The History Of Guidelines For Treating Depression > 자유게시판

Guidelines For Treating Depression

There are many different guidelines for treating depression published by the APA, CANMAT, BAP, NICE, and Texas Medication Algorithm Project. In general, they recommend psychotherapy, exercise and antidepressant medication.

The guidelines suggest that patients who don't respond to monotherapy, use CBT or SGA prior to beginning medication and then increase dosages as needed. Supplementation with psychostimulants, lithium SSRIs and SNRIs, as well as TMAPs could be beneficial for patients who are not responding to monotherapy.

1. Diagnosis

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

Your GP will inquire about your symptoms and how they have affected your life over the past month. They will also ask whether you've ever had thoughts of suicide or self-harm. Your GP will also take into consideration your general health as well as your family history and lifestyle in determining if you suffer from depression.

It's important to be open and honest with your GP, so they can get the most precise picture of what's going on for you. This will help them to spot the symptoms of depression. These symptoms can be used to rule out other illnesses such as cancer or heart disease.

Once your GP has concluded that you may have depression, they'll rule out the possibility of other illnesses with tests. Blood tests, for example, can check thyroid or anemia-related issues that could be causing depression. They'll also check your blood for vitamin deficiencies or drugs and alcohol which may also be a sign of depression.

If your GP discovers you have depression, they'll explain what's causing it and the best way to treat it. This could include psychotherapy, or a combination of therapy and medication. Antidepressants are the most effective drugs to treat depression. They work by altering the balance of chemicals within the brain. They can be administered orally or via injections and it could take a few weeks before they start working. They may also cause side effects, including dry mouth and constipation.

2. Medication

The use of medications can benefit many with depression. Your doctor might initially prescribe a medication or a combination of antidepressants. If the initial treatment does not produce a satisfactory result your doctor might suggest that you try another medication or that you change the dose or duration at which you take it. Regularly taking your medication is essential to getting the most benefit. It is not advisable to stop taking your medication unless told to do so by your physician.

Based on the severity of your symptoms, you may be given a prescription for an antidepressant general or an SSRI. An SSRI is an antidepressant which increases the levels of the chemical serotonin 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 are duloxetine (Cymbalta) and Venlafaxine (Effexor XR, Khedezla).

Other antidepressants, like tetracyclics, can be prescribed if your physician thinks that these medications would be more effective than an SSRI or SNRI. SSRIs or SNRIs may be safely used by children and adolescents.

Before taking any medication, it is important to inform your doctor if you are any allergies or health problems. Medication can sometimes result in side effects like an dry mouth or stomach that is upset. Most of the time, these side effects are mild and disappear on their own in about two or three weeks. Do not operate or drive machinery while you are taking medication.

The use of alcohol and other recreational drugs can exacerbate depression symptoms such as sleeplessness or trouble sleeping. These substances should be avoided as they can make depression harder to treat. In the case of continued use, particularly for a long time, can lead to more serious issues.

3. Psychotherapy

Psychotherapy (also called talk therapy) can assist you in dealing with issues that contribute to your depression. This kind of treatment is long-lasting, but has been proven to be effective in treating depression. Psychotherapy can be done in a variety of settings, such as private therapists’ offices, hospitals, clinics for psychiatry and rehabilitation facilities. It is usually done one-on-one but group therapy is possible.

Your therapy therapist will discuss your thoughts, feelings behavior, thoughts, and relationships with you in a private and safe environment. In the initial sessions your therapist gets to get to know you better and suggests a treatment plan. This may include medication, psychotherapy, exercise and other treatments such as repetitive transcranial magnetic stimulation (rTMS) or electroconvulsive therapy (ect treatment for depression).

Some of them are short-term and focus on specific problems. For instance, interpersonal therapy (IPT) helps people to understand the root causes of problems, such as unresolved grief or conflicts with significant others. Depression can be caused in many ways, ranging from stress to loss and unresolved traumas. These may require more intensive therapy or other treatments.

Cognitive behavioral therapy (cbt treatment for depression), also known as cognitive restructuring, helps people change their thinking patterns that trigger symptoms. It also enhances the ability to cope and help them deal with the stresses and challenges of daily life. Dialectical Behavior Therapy (DBT) combines CBT elements with mindfulness techniques that assist you in recognizing and observing your emotions.

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

4. Counseling

If you are experiencing depression symptoms that are severe or mild it is important to seek treatments that help. This can include counseling or psychotherapy. A professional outside of your life helping with your emotions could be life-changing. It may be necessary to try different therapists before you discover one who resonates with you however, the process is worth it.

There are many types of psychotherapy. However most involve discussing your concerns and learning strategies to deal with depression treatment. You might also find it beneficial to share your experiences with other people who are dealing with similar issues. Group counseling is available in hospitals, medical clinics and therapists' offices. It is also conducted via phone using online telehealth services.

Counseling for depression is aimed to change negative thoughts and behaviors that cause depression. A therapist might be able to, for instance, guide you on how to manage stress in order to improve your mood. You might learn how to recognize thoughts that are not rational and challenge preconceptions that cause you to feel down. You could try EMDR (eye movement desensitization and reprocessing) to relieve 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 identify and change your behavior patterns. For example, behavioural activation therapy is useful when depression leads you to avoid social activities. The aim is to motivate you to take part in more social activities and to understand the way your actions impact your mood. Generally, these methods are employed in conjunction with medications. Ask your doctor for a referral, or call a local mental health center in your community to locate a therapist who is certified.

5. Exercise

Exercise is a well-established method to treat and prevent depression. It's not a typical treatment. The use of medication and psychotherapy is more commonly utilized. An increasing amount of research suggests that exercise is as effective as antidepressants and talking therapies for treating depression.

A meta-analysis of more than 150 studies concluded that exercise was more efficient than drugs or psychotherapy by themselves. The research found that people with depression who exercised experienced improvement in their symptoms by five points on average on one measure and 6.5 points on another which is clinically significant. And the results were significant regardless of whether they exercised for just an hour or so or for more than an hour a day.

Exercise is an excellent alternative ways To Treat depression to psychotherapy or medication which are not suitable for all people. Additionally, it comes with the bonus of keeping us physically fit and helping to ward off other mental health problems such as anxiety.

Exercise isn't viewed as a stigmatizing practice like drugs or talk therapy. Exercise is available to everyone, comes with few costs and can be a empowering method.

It's still difficult to study exercise as a medicine because it is difficult for researchers to regulate factors such as how much people exercise regularly and any other medications they may be taking. So more research is needed to determine the most effective kind, frequency and duration of exercise to prevent and treating depression. In order to aid in this, doctors and other health professionals are increasingly prescribing exercise to their patients as part of their electric shock treatment for depression plan. The green prescription is a program that aims to encourage patients to get active by contacting a fitness professional regularly by phone or face-toface.