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Depression Treatment Approaches There are several ways to combat depression. There are a variety of treatments for depression. Psychotherapy, sometimes referred to as talk therapy, is a means to improve your skills and to find support. It can be carried out individually or in groups, and may involve a social worker, psychiatrist or counselor. Medications are another important part of treatment. Cognitive Behavioral Therapy Cognitive behavioral therapy (CBT) is a form of psychotherapy that can help alleviate symptoms of depression and other mental health issues. It is based on the belief that thoughts, feelings and actions are all interconnected. Negative or harmful beliefs or thoughts can create emotional distress and lead you to self-defeating behaviour. A therapist can help you identify the negative patterns and develop new ways to respond in different situations. A therapist will engage you in interactive questions and answers to get to the root of your emotional problems. They will help you talk about the moments when you feel anxious and depressed. Together, you will be able to identify negative patterns of thought, distorted perceptions or behaviors that can cause anxiety and depression. Your therapist will also help you create and implement self-help strategies to help you tackle your concerns right now. These techniques are sometimes referred to “cognitive reorganization techniques” and include goals, journaling, and mindfulness meditation. Your therapist might also suggest to try new behavior and coping strategies in controlled, safe settings to practice your new skills. CBT has been proven effective in a number of outcome studies for mental disorders, such as anxiety disorders, depression and substance abuse problems. It can be used on its own or in conjunction with a psychiatric drug. CBT is a process that requires commitment and the willingness to adapt. If you're interested in finding out more about the advantages of this therapy, take a look at speaking with your doctor or a therapist who specializes in CBT. Check your health insurance policy to find out if it covers these services. Online resources are available to those with a low income who need financial assistance. If you seek help, it is the first step towards recovery and a better life. Interpersonal Therapy It was created by the late psychiatrist Gerald Klerman, IPT is another type of talking therapy that targets specific problems that can contribute to depression. It is based on the notion that depression is a genetic predisposition and that challenges in one's social environment can activate it. It also suggests that interpersonal challenges that trigger depression can be dealt with by focusing on the relationships issues that make symptoms worse. Contrary to other modern psychotherapies that attempt to determine the root cause of a person's behavior, IPT doesn't focus on investigating the unconscious motives of a person or their past traumas. comprehensive depression treatment www.iampsychiatry.com recognizes that people with depression have difficulty expressing and coping with emotions like anger and frustrated and can complicate relationships with family, partners, and friends. The first phase of IPT could last for up to three sessions. It focuses on identifying the area of interaction that may contribute to the depression symptoms. Your therapist will ask you to look over your relationships with significant people that are both past and present, and then group them into four potential problem areas such as unresolved grief (often due to the loss of loved ones) or a role change or role conflict, or interpersonal deficits. In the middle stage of IPT, which usually takes place from session four to 14 sessions, your therapist will use specific strategies to address the challenge area that's being addressed, such as helping you to work through distorted or delayed grief after the loss of a loved one, assisting you in navigating difficult relationship transitions, validating and expressing your anger, or developing more flexible ways of communicating with other people. In the final phase of IPT that usually occurs following session 14 and lasts for up to eight weeks, your therapist will help you determine the techniques you've acquired in treatment that you can use at home. They'll also advise you to keep in contact with your therapist beyond sessions, such as through weekly phone calls or monthly face-to-face meetings to avoid relapse and continue developing your skills. The therapist may also recommend sessions to maintain your health for those suffering from mental health issues that are chronic or recurrent such as PTSD. Dialectical Behavior Therapy (DBT) DBT is a proven treatment method developed by psychologist Marsha Linhan to treat borderline personality disorder (BPD). The therapy focuses on teaching people how to manage their emotions, behaviors and build skills that aid them in establishing healthy relationships and cope with distress. DBT is divided into four stages. The first stage focuses primarily on changing your response to situations, such as when you're angry or sad. The second phase helps create emotional regulation to help you better tolerate your emotions. The third stage helps you learn to keep your efforts going for change and create a life worth living. The fourth and final stage teaches you to use the techniques you learned in therapy outside of your weekly sessions. Your therapist will use tools such as homework assignments, phone coaching and other tools to show you how to apply these techniques. A therapist trained in DBT will help you understand that your negative thoughts and feelings aren't necessarily “wrong” and are valid due to the challenges you've encountered through life. They will also teach you to manage and integrate seemingly contradictory techniques, such as accepting change and acceptance. DBT has been shown to be effective in treating a broad variety of illnesses. One research study compared DBT standard with treatment as usual for women with BPD. It found that DBT patients showed significantly lower suicide attempts, parasuicide, psychiatric hospitalizations, and parasuicidal behaviours than the control group. DBT was also associated with less aggression and better social functioning. DBT also includes regular meetings with a therapist who has been trained in DBT, participation in an DBT consulting team, and practice at home. The team consists of therapists that regularly meet to discuss common clinical issues such as how to handle suicidal patients or help them maintain their engagement in therapy. In the team meeting the therapists are encouraged to remain compassionate and nonjudgmental toward their patients even in the most difficult situations. They're also supported and encouraged to avoid burnout and they're monitored for adherence to DBT procedures. Medication Many people who suffer from depression discover that medication can ease symptoms and aids in recovery. Speak to your doctor about the various options available to you if interested in antidepressants. Each person's body reacts differently to medication, so it may take a while to discover the best combination of medications for you. You should also talk to your doctor about any changes to your lifestyle that could reduce your depression, such as exercising or a better sleeping routine. If your depression isn't responding to treatment or medication it is possible to consult with a specialist like a psychiatrist. They will go over your history and treatments, and perform an extensive medical exam. They will be able to test whether there are any medical conditions that may be causing depression, like the rheumatoid and hypothyroidism. They can also use an instrument called pharmacogenetic tests that can determine your body's response to certain medications by using genetic markers. These tests aren't currently covered by insurance. In some cases doctors may also add a medication to an antidepressant to enhance its effect. This is known as an augmentation therapy. FDA-approved medications like aripiprazole, brexpiprazole or quetiapine are utilized to achieve this goal. In addition, some doctors are able to prescribe an anesthetic called ketamine for providing rapid relief in people with depression that is resistant to treatment. This procedure is carried out in a hospital or clinic. Talk therapy is a key component of treatment for depression however, some people do not seek help because they think the depression will go away by itself or because therapy isn't efficient. Therapy can help you develop skills and insights that can speed up recovery and keep depression from recurring, even if you require medication. Talk therapies can be used as a stand-alone treatment or in conjunction with other depression treatments, including lifestyle adjustments. Even if you're not depressed, it's crucial to follow your treatment plan. Participate in every therapy session. Do not skip your medication, either. If you stop taking your medication then your depression could return and you may experience withdrawal-like symptoms.