What You Need To Do With This Guidelines For Treating Depression > 자유게시판

Guidelines For Treating Depression

There are many different 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 medication.

The guidelines recommend that patients who don't respond to monotherapy should use CBT or SGA prior to starting medication and increase dosages if needed. Patients who are not responding to monotherapy may benefit from augmentation with psychostimulants, lithium, or SSRIs.

1. Diagnosis

The first step to treat of depression is getting the diagnosis. This requires a conversation with your physician or mental health professional, and some forms of psychotherapy (talk therapy).

Your GP will inquire about your symptoms and how they've impacted your life in the last month. They will also ask if you have ever had thoughts of self-harm or suicide. Your GP will also look at your general health, family history, and life style to determine if you have depression or another mental health issue.

You should be honest and open with your doctor so that they get a complete picture of how you're feeling. This will help them identify the symptoms of depression. These symptoms can be used to rule out other illnesses like cancer or heart disease.

If your GP determines that you have depression during pregnancy treatment, he or will conduct tests to rule out other issues. For example blood tests can look for thyroid or anemia which could be the cause of your depression. They will also test your blood to look for deficiencies in vitamins as well as alcohol and other drugs that cause depression.

If your GP has diagnosed post pregnancy depression treatment The doctor will explain the cause and the best treatment options. This could involve psychotherapy, or a combination between therapy and medication. The most effective treatments for depression are antidepressants which alter the balance of chemical substances in the brain. They can be taken either orally or by injection and it could take several weeks before they begin working. These medications can also cause negative side effects like dry mouth and constipation.

2. Medication

Many people can benefit from medication. Initially, your doctor may prescribe one or more antidepressants. If the initial treatment fails to produce satisfactory results Your doctor might suggest that you try another medication or alter the dose or time of day you take it. Taking medication regularly is important to get the most benefit. Never stop taking your medication without a doctor's permission.

Depending on the severity of your symptoms, you may be prescribed an antidepressant that is general in nature or an SSRI. An SSRI is an antidepressant that increases the levels of the chemical serotonin in the brain. Examples of SSRIs are citalopram (Celexa) as well as 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 usually considered safe for use in adolescents and children.

You should let your doctor know whether you suffer from any allergies or other health issues before you begin taking medications. The medication can cause side effects like an upset stomach or dry mouth. These side effects are generally minor and will disappear on their own within around a week. Do not drive or operate machinery while you are taking medication.

Some depression symptoms such as restlessness and trouble sleeping, may be aggravated by alcohol or other recreational drugs. These substances should be avoided, as they can make depression more difficult to treat. In the long run, using them especially for prolonged periods of time, can also result in more serious problems.

3. Psychotherapy

Psychotherapy, also referred to as talk therapy, can help you deal with issues that contribute to depression. This type of treatment can be long-lasting, but it has been proven effective for many people with depression. Psychotherapy is done in many different settings such as private therapists' offices, hospitals, psychiatric clinics, and rehabilitation facilities. It is usually conducted one-onone but group therapy is also a possibility.

Your Therapist will discuss your emotions behavior, thoughts, and relationships with you in a private and safe environment. During the first few sessions your therapist will begin to know you and will recommend a treatment plan. This could include psychotherapy, medications as well as exercises and other treatments like repetitive transcranial magnet stimulation (rTMS) or electroconvulsive treatment (ECT).

Some are short-term, and they concentrate on specific issues. Interpersonal therapy (IPT), for example, helps people understand underlying issues like unresolved grievances or conflicts with other people. Depression can be caused by a range of factors including loss and stress to unresolved traumas or abuse. This may require more intensive therapy or other treatments.

Cognitive behavioral therapy (CBT) assists people in changing patterns of thinking that contribute to their symptoms and enhances their resilience skills to help them cope with the stresses of life and conflicts. Dialectical Behavior Therapy (DBT) combines cbt treatment for depression elements with mindfulness techniques to assist you in recognizing and observing your emotions.

Psychological therapy can be more effective than antidepressants in treating depression that is acute. It may take longer for it to work and not everyone responds in the same manner. It is important to continue attending sessions for therapy and complete your homework (like journaling or meditation) between sessions.

4. Counseling

It is essential to find a treatment that works, regardless of whether your symptoms of depression are not severe. It is often psychological therapy or counseling. The assistance of an outside professional with your issues could be life-changing. It may be necessary to try different therapists before you discover one who resonates with you, but the effort is worth it.

There are many types of psychotherapy. However most involve discussing your problems and developing strategies to manage depression treatment in pregnancy. It is also beneficial to discuss your experiences with a group of people who have similar issues. Group counseling is offered at medical clinics, hospitals or therapists' offices and even via your phone through online health services via telehealth.

Counseling for depression is aimed to change negative thoughts and behaviors that can contribute to the disorder. For example, a therapist may coach you on ways to manage stress to help improve your mood. You could learn to recognize irrational thinking and challenge the preconceived notions that make you feel down. You might use EMDR (eye movement desensitization and processing) to ease the burden of traumatic or painful memories that could contribute to depression.

Other therapies, like cognitive behavioral therapy and behavioural activation therapy, are used to assist you in identifying and alter your behaviour patterns. For example, behavioural therapy can be beneficial if depression makes you withdraw from social activity. The aim is to encourage you to engage in more social activities and to understand how your actions influence your mood. Generally, these methods are utilized in conjunction with medications. Ask your doctor for a referral or call a local mental health clinic to locate a therapist who is certified.

5. Exercise

The benefits of exercise in combating depression and preventing it are well-established. But it's not generally considered a primary treatment, with medication and psychotherapy being more favoured. However, a growing body research suggests that exercising can be as effective in treating depression as talk therapies and antidepressants, perhaps even more effective.

In fact, it's more effective than psychotherapy or drugs in its own right according to a meta-analysis of more than 150 studies. The research found that on average, those with depression who exercised improved their symptoms by five points with one measure and 6.5 points using another, which is clinically significant. The effects were powerful regardless of whether they exercised for only a few minutes a day, or more than an hour per day.

Exercise is an excellent alternative to psychotherapy and medication which are not suitable for all people. Exercise also helps to keep us physically fit and may help prevent other mental health issues such as anxiety.

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

But it's still a challenge to research the effects of exercise on a person due to the fact that it's difficult to control for things like how much people exercise regularly and other medications they are taking. Therefore, more research is required to understand the optimal type, frequency and duration of exercise to prevent and treating depression. To aid patients suffering from depression, doctors are prescribing exercise as a part of their treatment plans. It's called a 'green prescription' and it involves writing an exercise program that is based on the needs of the patient and encouraging them to get active through regular face-toface or phone contact with a fitness professional who is trained like an physical therapist or exercise physiotherapist.