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Depression Treatment Modalities Psychological treatment, also known as talk therapy, is a valuable method to help people manage depression. It is important to choose the therapist you feel comfortable with. Mental health professionals will assess your full medical history and the severity your symptoms during your sessions. They may conduct a physical exam or order lab tests. Cognitive Behavioral Therapy Cognitive behavioral therapy (CBT) is a scientifically-based treatment for a variety of mental health concerns including anxiety and depression. It helps you change unhealthy or unhelpful ways of thinking, feeling and acting by combining the latest research from neuroscience and psychology with self-help techniques that are designed to provide immediate improvements to your overall quality of life. CBT helps people understand that thoughts and emotions are interconnected, and the way people view a situation can affect how they respond to it. This approach focuses on changing negative thought patterns, which are also known as cognitive distortions. They include all-or-nothing thoughts, personalization and catastrophizing (believing that a negative event is the fault of someone else). CBT also encourages therapists to assist clients develop a wide range of healthy coping abilities. CBT is an individualized, short-term therapy, unlike psychoanalysis which is reverse-engineered to discover the root causes of a problem. CBT was created in the 1960s by psychiatrist Aaron Beck, and it integrates various schools of thought like rational emotional behavior therapy (REBT), and the gestalt theory. In CBT therapy, the therapist may spend a little time exploring past events, but the majority of the time, they are talking about present circumstances and emotions. The therapist will ask rational, concrete questions about what's bothering you and will challenge any unfounded beliefs or ruminations that contribute to your stress. A therapist might also suggest that you keep a journal. This can be useful for breaking down negative emotions into distinct categories, like “cognitive distortions.” The therapist will then work with you to find better ways of dealing with these issues. You will be taught a series of coping techniques, including mindfulness, which is an awareness of the present without judgement. Your therapist will show you how to apply these techniques in controlled conditions to help gain confidence. In the end, your therapist will aim to become your own therapist by helping you understand your maladaptive coping strategies and thought patterns and giving you the tools to alter them. CBT can be completed between 5 and 20 sessions. However this is not a strict rule. Sessions can take place in-person on the phone, or online and can be either group or individual therapy. Interpersonal Therapy (IPT). Depression is often accompanied by issues in relationships with patients. This is why interpersonal therapy (IPT) is one of the most popular depression treatment modalities, is so widely utilized. IPT was developed in the 1970s by Gerald Klerman & Myrna Wiessman. It uses a variety interpersonal theory & research to improve the quality of patient's relationships. The method focuses on problems with relationships that occur prior to and/or occur following depression episodes. IPT begins with an interpersonal inventory. This helps the therapist to comprehend the current relationships of the patient and their development. This is a structured conversation in which the patient describes the way in which their relationships function and what particular issues could be impeding them from developing. During the middle stage of IPT, a therapist will create a therapeutic alliance that is constructive and encourages emotional expression. They also address the identified interpersonal problem area by helping patients figure out how to handle life events and help ease their anxiety. This involves role-playing, and encouraging the patient to develop new responses within the context of the sessions. In addition to addressing these relationships difficulties The therapist will also provide psychoeducation on depression. They will emphasize that depression is a medical condition and that it is not the patient's fault. This will help eliminate feelings of guilt and shame that can accompany depression, and help improve the patient's adherence. The therapist can provide maintenance sessions at the end of IPT to prevent the possibility of relapse. They will talk about the causes of depression, as well as how to identify recurrent symptoms. Individuals who are not comfortable dealing with a therapist in person may benefit from online IPT and. This type of therapy could be just as effective as in-person therapy for those suffering from depression. It is also practical and does away with the need for heavy traffic or public transport. If you're interested in online IPT, be sure to talk to your therapist about your requirements and preferences. Medicines In some cases, your clinician may recommend medication to ease depression symptoms. Depression medications are sometimes used in conjunction psychotherapy (also known as counseling, talk therapy or counseling). Combination treatment has been shown to be more effective than either method by itself in numerous studies. Talk therapy can help you learn the skills needed to deal with the stresses of life and recognize the patterns of thought that can lead to depression. Antidepressants are prescribed to treat depression, in addition to other drugs that regulate mood. Antidepressants balance the chemicals in your brain that regulate emotions. They are usually prescribed to patients suffering from severe depression. Before prescribing antidepressants, doctors will typically suggest other treatments like cognitive behavioral therapy, which is a type of talking treatment. Monoamine oxidase (MAOI) inhibitors are the first-line drug that is used to treat depression. They block an enzyme process that boosts brain chemicals associated with mood, including serotonin and norepinephrine. MAOIs are also sometimes used to treat seasonal affective disorder (SAD) which is a condition that causes depression during the dark months of winter. Common MAOIs are Phenelzine (Nardil) and the tranylcypromine (Parnate) and isocarboxazid (Marplan). Other medications that can be used to treat depression include selective serotonin reuptake inhibits (SSRIs), a type of medication that enhances the amount of serotonin that is present in your brain. Examples of SSRIs include fluoxetine (Prozac) and sertraline (Zoloft). Doctors also utilize the SNRI class of drugs. These drugs are similar to SSRIs however they possess more specific brain targets. Examples of SNRIs are desvenlafaxine (Feminipe) and Venlafaxine (Effexor). Some depression medications can have unpleasant side adverse effects. It's important to follow the prescriptions of your doctor. If you do not attend your psychotherapy sessions or don't follow the advice of your therapist your symptoms could recur and you could become dangerously suicidal. Reducing depression isn't easy and takes time. It can take several treatments before you find the best combination. If you're struggling to find the right treatment for your depression, consider seeking a second opinion with psychiatrists or a psychiatrist nurse practitioner. They are specialists in treating mental illnesses and have access to the latest research and know-how on which treatments are most effective for you. Medication Management Although there isn't a single treatment for depression, combining therapy with medication remains the most effective method to treat resistant forms of the disorder. Medication management involves working with a mental health professional who can evaluate the condition, prescribe and treat medications. Most often, these are antidepressants or antianxiety drugs. These drugs can also be used for eating disorders, sleep disorders and other symptoms. Medication can aid those who are in an acute stage of depression by reducing the intensity of their symptoms as well as increasing their ability to participate in therapy. Talk therapy is a type of psychotherapy that assists people discover new ways to cope and alter their negative thoughts patterns. It can include learning to recognize warning signs of a depression episode as well as developing problem-solving skills and practicing relaxation methods. It also might involve group or family therapy sessions, which can teach family members how to recognize and respond to early warning indicators. Other treatments for depression include cognitive behavior therapy (CBT), interpersonal therapy, and eye movement desensitization processing (EMDR). CBT is a scientifically-based method that helps people identify and address the negative thoughts, beliefs and behaviors that cause depression. It can improve the effectiveness of other therapies for talk, and make patients feel more in control of their lives. IPT focuses primarily on relationships and interactions, with the notion that they can trigger or exacerbate depression. EMDR helps those who suffer from flashbacks, nightmares or traumatizing memories. It can ease depression and anxiety caused by a negative incident, such as trauma or a car accident. Exercise and diet are natural treatments that can be used to treat depression. Stress can be reduced by simplifying your life and getting enough sleep and limiting the use alcohol or other recreational drugs. antidepressant medication and meditation techniques can improve mood. Other natural remedies for depression are writing in a diary, finding websites and books with suggestions and tips, as well as reading.