What Is It That Makes Guidelines For Treating Depression So Popular? > 자유게시판

Guidelines For Treating Depression

There are a variety of guidelines for treating depression published by the APA, CANMAT, BAP, NICE, and Texas Medication Algorithm Project. Generally, they advise using psychotherapy, exercise and antidepressant medication.

The guidelines generally recommend the use of CBT or an SGA prior to starting medications and titrate up dosages according to the need. Patients who are not responding to monotherapy may benefit from augmentation with psychostimulants, lithium or SSRIs.

1. Diagnosis

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

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

It's important to be open and honest with your GP, so they can get the most accurate picture of what's going on 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 such as cancer or heart disease.

If your GP decides that you may be suffering from depression, he or she will run tests to rule out other ailments. Blood tests, for example, can check thyroid or anemia-related issues which could be the cause of depression. They can also test your blood for vitamin deficiencies, or even drugs and alcohol that can mimic depression.

If your GP discovers you have depression, they'll tell you the root of the problem and the best way to manage it. This could include psychotherapy or a combination between therapy and medication. The most effective treatments for depression are antidepressants that work by altering the balance of chemicals in the brain. They can be administered orally or through injections, and may take some time before they start to work. They can also cause side effects, including dry mouth and constipation.

2. Medication

Many people benefit from medication. Your doctor may first 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 dosage or frequency at which you take it. To get the most benefit of your medication, it's crucial to take it on a regular basis. You should not stop taking your medication unless you are instructed to do so by your doctor.

Depending on the severity of your symptoms, you may 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 that is found in the brain. Examples of SSRIs are citalopram (Celexa) as well as the escitalopram (Lexapro) and fluoxetine (Prozac). Your doctor might also prescribe a serotonin-norepinephrine reuptake inhibitor, or SNRI. SNRIs include duloxetine (Cymbalta) and venlafaxine (Effexor XR or Khedezla).

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

Before you begin any medication, you should inform your doctor if there are any allergies or health problems. Some medications can cause side effects, such as an upset stomach or dry mouth. These side effects are generally minor and will disappear by themselves in about a week. If you're taking a medication, avoid driving or operating machinery until you feel alert and clear.

Certain symptoms of depression, such as restlessness or trouble sleeping, may be worsened by alcohol and other recreational drugs. These substances should be avoided as they can make depression more difficult to manage. Continuing to use them, particularly for a prolonged period of time, could cause more serious issues.

3. Psychotherapy

Psychotherapy (also known as talk therapy) can help you deal with issues that contribute to your depression. This kind of treatment is long-lasting, however it has been proven to be effective in treating antenatal depression treatment. Psychotherapy can be done in many different settings, such as private therapists’ clinics, hospitals, offices for psychiatry, and rehabilitation facilities. It is usually conducted one-onone but group therapy is also a possibility.

Your therapist will ask questions about your thoughts, feelings, and relationships, and will discuss them with you in a safe and confidential setting. In the initial few sessions your therapist will begin to know you and will recommend a treatment plan. This may include psychotherapy, medication, activity and exercise or 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 comprehend the root issues like unresolved grievances or conflicts with others. Depression can be caused in many ways, ranging from stress to loss and unresolved traumas. This may require therapy for a longer period and other treatments.

Cognitive behavioral therapy (CBT) assists people in changing patterns of thinking that cause their symptoms and improve resilience skills to help them cope with the stresses of life and conflicts. Dialectical Behavior Therapy (DBT) is a combination of CBT elements with mindfulness techniques to assist you in recognizing and observing your emotions.

Sometimes, psychological treatment can help with acute, moderate or severe depression in the same way that antidepressants can. However, it takes longer to take effect, and not everyone responds to it in the same way. It is important to attend your therapy sessions as well as to complete your homework in between sessions (like journaling or contemplating).

4. Counseling

If you are experiencing depression symptoms that are mild or severe it's crucial to find treatment that helps. Most often, this means psychotherapy or counseling. A professional outside of your life helping with your feelings can be life-changing. You may have to test various therapists before finding one that you like, but it's worth it.

There are many types of psychotherapy, but most involve discussing your problems and developing new strategies to deal with the depression. It is also beneficial to share your experiences with a group of others who have similar issues. Group counseling is available in 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 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 can be taught to recognize the irrational thoughts and challenge your preconceived notions that cause you feel depressed. You can use EMDR to help release painful or traumatic experiences that could contribute to depression.

Other therapies, such as cognitive behavioral therapy and behavioural activation therapy, are used to help you recognize and change your behavior patterns. For example, behavioural therapy can be useful if depression treatment exercise causes you to withdraw from social activity. The aim is to motivate you to engage in more social activities and to determine how your actions influence your mood. These approaches are usually used as a complement to medication. Ask your doctor for a referral or contact the local mental health center in your community to locate a therapist who is certified.

5. Exercise

Exercise is a proven method to reduce and treat depression. It's not a standard treatment. Psychotherapy and medications are more frequently used. However, a growing body of research suggests that exercising can be as effective in treating depression as talking therapies and antidepressants, and perhaps even more effective.

In fact it's more effective than either drug or psychotherapy by itself according to a meta-analysis of over 150 studies. The study revealed that people who exercised for depression experienced improvement in their symptoms by five points on average on one scale and 6.5 points on another which is clinically significant. And the results were significant regardless of whether they exercised for just few minutes per day or for more than an hour per day.

Exercise is a great alternative to psychotherapy or medication, which are not suitable for all. Exercise can help keep us physically fit and can aid in preventing other mental health issues like anxiety.

What's more, exercise doesn't have the stigma associated with using drugs or going to therapy. Exercise is available to everyone, comes with few costs and can be a powerful approach.

But it's still a challenge to study exercise as a medicine due medicines to treat Depression the fact that it's difficult to control for factors like how much people typically exercise and the other medications they might be taking. More research is needed to determine the most effective type, frequency, and duration of exercise for treating and preventing depression. To help those suffering from depression, doctors are prescribing more exercise as part of their treatment plans. The 'green prescription,' is a program designed to encourage patients to be active by contacting a fitness expert regularly via phone or face-to-face.