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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 psychotherapy, exercise and antidepressant medications.

The guidelines suggest that patients who don't respond to monotherapy, use CBT or SGA prior to starting medication and increase dosages as necessary. Patients who are not responding to monotherapy may benefit from augmentation using psychostimulants, lithium, or SSRIs.

1. Diagnosis

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

Your GP will ask you about your symptoms and how they've impacted your life in the last month. They'll also ask whether you've ever had thoughts of suicide or self-harm. Your GP might also look at your general health, family background and lifestyle in determining if you suffer from depression.

It's important to be open and honest with your GP, so they can get the most accurate picture of What Treatments Are Available For Depression's happening for you. This will help them identify the signs of depression. They can then use these symptoms to rule out other diseases such as heart disease or cancer, that could cause similar symptoms.

After your GP has decided that you may be suffering from depression and they'll rule out any other illnesses through tests. For example, blood tests can check for anemia or thyroid problems that could be the cause of your depression. They will also test your blood to check for deficiencies in vitamins, alcohol and substances that mimic depression.

If your GP diagnoses depression, he or she will discuss the reasons and best treatment for depression and anxiety options. This could include psychotherapy, or a combination of therapy and medication. Antidepressants are the most effective medications to treat depression. They work by altering the balance of chemicals within the brain. They can be taken either orally or via injections and it could take some time before they start to work. The drugs may also cause side effects such as constipation and dry mouth.

2. Medication

Many people can benefit from medication. At first, your doctor may prescribe one or more antidepressants. If the initial treatment fails to produce a satisfactory result your doctor might suggest you try a different medication or that you change the dose or duration at which you take it. Taking medication regularly is important to get the most benefit. Don't stop taking your medication without doctor's approval.

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

If your doctor believes that tetracyclics are more effective than SSRIs and SNRIs, they might prescribe them. SSRIs or SNRIs may be safely used by children and adolescents.

Before taking any medication, inform your doctor if there are any health or allergy issues. Medication may cause side effects, such as an upset stomach or a dry mouth. These side effects are usually mild and will resolve on their own within about a week. If you're taking medication, do not drive or operate machinery until you feel relaxed and clear.

Certain depression-related symptoms such as restlessness and difficulty sleeping, can be worsened by alcohol and other recreational drugs. These substances should not be used as they can make depression difficult to manage. In the case of continued use, particularly over a prolonged period could lead to more serious issues.

3. Psychotherapy

Psychotherapy (also called talk therapy) can help you deal with issues that contribute to depression. This kind of treatment can be long-lasting, but it has been proven effective for many people with depression. Psychotherapy is done in a variety of settings such as private therapists' offices as well as hospitals, psychiatric clinics, and rehabilitation facilities. It is usually done one-on-one however group therapy is also possible.

Your therapist will ask questions about your feelings, behaviors and relationships, and discuss these with you in a secure and confidential setting. During the initial sessions, your therapist gets to know you better and will recommend a treatment plan. This may include medication, psychotherapy exercise and other treatments such as repetitive transcranial magnetic stimulation (rTMS) or electroconvulsive therapy (ECT).

Some are short-term, and they focus on specific issues. Interpersonal therapy (IPT), for example helps people to understand the root of issues, such as unresolved grievances or conflicts with other people. Depression can be triggered by a variety of reasons, from stress and loss to unresolved traumas and abuse. This may require more intensive therapy and other treatment.

Cognitive behavioral therapy (CBT) assists people in changing patterns of thinking that cause their symptoms and improve coping skills so they can manage life's stress and conflicts. Dialectical Behavior Therapy (DBT) is a combination of CBT elements with mindfulness techniques that assist you in recognizing and observing your emotions.

Psychological treatments can be as effective as antidepressants when treating post pregnancy depression treatment that is acute. It can take longer for it to work and not everyone responds in the same manner. It is crucial 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 the right treatment resistant bipolar depression, regardless of whether the symptoms of depression are not severe. Most often, this means psychological therapy or counseling. A professional outside can alter your life. It may take several therapists to find the one who is a good fit for you. It's worth the effort.

There are a myriad of forms of psychotherapy, but the majority involve discussing your problems and learning new strategies to cope with the depression. It is also beneficial to share your experiences with a group of people who are dealing with similar issues. Group counseling is offered in medical clinics, hospitals and therapists' offices and even via your phone using online Telehealth services.

Counseling for depression aims to alter negative thoughts and behavior patterns that contribute to the condition. A therapist may be able to, for instance, guide you on how to manage stress to improve your mood. You might learn how to recognize irrational thoughts and challenge the preconceived notions that make you feel depressed. You can try EMDR (eye movement desensitization and processing) to relieve traumatic or painful memories that may contribute to your depression.

Other therapies, like cognitive behavioral therapy or behavioural activation are used to help you recognize your patterns of behavior and make adjustments. For example the behavioural activation therapy is beneficial when depression causes you to avoid social activities. The aim is to encourage you to take part in more social activities and to understand the way your actions impact your mood. Generally, these methods are utilized in conjunction with medication. You can find a licensed psychotherapist in your area by asking your doctor to refer you or by calling a mental health center in your community.

5. Exercise

Exercise is a proven method to prevent and treat depression. But it's not generally considered a primary treatment, with medication and psychotherapy being more favoured. But a growing body of research suggests that exercise can be as effective at treating depression as psychotherapy and antidepressants, and perhaps even more effective.

In fact it's more effective than psychotherapy or drugs by itself according to a meta-analysis of more than 150 studies. The study found that, on average, those with depression who exercised improved their symptoms by five points with one measure and 6.5 points with another which is clinically significant. The results were similar regardless of whether they exercised for only a few minutes or an hour every day.

Exercise can also be an effective alternative to medication or psychotherapy, which may not be appropriate for everyone. It also has the added benefit of keeping us physically healthy and helping us fight off other mental health problems like anxiety.

Exercise isn't stigmatized as drugs or talking therapy. Exercise is accessible to everyone and is cost-effective and can be an empowering approach.

However, it's still difficult to research the effects of exercise on a person, because it can be difficult to control for things like how much people exercise regularly and other medications they are taking. More research is needed to determine the best type, frequency, and duration of exercise for treating and preventative treatment for depression. In order to aid in this, GPs and other health professionals are increasingly prescribing exercises for 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.