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Guidelines For Treating Depression

There are several different guidelines for treating depression that have been published by the APA, CANMAT, BAP, NICE, and Texas Medication Algorithm Project. They recommend psychotherapy, exercise and antidepressant medications.

The guidelines recommend that patients who do not respond to monotherapy should use CBT or SGA prior to beginning natural treatment for depression and increase dosages as necessary. Patients who are not responding to monotherapy might benefit from augmentation using psychostimulants, lithium or SSRIs.

1. Diagnosis

A diagnosis is the first step towards treating depression. This includes a discussion with an expert in mental health or a doctor, as well as some forms of talk therapy.

Your GP will ask you about your symptoms and how to treat anxiety and depression without medication they have affected your life over the past month. They will also ask whether you've ever been a victim of thoughts of self-harming or contemplating suicide. Your GP will also take into consideration your general health as well as your family history and lifestyle when determining whether you suffer from depression.

It's essential to be open and honest with your GP to help them get the most accurate picture of what's happening for you. This will make it easier for them to spot the symptoms of depression. These symptoms can be used to rule out other illnesses like cancer or heart disease.

After your GP has determined that you may have depression, they'll rule out the possibility of other conditions by conducting tests. For example blood tests can test for anemia or thyroid problems which could be the cause of your depression. They'll also check your blood for vitamin deficiencies or drugs and alcohol which may also be a sign of depression.

If your GP determines that you are depressed the doctor will discuss the reasons and the best antidepressant for treatment resistant depression treatment options. This could involve psychotherapy, or a combination between therapy and medication. Antidepressants are among the most effective medication to treat depression. They alter the balance of chemicals within the brain. These can be taken by mouth or injections and can take up to a few weeks before they begin to work. They can also cause side effects, including constipation and dry mouth.

2. Medication

Many people can benefit from taking medication. At first, your doctor may prescribe one or more antidepressants. If the initial treatment fails to yield a satisfactory result your doctor might suggest that you try another medication or alter the dosage or time that you take it. To get the most out of your medication, it is essential to take it regularly. Don't stop taking your medication without your doctor's approval.

Depending on the severity of your symptoms, you could be given a prescription for an antidepressant that is general in nature or an SSRI. An SSRI is an antidepressant that raises the levels of the chemical serotonin in 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 include duloxetine (Cymbalta) and venlafaxine (Effexor XR, Khedezla).

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

It is recommended to inform your doctor whether you suffer from any allergies or health issues before you begin taking medications. The medication can trigger side effects such as an upset stomach or a dry mouth. These side effects are generally minor and will disappear on their own within about a week. If you're taking a medication, don't drive or operate machines until you feel calm and clearheaded.

Alcohol and other recreational drugs can worsen some depression symptoms, such as restlessness or difficulty sleeping. These substances should not be used because they can make depression and treatment harder to treat. In the case of continued use, particularly over a prolonged period, can lead to more serious problems.

3. Psychotherapy

Psychotherapy, also known as talk therapy, can aid you to deal with issues that are contributing to depression. This kind of treatment can be long-lasting, but it has been proven to be beneficial for many people suffering from depression. Psychotherapy can be done in various settings, including private therapists' offices and hospitals, psychiatric clinics, and rehabilitation facilities. It is typically conducted one-on-one but group therapy is also a possibility.

Your therapist will discuss your feelings and behaviors as well as your relationships with you in a private and safe environment. During the first few sessions your therapist will get to know you and will suggest a treatment plan. This could include psychotherapy, medication, exercises and other treatments like repetitive transcranial magnetic stimulation (rTMS) or electroconvulsive therapy (ECT).

Some are short-term, and they focus on specific issues. Interpersonal therapy (IPT) for instance helps people to understand the root of issues such as unresolved grievance or conflicts with others. Depression can manifest in various ways, ranging from stress to loss and unresolved traumas. These may require more intensive therapy as well as other forms of treatment.

Cognitive behavioral therapy (CBT), also known as cognitive restructuring, helps people to change their thinking patterns that trigger symptoms. It also improves resilience and helps people deal with the stresses and tensions of life. Dialectical Behavior Therapy (DBT) blends CBT elements with mindfulness techniques to help you accept and observe your emotions.

Psychological treatment can often be as effective as antidepressants when treating acute depression. It can take longer for it to take effect and not everyone responds the same way. It is essential to continue to attend sessions for therapy and complete your homework (like journaling or meditative) between sessions.

4. Counseling

If you are experiencing depression symptoms that are severe or mild it's crucial to find treatments that help. Most often, this means counseling or psychological therapy. A professional outside can transform your life. It could take a number of therapy sessions to find one who is a good fit for you. However, it's worth the effort.

There are a myriad of forms of psychotherapy, however the majority involve talking about your issues and learning new strategies to cope with the depression. It can also be beneficial to share your experiences with a group of others who have similar issues. Group counseling is available at hospitals, medical clinics and therapists' offices. It can also be carried out over the phone via online health services via telehealth.

Counseling for depression aims to change negative thoughts and behaviors which contribute to the condition. For instance, a therapist could help you to manage stress to improve your mood. You may learn to recognize irrational thoughts and question preconceptions that make you feel depressed. It is possible to use EMDR to let go of painful or traumatic memories that may contribute to depression.

Other therapies, such as cognitive behavioral therapy and behavioural activation therapy, can be used to assist you in identifying and make changes in your behavior patterns. For example the behavioural therapy is beneficial when depression makes you avoid social activities. The aim is to motivate you to participate in more social activities and to understand how your actions influence your mood. These strategies are usually employed in conjunction with medication. Ask your doctor for a referral, or call a local community mental health center to find a licensed therapist.

5. Exercise

The benefits of exercise in combating depression and preventing it are well-established. But it's rarely considered a drug treatment for depression of choice, with medication and psychotherapy being the most popular. But a growing body of research suggests that exercise can be as effective in treating depression as psychotherapy and antidepressants, perhaps even better.

A meta-analysis of over 150 studies showed that it was more efficient than drugs or psychotherapy alone. The research revealed that on average, those with depression who exercised improved their symptoms by five points with one measure and 6.5 points using another that is clinically significant. The results were similar regardless of whether they exercised for just only a few minutes or an hour every day.

Exercise can also be an effective alternative to medication or psychotherapy, which might not be appropriate for everyone. Exercise also helps to keep us physically fit and may help prevent other mental health issues, like anxiety.

Exercise isn't stigmatized as drugs or talking therapy. Exercise is accessible to everyone and is cost-effective and can be a powerful method.

It's difficult to study exercise as medicine because it's difficult for researchers to regulate factors like how much people exercise regularly and any other medications they may be taking. So more research is needed to understand the optimal type, frequency and duration of exercise to prevent and treating depression. To help those suffering from depression, doctors are prescribing more exercise as part of their treatment plans. The 'green prescription,' is a program that encourages patients to exercise by contacting a fitness professional frequently via phone or face-to-face.