• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Guidelines For Treating Depression

The APA, CANMAT BAP NICE and Texas Medication Algorithm Project have published several guidelines for treating depression. They suggest exercise, psychotherapy and antidepressant drugs.

The guidelines generally recommend using CBT or an SGA prior to beginning treatment and gradually increasing dosages as needed. Patients who do not respond to monotherapy could benefit from augmentation with psychostimulants, lithium, or SSRIs.

1. Diagnosis

The first step in Treatment refractory depression of depression is obtaining an accurate diagnosis. This is done through a discussion with your physician or mental health professional, and some kinds of psychotherapy (talk therapy).

Your GP will inquire about your symptoms, and how they have affected your life in the past month. They'll also ask if you have ever had thoughts of self-harming or contemplating suicide. Your GP will also examine your general health, family history and life style to determine if you have depression or another mental health condition.

It is important to be honest and open with your doctor, so they get a complete picture of how you are feeling. This will make it easier for them to identify the signs of depression. They can then utilize these symptoms to rule out other conditions like cancer or heart disease, which can cause similar symptoms.

After your GP decides that you may have depression, he or they will run tests to rule out other conditions. For instance blood tests can look for thyroid or anemia that might be causing your depression. They can also test your blood for vitamin deficiencies or alcohol and drugs, which can also mimic depression.

If your GP determines that you are depressed the doctor will explain the cause and best treatment options. This could include psychotherapy, or a combination between therapy and medication. The most effective drugs for depression are antidepressants, which alter the balance of chemicals within the brain. They can be taken either orally or via injections and it could take several weeks before they begin to take effect. The drugs may also cause adverse effects, such as dry mouth and constipation.

2. Medication

Many people can benefit from medication. Your doctor may first prescribe a medication or a combination of antidepressants. If the initial treatment fails to produce a satisfactory result, your doctor may recommend that you try another medication or that you change the dosage or frequency at which you take it. Regularly taking your medication is essential to reap the maximum benefits. It is not advisable to stop taking your medication unless you are advised to do so by your doctor.

Based on your symptoms the general antidepressant might be prescribed or an SSRI. An SSRI increases the level of serotonin, a chemical in the brain. Examples of SSRIs include citalopram (Celexa) and the escitalopram (Lexapro) and fluoxetine (Prozac). Your doctor might also prescribe a serotonin-norepinephrine reuptake inhibitor, or SNRI. Examples of SNRIs include duloxetine (Cymbalta) and venlafaxine (Effexor XR, Khedezla).

If your doctor believes that tetracyclics are more efficient than SSRIs or SNRIs, they could prescribe them. SSRIs and SNRIs are usually considered safe to use in adolescents and children.

You should inform your doctor whether you suffer from any allergies or health problems before starting treatment. Medication may cause side effects, such as an upset stomach or dry mouth. Most of the time, these side effects are mild and disappear on their own within two or three weeks. Do not operate or drive machinery while you are taking medication.

Some depression symptoms such as restlessness and difficulty sleeping, can be worsened by alcohol and other recreational drugs. These substances should not be used because they can make depression difficult to treat. Continuing to use them, especially for prolonged periods of time, may cause more serious issues.

3. Psychotherapy

Psychotherapy (also called talk therapy) can assist you in dealing with issues that contribute to your depression. This type of treatment resistant depression is long-term but has been proven to be effective in treating depression. Psychotherapy can be found in a variety of settings that include private therapy offices and hospitals, psychiatric clinics, and rehabilitation facilities. It is typically conducted one-on-one however group therapy is also possible.

Your therapist will ask about your emotions, behavior and relationships, and will discuss them with you in a private and private environment. In the initial few sessions, your therapist will get to know you and recommend a treatment plan. This may include psychotherapy, medication, activity and exercise or other treatments like repetitive transcranial magnetic stimulation (rTMS) or electroconvulsive therapy (ECT).

Some of them are temporary and focus on specific problems. Interpersonal therapy (IPT), for example helps people to understand the root of issues like unresolved grievances or conflicts with others. Depression can be caused in many ways, from stress to loss and unresolved traumas. This may require therapy for a longer period and other treatments.

Cognitive behavioral therapy (CBT) helps people change patterns of thinking that cause their symptoms and improve coping skills so they can manage life's stress and conflicts. Dialectical behavior therapy (DBT) blends elements of CBT with mindfulness techniques that help you to observe and accept your emotions.

Psychological therapy can be as effective as antidepressants in treating depression in acute cases. However, it takes longer to take effect, and not everyone responds in the same way. It is important to keep attending therapy sessions and do your homework (like journaling or meditation) between sessions.

4. Counseling

It is essential to find the right treatment, regardless of whether the symptoms of depression are mild. Often, that includes psychotherapy or counseling. The assistance of an outside professional with your emotions can be life-changing. It may take several therapists to find the one who clicks with you. But it is worth the effort.

There are a variety of psychotherapy. However the majority of them involve talking about your issues and learning strategies to deal with depression. It can also be beneficial to share your experiences with a group of people who are experiencing similar issues. Group counseling is available at medical clinics, hospitals and therapists' office. It can also be done on your phone through online telehealth services.

Counseling for depression is designed at changing negative thoughts and behaviors which cause depression. For instance, a therapist might guide you on how to manage stress to help improve your mood. You might learn how to recognize irrational thoughts and challenge the preconceived notions that cause you to feel depressed. You can try EMDR (eye movement desensitization and processing) to help you get rid of traumatic or painful memories that may contribute to your depression.

Other treatments, like cognitive behavioral therapy and behavioural activation therapy, are used to help you recognize and alter your behaviour patterns. For example, behavioural activation therapy is useful when depression leads you to avoid social activities. The goal is to promote more social interaction and to identify the ways in which your actions affect your mood. In general, these strategies are utilized in conjunction with medications. Ask your doctor for a referral, or call the local mental health clinic to locate a therapist who is certified.

5. Exercise

Exercise is a proven way to prevent and treat depression. It's not a standard homeopathic treatment for depression. Psychotherapy and medications are more frequently used. An increasing amount of research suggests that exercise is as effective as antidepressants and other talking therapies for treating depression.

In fact, it's more effective than either non drug treatment for anxiety and depression or psychotherapy alone according to a meta-analysis of over 150 studies. The research revealed that on average, people with depression who exercised improved their symptoms by five points using one measure and 6.5 points using another which is clinically significant. And the effects were potent regardless of whether they exercised for only few minutes per day or more than an hour a day.

Exercise can also be an excellent alternative to medications or psychotherapy, which might not be appropriate for everyone. Exercise can help keep our bodies fit and aid in preventing mental health issues, such as anxiety.

Furthermore exercising doesn't carry the stigma associated with using drugs or going to therapy. Exercise is accessible to everyone and comes at a low cost and can be a empowering approach.

It's difficult to study exercise as a medicine because it can be difficult for researchers to control variables such as how much people exercise normally and any other medications they might be taking. More research is needed to determine the best kind, frequency and duration of exercise for treating and preventative treatment depression for depression treatment uk. To aid in that, doctors and other health professionals are increasingly prescribing exercise to their patients as part of a treatment plan. This is known as a "green prescription' and it involves writing an exercise plan based on the patient's needs and encouraging them to get active by maintaining regular face-to-face or phone calls with a fitness professional who is trained like an exercise physiotherapist or physical educator.