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Depression Treatment Recommendations

If you suffer from depression, your physician may recommend medication or psychotherapy. Education, lifestyle changes and social support can also aid.

Psychotherapy can be broken down into a variety of kinds of sessions. For example, behavioural activation therapy helps you discover the connections between your daily activities and your mood. Psychotherapy for interpersonal relationships involves talking about relationships and your role in them.

Psychotherapy

Psychotherapy or talk therapy is an an important treatment option for depression. It can help patients identify and overcome self-defeating ways of thinking, irrational fear and problem behavior. Psychotherapy can also assist people to manage issues in relationships, at work, or in school. It can be used in conjunction with other treatments, like medication and exercise, or used alone.

The kind of psychotherapy a person receives depends on a variety of factors, including their depression severity and their preferences. Patients with mild symptoms can benefit from psychotherapy, as well as other lifestyle changes, like getting enough sleep and reading trusted self-help websites and books. You may be able how to treat depression and anxiety without medication join a support group. Psychotherapy and antidepressant medication can assist people suffering from moderate to severe depressive disorders. In certain cases mental health care in a hospital may be required for those who are not able to take care of themselves or have thoughts of harming themselves or others.

It is important to find a therapist you feel comfortable with. If you can, select a therapist with whom you can connect easily and who is experienced in treating depression. You should also select an appointment time that works for you to see your therapist. If you're driving to your appointment, plan ahead for traffic and other unexpected delays. If you're worried about the cost of therapy, ask your doctor if you qualify for an exemption through Medicare or other health insurance programs. Psychotherapy is expensive, but is worth it for your mental health.

Medication

For moderate to severe depression The use of medication can be recommended in combination with psychotherapy. This is especially important for those who have a history of previous episodes or with severe symptoms, or who are thinking about suicide. The drugs used to treat depression include mood stabilisers and antidepressants, along with an antipsychotic drug.

Doctors may recommend "watchful wait" for mild depression. This involves watching patients while they are receiving psychotherapy or other treatments. If you are experiencing moderate to severe symptoms then medication is usually the first option to treat.

Doctors will start with selective serotonin reuptake inhibitors (SSRIs). These drugs are less risky and have fewer adverse reactions than older antidepressants. Examples include citalopram (Celexa), escitalopram (Lexapro) as well as fluoxetine (Prozac, Prozac XR), 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). In addition, there are tricyclic antidepressants, which can be very effective however they can also cause more serious side effects than newer drugs. Examples of this group include imipramine (Tofranil), doxepin (Surmontil) and nortriptyline (Pamelor).

Psychological therapies -- often referred to as talking therapies or cognitive behavior therapy (CBT) are the most researched treatment for depression. They help you identify and change negative patterns of thinking and enhance your coping abilities. Other psychological treatments include interpersonal psychotherapy as well as marriage and family counseling, and other approaches.

It may take a few weeks for an antidepressant medication to start working. If you don't experience improvement after several weeks it is essential to consult your doctor. If you are not responding to a specific medication, your doctor may change your prescription or prescribe other medications to increase the antidepressant effect.

Exercise

Physical exercise is a great method to reduce depression symptoms and boost your mood. Try jogging, walking, gardening, or swimming. Also make sure you get plenty of sleep and avoid using recreational drugs or alcohol - they tend to make depression worse in the long term. Sports and exercise have fewer side effects than psychotherapy and medications. However, they may not be effective for all people with depression. Some people may even feel worse after exercising.

Other Lifestyle Changes

Depression can cause you to feel trapped in a pit of darkness with no way to escape. Even severe depression can be managed by medication, therapy and self-help techniques for coping and lifestyle changes. People with depression can benefit from all of these things and the techniques learned through treatment can help avoid recurrences in the future.

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

Avoiding alcohol and other drugs, especially those that have the highest sedative effects is also recommended if you suffer from depression. This will help you feel better and stay on your medication, which is a key aspect of treatment for depression. Antidepressants can take a lengthy time to kick in and cause undesirable adverse effects. Other treatments, such as cognitive-behavioral treatment (CBT) or relaxation exercises or acupuncture can aid in easing these adverse effects.

Therapists can be found by requesting the recommendation of your primary care physician or other health care providers. If money is an issue, many institutions, like senior centers, community mental health programs, and religious organizations provide therapists on an affordable rate or free. For more severe depression you could try an experimental treatment called transcranial magnetic stimulation (TMS) which makes use of a painless device to send recurring magnetic pulses through the skull to increase the number of brain cells that influence your mood.

Support Groups

Depression can be a lonely and depressing illness, and while family members and friends may provide support, they often lack the depth of understanding that other people who have similar experiences can offer. This is why depression support groups are a good option. They are usually led by peers and meet regularly, either in person or via the internet. They are a useful supplement to any treatment resistant depression plan and aid people in feeling less isolated in their struggle with depression.

Typically, these groups are free to join and can be found in your area or online. They are often operated by community groups, mental health professionals or others who have experiences with the disease. Some also have a professional facilitator or moderator who helps facilitate discussions. While there is more research needed on the long-term effectiveness of support groups for depression They are believed to be beneficial and may be a great supplement to psychotherapy.

These groups offer those suffering from depression the opportunity to share their experiences and help each other with comfort and guidance as well as coping techniques. They can be a great source for those struggling to keep up with regular therapy sessions due to financial limitations, scheduling conflicts or other factors. They can be useful for people who do not suffer from symptoms that are severe enough to require hospitalization or psychiatric treatment.

Searching the ADAA website will provide an array of depression support groups that meet in person and online. It's crucial to choose a group that feels comfortable and safe for you, and it's best antidepressant for treatment resistant depression to try several different groups before you settle on one. Some groups are synchronous, and meet regularly, either in person or via video chat, while others are more ad-hoc and are accessible at any time.