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Depression Treatment Modalities Psychological treatment, also referred as talk therapy, is a powerful tool to help people manage depression. It is important to choose the therapist you feel at ease with. During sessions the mental health professionals examine your entire health history and the severity of your symptoms. They may request lab tests or conduct physical examinations. Cognitive Behavioral Therapy Cognitive behavioral therapy is a well-established treatment for depression and anxiety. It helps you change unhealthy or unhelpful thinking or behavior patterns by combining the most recent knowledge in neuroscience and psychology with self-help methods that are designed to improve your quality of life. CBT helps people understand that thoughts and emotions are interconnected, and the way people view a situation can influence how they react to it. This approach focuses primarily on changing negative thinking patterns, also known as cognitive distortions. This includes all-or-nothing thinking personalization and catastrophizing (believing that a negative experience is the fault of someone else). CBT assists therapists and patients to develop a variety healthy strategies for dealing with stress. In contrast to psychoanalysis, which focuses on working backwards to uncover an unconscious root of the issue CBT is more short-term and focused on goals. It was created by psychiatrist Aaron Beck in the 1960s, and it combines ideas from different types of thought, like rational emotive behavior therapy (REBT) and Gestalt theory. In CBT, the therapist spends an hour or so looking at the past, but the majority of the session is spent discussing current circumstances and emotions. A therapist will ask you specific, rational questions to find out what is bothering you. They will also challenge any unfounded thoughts or beliefs that cause your anxiety. A therapist might also ask you to keep a diary, which can be helpful to break down negative reactions into specific categories like “cognitive distortions.” The therapist will then assist you in finding more useful ways of dealing with these situations. You will be taught a variety of techniques for coping like mindfulness. This is the ability to be in the present moment without judgement. Your therapist will teach you how to use these techniques under controlled conditions to help you increase your confidence. Your therapist will assist you to become your own therapist by helping you understand your maladaptive thought patterns and coping mechanisms and equipping with the tools needed to change them. Generally speaking, the duration of CBT usually lasts between 5 to 20 sessions, but this could be different. depression treatment strategies I Am Psychiatry can be held in person via phone, in person or on-line and can either be individual or group therapy. Interpersonal Therapy (IPT) Depression is often associated with issues in the relationships of patients. This is the reason why interpersonal therapy (IPT) is among the most widely utilized depression treatment methods. In the 1970s, it was developed by psychotherapists Gerald Klerman and Myrna Weissman, IPT uses a variety of interpersonal theory and research to treat mood symptoms by improving the quality of a patient's relationships. The focus is on the relationship issues that arise prior to or after depressive episodes. The initial step of IPT is to perform an inventory of the interpersonal relationship which aids the therapist assess the current status of a patient's most important relationships and how they are changing. This is a structured interview that allows the patient to describe how their relationships function and what issues might hinder their development. During the middle stage of IPT Therapists work to establish an alliance of therapy that is constructive and encourages emotional expression. They also work to address the interpersonal issue that is identified by helping patients find ways of responding to situations and alleviating their distress. This is done through role-playing and encouraging the patient to develop new responses within the context of the sessions. In addition to addressing these relational issues The therapist will also provide psychoeducation about depression. They will stress that depression is not the responsibility of the patient but is a medical issue. This will help eliminate feelings of shame and guilt that accompany depression and help improve adherence. After the completion of IPT The therapist might provide maintenance sessions to avoid relapse. They will talk about the causes of depression, and how to identify recurrent symptoms. Online IPT is also beneficial for people who don't feel at ease talking to the therapist face-to–face. This type of therapy can be as effective as in-person therapy for those who are suffering from depression. It is also practical and does away with the need for traffic or public transport. Talk to your therapist about it for more information about online IPT. Medicines In some cases your doctor may suggest medication to ease depression symptoms. Depression medications are often used as part of psychotherapy (also known as counseling, talk therapy, or counseling). Combination treatment has been proven to be more effective than either method alone in many studies. Talk therapy can help you learn how to manage stressors in your life and recognize the thoughts patterns that contribute to depression. Antidepressants are prescribed to treat depression, and other medications that regulate mood. Antidepressants regulate the chemicals in your brain that regulate emotions. They are typically prescribed to patients suffering from severe depression. Doctors often offer other treatments, like a type of talking therapy called cognitive behavioural therapy, prior to prescribing antidepressants. Monoamine oxidase (MAOI) inhibitors are the first-line drug used to treat depression. These drugs inhibit an enzyme that increases the brain chemicals that are linked to mood, including serotonin and norepinephrine. MAOIs are also used to treat seasonal depression (SAD) which is a disorder that manifests during the dark winter months. MAOIs are often used to treat seasonal affective disorder (SAD) which is a condition that causes depression during the dark months of winter. Other medications that can be used to treat depression include selective serotonin reuptake inhibits (SSRIs) are a form of medication that increases the amount of serotonin in your brain. SSRIs are fluoxetine (Prozac), sertraline (Zoloft) and many others. Doctors also make use of a drug class called SNRIs. These drugs are similar to SSRIs however they have more specific brain targets. Examples of SNRIs include desvenlafaxine (Feminipe) and venlafaxine (Effexor). Certain depression medications can cause undesirable adverse effects that's why it's essential to take your medicine exactly as prescribed. If you skip psychotherapy sessions or don't follow your therapist's advice the symptoms could return and you could become dangerously suicidal. Getting depression under control isn't easy and takes time. Often, it takes several tries before you find the perfect combination of treatment works for you. If you are having difficulty finding the right treatment to treat your depression, seek an additional opinion from a psychiatrist or psychiatric nurse practitioner. They specialize in treating mental illness and are able to access research and knowledge about what treatments are most likely to be effective for you. Medication Management While there isn't a definitive cure for depression, mixing therapy with medication remains the most effective method to treat resistant forms of the disorder. Medication management requires working with a mental health professional who can evaluate, diagnose and prescribe medications. These are typically antidepressants and antianxiety medications. These medications can also be used to treat sleep disorders, appetite problems and other signs. The use of medication can benefit those who are experiencing an acute phase of depression by reducing the severity of their symptoms and increasing their ability to take part in talk therapy. Talk therapy is a form of psychotherapy that aids people to learn new ways to cope with depression and modify unhelpful thinking patterns. It can include the ability to identify the warning signs of a depression episode, enhancing problem-solving skills and practicing relaxation techniques. It may also include sessions with a group or family member, which can teach family members to recognize and respond to early warning symptoms. In addition to individual psychotherapy, other options for treating depression include cognitive behavioral therapy (CBT) and interpersonal therapy (IPT) and eye movement desensitization as well as reprocessing therapy (EMDR). CBT is a scientifically-based method that assists people in identifying and address negative thoughts, beliefs and behaviors that cause depression. It can enhance the efficacy of other talk therapies and aid patients in feeling more in control of their lives. IPT focuses primarily on interactions and relationships with the notion that they can trigger or worsen depression. EMDR helps people who have nightmares, flashbacks, or memories that are traumatic. It can ease anxiety and depression that is due to a negative experience, such as trauma or a car crash. Exercise and diet are natural remedies that can be employed to treat depression. Stress can be reduced by reducing the demands on your life, getting adequate sleep, and limiting your use of alcohol or other drugs for recreational use. Relaxation and meditation can improve your mood. Other options for natural treatments for depression include writing in a journal, and locating websites and books that provide suggestions and tips.