5 Clarifications Regarding Guidelines For Treating Depression > 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 drugs.

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

1. Diagnosis

The first step in treatment of depression is obtaining an accurate diagnosis. This involves a conversation with a mental health professional or a doctor, as well as certain forms of therapy.

Your GP will inquire about your symptoms and how they have affected your life over the last month. They'll also want to know whether you've ever had thoughts of suicide or self-harm. Your GP might also look at your general health as well as your family history and lifestyle when determining whether you have depression.

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 recognize the signs of depression. They can then use these symptoms to rule out other conditions like cancer or heart disease, which may cause similar symptoms.

After your GP determines that you be suffering from depression, he or she will run tests to rule out other conditions. Blood tests, for instance tests for thyroid or anemia issues which could be the cause of depression. They will also test your blood to check for deficiencies in vitamins, alcohol and drugs that can mimic Pregnancy Depression Treatment.

If your GP determines that you are depressed, he or she will explain the cause and the best treatment options. This might include psychotherapy or a combination of medications and therapies. The most effective drugs for depression are antidepressants, which work by altering the balance of chemicals within the brain. They can be taken either in the form of injections or orally and it can take a few weeks before they start working. They may also cause side effects such as dry mouth and constipation.

2. Medication

Many people can benefit from medication. At first, your doctor may prescribe antidepressants or a combination of them. If the initial treatment fails to produce a satisfactory response, your doctor might recommend that you try another medication or alter the dose or the time of day you take it. Regularly taking your medication is essential to reap the maximum benefits. Never stop taking your medication without a doctor's approval.

Depending on the severity of your symptoms, you may be given a prescription for a general antidepressant or an SSRI. An SSRI increases the level of serotonin, which is a chemical found in the brain. Examples of SSRIs are citalopram (Celexa) and 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, including tetracyclics can be prescribed if your doctor believes that these medications would be more effective than an SSRI or an SNRI. SSRIs or SNRIs can be used safely by children and adolescents.

Before starting any medication, it is important to inform your doctor if you are any health issues or allergies. Medication can sometimes cause side effects, such as an dry mouth or stomach that is upset. These side effects are generally minor and will disappear on their own within about a week. Do not drive or operate machinery while you are taking medication.

The use of alcohol and other recreational drugs can worsen some depression symptoms such as restlessness or difficulty sleeping. These substances are not recommended for use because they can make depression more difficult to treat. If you continue to use them, especially for an extended period of time, can also cause more serious issues.

3. Psychotherapy

Psychotherapy (also called talk therapy) can help you deal with issues that contribute to depression. This type of treatment is long-lasting, but has been shown to be effective in treating depression. Psychotherapy can be performed in a variety of settings, like private therapists' offices, hospitals, clinics for psychiatry and rehabilitation facilities. It is typically one-on-one however group therapy is also possible.

Your therapist will ask about your thoughts, feelings, and relationships, and discuss these with you in a safe and private environment. During the initial sessions your therapist gets to get to know you better and suggests the best biological treatment for depression program. This could include medication, psychotherapy exercise and other treatments like repetitive transcranial magnetic stimulation (rTMS) or electroconvulsive therapy (ECT).

Some of these are short-term and are focused on specific issues. For instance the interpersonal therapy (IPT) helps people to understand the root of their issues, like unresolved grief or conflicts with significant others. Depression can be caused in various ways, ranging from stress to loss and unresolved traumas. This may require more intensive therapy as well as other forms of treatment.

Cognitive behavioral therapy (CBT) is also referred to as cognitive restructuring, helps people to change their thinking patterns that cause symptoms. It also helps improve coping skills and helps them to manage the stress and conflicts of life. Dialectical behavior therapy (DBT) combines elements of CBT with mindfulness techniques, which allow you to be aware and accept your emotions.

Sometimes, psychological treatment can ease acute moderate to severe depression in the same way that antidepressants can. It can take a bit longer for it to work and not everyone responds in the same manner. It is essential to attend your therapy sessions as well as to do your homework between sessions (like journaling or contemplating).

4. Counseling

It is essential to find a treatment that works, regardless of whether the symptoms of depression treatment during pregnancy are not severe. This can include psychological therapy or counseling. Having an outside expert help with your issues could be life-changing. It may take several counselors to find the one who clicks with you. But it is worth the effort.

There are many types of psychotherapy. However, the majority involve discussing your problems and finding strategies to combat depression. It is also beneficial to discuss your experiences with a group of people who are dealing with similar issues. Group counseling is available at hospitals, medical clinics and therapists' offices. It can also be carried out over the phone via online health services via telehealth.

Counseling for depression seeks to reduce negative thoughts and behavior patterns that contribute to the condition. For instance, a therapist could coach you on ways to manage stress to improve your mood. You can learn to recognize irrational thinking and challenge preconceptions which make you feel down. You can utilize EMDR to help release painful or traumatic experiences that could contribute to depression.

Other therapies such as cognitive behavioral therapy or behavioural activation can be used to help you recognize your behavior patterns and make changes. For example behavioural activation therapy can be beneficial when depression causes you to withdraw from social activities. The aim is to encourage more social interaction and discover the ways your actions impact your mood. These strategies are usually employed as a complement to medication. Ask your doctor for a referral or contact a local community mental health center to find a licensed therapist.

5. Exercise

Exercise is a proven way to prevent and treat depression. But it's not generally considered a core treatment, with medication and psychotherapy being more favoured. But a growing body of research suggests that exercise can be as effective in treating depression as talk therapies and antidepressants, and perhaps even better.

A meta-analysis of more than 150 studies showed that it was more effective than psychotherapy or medications by themselves. The study found that those with depression who exercised saw their symptoms improve by five points on average on one measure, and 6.5 points on another, which is clinically important. And the results were significant regardless of whether they exercised for just an hour or so, or more than an hour per day.

Exercise is an excellent alternative to psychotherapy and medication that aren't suitable for everyone. Exercise can also help keep our bodies fit and aid in preventing mental health issues like anxiety.

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

However, it's not easy to study exercise as a medicine due to the fact that it's difficult to determine the impact of factors like how much people exercise regularly and other medications they are taking. More research is needed to determine the best type, frequency and length of exercise to treat and combating depression. To help patients with 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 professional frequently via phone or face-to-face.