This History Behind Guidelines For Treating Depression Is One That Will Haunt You Forever! > 자유게시판

Guidelines For Treating Depression

There are a variety of 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 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

The first step to treat of depression is to get a diagnosis. This includes a discussion with a mental health professional or a doctor, and certain types of talk therapy.

Your GP will inquire about your symptoms and how they have affected your life over the past month. They'll also want to know whether you've had any thoughts of suicide or self-harm. Your GP will also look at your general health, family history and lifestyle to help decide whether you suffer from depression or another mental health condition.

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

After your GP has concluded that you might be suffering from depression, they'll rule out the possibility of other conditions through tests. For instance blood tests can test for anemia or thyroid problems which could be the cause of your depression. They'll also test your blood for deficiencies in vitamins or the presence of alcohol and drugs, which can also mimic depression.

If your GP determines that you suffer from depression, they'll tell you what treatment is there for depression's causing it and the best approach to manage it. This could involve psychotherapy or an array of therapies and medication. Antidepressants are among the most effective medications to treat depression. They work by changing the balance of chemicals in the brain. They can be taken by mouth or injections and may take some time before they start to work. These medications can also cause negative side effects like dry mouth and constipation.

2. Medication

The use of medications can benefit many suffering from depression. Your doctor might initially prescribe one or more antidepressants. If your initial treatment isn't producing an effective response Your doctor may suggest that you try an alternative medication or alter the dosage or time of day that you take it. Taking medication regularly is important to getting the most benefit. Never stop taking your medication without your doctor's consent.

Depending on your symptoms, a general antidepressant may be prescribed or an SSRI. An SSRI is an antidepressant that increases the levels of the chemical serotonin in the brain. Examples of SSRIs include citalopram (Celexa), the escitalopram (Lexapro) and fluoxetine (Prozac). 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 tetracyclics are more effective than SSRIs and SNRIs, they might prescribe them. SSRIs and SNRIs are generally considered safe for use in adolescents and children.

Before starting any medication, inform your doctor if you are any health issues or allergies. Medication can trigger side effects such as stomach upset or dry mouth. These side effects are generally mild and will go away on their own within around a week. If you're taking medication do not drive or operate machines until you feel calm and clearheaded.

Certain depression-related symptoms like restlessness or trouble sleeping, may be made worse by alcohol and other recreational drugs. These substances should not be used because they can make depression difficult to treat. In the long run, using them especially for prolonged periods of time, may result in more serious problems.

3. Psychotherapy

Psychotherapy (also known as talk therapy) can assist you in dealing with issues that contribute to depression. This kind of electric shock treatment for depression is long-lasting, but has been shown to be effective in treating depression. Psychotherapy can be done in various settings, including private clinics for therapists and hospitals, psychiatric clinics and rehabilitation facilities. It is typically conducted one-on-one however group therapy is also possible.

Your therapist will discuss your feelings and behaviors as well as your relationships with you in a private and safe environment. In the initial sessions your therapist will get to get to know you better and suggests a treatment program. This may include psychotherapy, medications, activity and exercises or other treatments such as repetitive transcranial magnetic stimulation (rTMS) or electroconvulsive treatment (ECT).

Some of them are short-term and focus on specific issues. For example IPT, or interpersonal therapy (IPT) assists people in understanding the root causes of problems, such as conflicting feelings or grieving over significant others. Depression can manifest in various ways, ranging from stress to loss and unresolved traumas. They may require a longer-term therapy and other treatments.

Cognitive behavioral therapy (CBT) assists people in changing patterns of thinking that contribute to their symptoms and enhances their coping skills so they can cope with the stresses of life 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 treatment can often be as effective as antidepressants in treating depression in acute cases. It may take longer for it to take effect and not everyone responds in the same way. It is essential to be present at your therapy sessions and to do your homework between sessions (like journaling or meditating).

4. Counseling

It is crucial to find an effective treatment regardless of whether the symptoms of depression are mild depression treatments. This can be done through psychological therapy or counseling. Having an outside expert help with your feelings can be life-changing. You may have to test different therapists before you discover one that clicks with you However, it's worth it.

There are many types of psychotherapy, however the majority involve talking about your issues and learning new strategies to cope with depression. It can also be helpful to talk about your experience with other people who are going through similar struggles. Group counseling is offered at medical clinics, hospitals, therapists' offices, and even via your phone via online Telehealth services.

Counseling for depression is aimed to change negative thoughts and behavior that contribute to the condition. A therapist may, for example, coach you on how to manage stress to improve your mood. You can be taught to recognize irrational thinking and challenge your preconceived notions that cause you feel depressed. You can utilize EMDR to release painful or traumatic memories that could contribute to depression.

Other treatments, such as cognitive behavioral therapy or behavioural activation are utilized to help you identify your patterns of behavior and make adjustments. For example, behavioural therapy could be beneficial when depression makes you stop social activities. The aim is to motivate you to engage in more social activities and to determine the way your actions impact your mood. These methods are typically used as a complement to medication. You can find a licensed psychotherapist in your area by asking your doctor to refer you or calling a mental health center in your community.

5. Exercise

The benefits of exercising for the prevention and treatment of depression are well-established. But it's rarely considered a primary treatment in the same way as psychotherapy and medication being more popular. But a growing body of research suggests that exercising can be as effective at treating depression as talking therapies and antidepressants, perhaps even better.

A meta-analysis of more than 150 studies found that it was more efficient than drugs or psychotherapy by themselves. The research found that, on average, people 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 can help keep our bodies fit and aid in preventing mental health issues like anxiety.

Exercise is not stigmatized like drugs or talk therapy. It's open to everyone, has no costs and can be a very empowering approach.

It's still hard to study exercise as a medicine because it's difficult for researchers to control variables like how often people exercise in their normal routine and any other medications that they might be taking. More research is needed to determine the best type, frequency and length of exercise for treating and preventative treatment for depression. To help patients with depression, doctors are prescribing exercise as a part of their treatment plans. The green prescription is a program designed to encourage patients to get active by contacting a fitness expert frequently via phone or face-to-face.