may prescribe antidepressants or a combination of them. If the initial treatment does not produce a satisfactory result, your doctor may recommend that you try another medication or to alter the dose or duration at which you take it. Regularly taking your medication is essential to get the most benefit. You should never stop taking your medication unless instructed to take it off by your physician.

Based on your symptoms depending on your symptoms, a general antidepressant could be prescribed or an SSRI. An SSRI is an antidepressant meds that treat depression and anxiety raises the levels of the chemical serotonin within the brain. SSRIs include citalopram, escitalopram, and fluoxetine. Your doctor might also prescribe a serotonin-norepinephrine reuptake inhibitor, or SNRI. SNRIs include duloxetine (Cymbalta), and venlafaxine, (Effexor XR or Khedezla).

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

It is important to inform your doctor whether you suffer from any allergies or other health problems before starting medication. The medication can cause side effects like an upset stomach or a dry mouth. These side effects are typically mild and will go away by themselves in about a week. If you're taking medication, avoid driving or operating machinery until you feel alert and clear.

Certain depression-related symptoms, such as restlessness or trouble sleeping, may be worsened by alcohol and other recreational drugs. These substances are not recommended for use because they can make depression difficult to manage. Continuing to use them, especially for prolonged periods of time, may lead to more serious problems.

3. Psychotherapy

Psychotherapy, also known as talk therapy, can help you deal with issues that are contributing to your depression. This type of treatment is a long-term one, but has been proven to be effective in treating depression. Psychotherapy can be carried out in a variety of settings including private therapists' offices, hospitals, clinics for rehabilitation and psychiatry facilities. It is usually one-on-one however group therapy is also possible.

Your Therapist will discuss your emotions and behaviors as well as your relationships with you in a confidential and safe environment. In the initial few sessions your therapist will begin to know you and suggest a treatment program. This could include psychotherapy, medication exercise and activity, or other treatments like repetitive transcranial magnet stimulation (rTMS), or electroconvulsive treatment (ECT).

Some of these are short-term and are focused on specific issues. Interpersonal therapy (IPT) is one example. It helps people to understand the root of issues, such as unresolved grievances or conflicts with other people. Depression can be caused in many ways, ranging from stress to loss and unresolved traumas. This may require more intensive therapy or other treatments.

Cognitive behavioral therapy (CBT) is also referred to as cognitive restructuring, assists people to change their thinking patterns that cause symptoms. It also improves coping skills and helps them cope with the stresses and tensions of life. Dialectical behavior therapy (DBT) combines elements of CBT with mindfulness techniques which allow you to be aware and accept your emotions.

Sometimes, psychological treatment can ease acute moderate to severe depression in the same way that antidepressants can. However, it can take longer to work and not everyone responds in the same way. It is essential to be present at your therapy sessions and to complete your homework in between sessions (like journaling or meditation).

4. Counseling

It is essential to find a treatment that works, whether your depression symptoms are not severe. Often, that includes counseling or psychological therapy. A professional outside can transform your life. It may be necessary to try various therapists before finding one who resonates with you however, the effort is worth it.

There are a variety of psychotherapy. However the majority of them involve discussing your problems and learning strategies to deal with depression. It can also be helpful to share your experiences with a group of people who have similar issues. Group counseling is available at medical clinics, hospitals and therapists' office. It is also carried out over the phone via online Telehealth services.

Counseling for depression seeks to alter negative thoughts and behavior patterns that cause depression. A therapist might, for example, coach you on how to manage stress to improve your mood. You may learn to recognize thoughts that are not rational and question preconceptions that cause you to feel depressed. It is possible to use EMDR to release painful or traumatic memories that may be causing depression.

Other therapies such as cognitive behavioral therapy or behavioural activation can be used to help you understand your behavior patterns and to make changes. For example, behavioural therapy could be beneficial if depression causes you to avoid social activities. The aim is to motivate you to take part in more social activities and to identify how your actions influence your mood. These approaches are usually used in conjunction with medication. Ask your doctor for a referral, or call a local mental health clinic to locate a therapist who is certified.

5. Exercise

Exercise is a well-established method to reduce and treat depression. It's not a typical treatment. Psychotherapy and medication are more commonly used. An increasing amount of research suggests that exercise is just as effective as antidepressants and talking treatments for treating depression.

In fact it's more effective than drug or psychotherapy alone according to a meta-analysis of over 150 studies. The study found that those with depression who exercised experienced improvement in their symptoms by five points on one measure, and 6.5 points on another which is clinically significant. And the effects were potent regardless of whether they exercised for only a few minutes a day or for more than an hour a day.

Exercise can also be a good alternative to medication or psychotherapy, which might not be appropriate for everyone. And it has the added benefit of keeping us physically healthy and helping us fight off other mental health issues like anxiety.

What's more exercising doesn't come with the stigma that can be associated with taking drugs or going to talk therapy. It's available to everyone, has no expenses and is a very empowering approach.

However, it's not easy to study exercise as a medicine as it is difficult to control for factors like how much people exercise regularly and other medications they might be taking. Therefore, more research is required to determine the best kind, frequency and duration of exercise to prevent and treating depression. To aid in that, GPs and other health professionals are increasingly prescribing exercise to their patients as part of their treatment plan. The "green prescription" is a program that aims to encourage patients to exercise by contacting a fitness professional regularly by phone or face-toface.