세이프원

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

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 suggest exercise, psychotherapy and antidepressant medication.

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

A diagnosis is the first step towards treating depression. 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 over the last month. They'll also ask whether you've ever had thoughts of suicide or self-harm. Your GP might also look at your general health lifestyle, family background and personal history in determining if you suffer from depression.

It's essential to be open and honest with your GP, so they can get the most accurate picture of what's happening for you. This will allow them to recognize the signs of depression. They can then analyze these symptoms to rule out other diseases, such as heart disease or cancer, which may cause similar symptoms.

After your GP determines that you might have depression, he or will conduct tests to rule out other issues. For instance, blood tests can check for thyroid issues or anemia that might be causing your depression. They'll also check your blood for vitamin deficiencies, or even drugs and alcohol, which can also mimic depression.

If your GP has diagnosed depression The doctor will discuss the reasons and the best treatment resistant anxiety and depression options. This could involve psychotherapy or the combination of treatments and medications. The most effective drugs for depression are antidepressants that work by altering the balance of chemical substances in the brain. They can be taken in the form of injections or orally, and it may take several weeks before they start working. These medications can also cause side effects such as constipation and dry mouth.

2. Medication

The use of medications can benefit many suffering from depression. Your doctor may initially prescribe one or more antidepressants. If the initial Treatment depression does not yield a satisfactory result, your doctor may recommend you try a different medication or alter the dosage or time that you take it. Regularly taking your medication is essential to get the most benefit. You should never stop taking your medication unless told to do so by your doctor.

Depending on the symptoms you are experiencing depending on your symptoms, a general antidepressant could be prescribed or an SSRI. An SSRI boosts the levels of serotonin, a chemical in the brain. SSRIs include citalopram, escitalopram, and fluoxetine. 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 may prescribe them. SSRIs or SNRIs can be used safely by adolescents and children.

You should inform your doctor whether you suffer from any allergies or health issues prior to taking any medication. The medication can cause side effects like stomach upset or dry mouth. Most of the time, these side effects are mild and disappear by themselves in two or three weeks. If you're taking medication, don't drive or operate machinery until you feel relaxed and clear.

Alcohol and other recreational drugs can worsen some depression symptoms, such as sleeplessness or trouble sleeping. These substances should be avoided as they can make depression harder to manage. Continuing to use them, especially for an extended period of time, may lead to more serious problems.

3. Psychotherapy

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

Your therapist will ask about your thoughts, feelings, and relationships, and will discuss these with you in a private and private environment. In the initial few sessions your therapist will get to know you and will suggest a treatment program. This could include psychotherapy, medications exercise and activity, or other treatments like repetitive transcranial magnet stimulation (rTMS) or electroconvulsive treatment for panic attacks and depression (ECT).

Some are short-term and they focus on specific issues. For instance, interpersonal therapy (IPT) helps people to understand the root of their issues, like conflicting feelings or grieving over significant others. Depression can be caused by a variety of reasons that range from loss and stress to unresolved traumas and abuse. They may require a longer-term therapy and other treatments.

Cognitive behavioral therapy (CBT) helps people change patterns of thinking that contribute to 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 that is acute. However, it can take longer to work, and not everyone responds in the same way. It is essential to attend your therapy sessions as well as to do your homework between sessions (like journaling or contemplating).

4. Counseling

If you are experiencing depression symptoms that are mild or severe it is important to seek solutions that can help. This could include psychological therapy or counseling. The assistance of an outside professional with your issues could be life-changing. You may have to test different therapists before you discover one who resonates with you however, it's worth it.

There are many types of psychotherapy. However most involve discussing your problems and learning strategies to deal with depression. It can also be beneficial to share your experiences with a group of people who are dealing with similar issues. Group counseling is available at medical clinics, hospitals or therapists' offices and even via your phone using online Telehealth services.

Counseling for depression aims at transforming negative thoughts and behavior that cause depression. A therapist could help, for instance, instruct you on how to manage stress in order to improve your mood. You could learn to recognize irrational thought patterns and challenge preconceptions which make you feel depressed. You might use EMDR (eye movement desensitization and processing) to help you get rid of traumatizing or painful memories that could contribute to your depression.

Other treatments, like cognitive behavioral therapy and behavioural activation therapy, are used to assist you in identifying and alter your behavior patterns. For example the behavioural activation therapy is useful when depression leads you to withdraw from social activities. The goal is to promote more social interaction and discover the ways your actions impact your mood. In general, these strategies are employed together with medication. You can locate a certified psychotherapist in your local area by asking your doctor to refer you or by calling a community mental health center.

5. Exercise

Exercise is a well-established method to prevent and treat depression. It's not a typical treatment. Psychotherapy and medications are more frequently used. An increasing amount of research suggests that exercise is just as effective as antidepressants and talking treatments for treating depression.

A meta-analysis of more than 150 studies showed that it was more effective than psychotherapy or medications alone. The study found that those with depression who exercised noticed their symptoms improving by five points on average on one measure, and 6.5 points on another, which is clinically important. The effects were the same regardless of whether they exercised for just in a few minutes or for an hour each day.

Exercise is a great alternative to psychotherapy and medication that aren't suitable for all. Additionally, it comes with the bonus of keeping us physically fit and preventing other mental health problems, including anxiety.

What's more, exercise doesn't have the stigma that can be associated with taking drugs or going to talk therapy. Exercise is accessible to everyone and comes at a low cost and can be an empowering method.

But it's still a challenge to examine the effect of exercise as a medication, because it can be difficult to control for things like how to treatment depression much people normally exercise and other medications they may be taking. More research is needed to determine the best type, frequency and length of exercise to treat and combating depression. To help those suffering from depression, GPs are prescribing exercise as a part of their treatment plans. This is known as a "green prescription' and it involves writing a fitness program that is based on the needs of the patient and encouraging them to get active with regular face-to-face or phone contact with a trained fitness professional like an exercise physiotherapist or physical educator.