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Depression Treatment Modalities Talk therapy, also known as psychological treatment, is a highly effective treatment for depression. It is important to choose the therapist you are at ease with. During sessions, mental health professionals will examine your entire health history and the severity of your symptoms. They may conduct a physical exam or take lab tests. Cognitive Behavioral Therapy Cognitive behavioral therapy is a well-established treatment for anxiety and depression. It helps you overcome unhelpful or unhealthy thinking or behavior patterns by combining the most recent insights in psychology and neuroscience with self-help techniques that are designed to improve your quality of life. CBT helps people understand that their thoughts and feelings are interconnected, and that the way they see a situation may influence how they respond to it. This method focuses on changing negative thought patterns, also known as cognitive distortions. They include all-or-nothing thoughts, personalization and catastrophizing (believing that a negative experience is the fault of someone else). CBT also helps therapists develop a wide range of healthy coping strategies. CBT is an approach to short-term, goal-oriented therapy, in contrast to psychoanalysis which is reverse-engineered to determine the subconscious cause of a problem. It was created by psychiatrist Aaron Beck in the 1960s and incorporates ideas from different types of thought, like rational emotive behavior therapy (REBT) and the gestalt theory. In CBT, the therapist spends some time looking back at the past, but the majority of the session is spent discussing current circumstances and feelings. The therapist will ask specific, rational questions about what is bothering you and will challenge any irrational beliefs or ruminations contributing to your distress. A therapist may also ask you to keep a diary which can be useful for breaking down negative reactions into categories, such as “cognitive distortions.” The therapist will then work with you to find more effective ways to deal with these situations. You will be taught a variety of coping techniques, such as mindfulness. This is the ability to be in the present moment without judgment. Your therapist will show you how to practice these techniques in controlled conditions to help build confidence. In the end, your therapist will aim to become your own therapist by helping you to understand your maladaptive coping and thought patterns and equipping you with the tools to alter them. CBT can be completed in between 5 to 20 sessions. However, this is not an absolute requirement. Sessions can be held in person via phone, in-person or online, and can be either group or individual therapy. Interpersonal Therapy (IPT) Depression is often connected to issues in the relationships of patients. This is why interpersonal therapy (IPT) is one of the most widely used depression treatment modalities. IPT was created in the 1970s, by Gerald Klerman & Myrna Wiessman. It utilizes a variety of interpersonal theory & research to improve the quality of the patient's relationships. The approach focuses on the relationships that are affected by or follow depressive episodes. The first step in IPT is to conduct an interpersonal inventory which aids the therapist understand the current status of a patient's most important relationships and how these relationships are evolving. depression treatment for teenagers is usually an interview with a format which requires the patient to explain how their relationships are working and what specific issues might be impeding their development. During the middle stage of IPT Therapy, therapists work to establish a therapeutic alliance that is positive and encourage emotional expression. They also focus on addressing the identified interpersonal problem area by helping patients discover ways to handle situations in their lives and reduce their anxiety. This is done by role-playing and encouraging the patient to practice new responses within the context of the session. The therapist will also provide psychoeducation about depression. They will emphasize that depression is a medical issue and that it is not the patient's responsibility. This will help to dispel feelings of shame or guilt that accompany depression, and increase adhering to treatment. The therapist is able to offer maintenance sessions at the end of IPT to avoid the possibility of relapse. They will talk about the causes of depression, as well as how to identify recurrent symptoms. Online IPT can also be beneficial for those who aren't comfortable meeting with the therapist face-to–face. This kind of therapy can be equally effective as therapy in person for those who are suffering from depression. It is also practical and eliminates the need for heavy traffic or public transportation. If you are interested in online IPT Be sure to speak to your therapist about your requirements and preferences. Medicines In some cases your physician may recommend medication to ease depression symptoms. Depression medications are often used in conjunction psychotherapy (also called talk therapy, counseling or counseling). Combination therapy has been proven to be more effective than either method on its own in a number of studies. Talk therapy can help you learn skills to cope with the stress of life and help you to understand the thoughts that cause depression. The medications used to treat depression include antidepressants as well as other medications that regulate mood. Antidepressants balance the chemical levels in your brain that control emotions. They are usually prescribed to patients suffering from severe depression. Doctors usually offer other treatments, like a form of therapy for talking known as cognitive behavioural therapy before prescribing antidepressants. The first-line medications for treating depression are monoamine oxide inhibitors (MAOIs). These drugs block an enzyme that increases brain chemicals associated with mood, including serotonin and norepinephrine. MAOIs are also sometimes used to treat seasonal affective disorder (SAD) an illness that causes depression during the dark months of winter. Common MAOIs include phenelzine (Nardil) and tranylcypromine (Parnate) and isocarboxazid (Marplan). Other medications that can be used to treat depression include selective serotonin reuptake inhibits (SSRIs) which is a kind of medication that increases the amount of serotonin in your brain. Examples of SSRIs include fluoxetine (Prozac) and sertraline (Zoloft). Doctors also use a class of drugs known as SNRIs, which are similar to SSRIs but have more specific targets in the brain. Examples of SNRIs are desvenlafaxine (Feminipe) and Venlafaxine (Effexor). Some depression medications can have unpleasant negative side adverse effects. It is important to follow the prescriptions of your doctor. If you don't show up for your psychotherapy sessions or don't follow your therapist's suggestions the symptoms may recur and you could be suicidal. Reducing depression can take time. It can take several treatments before you can find the right combination. If you are having difficulty finding the right treatment to treat your depression, you should seek an opinion from a psychiatrist or psychiatric nurses practitioner. They are specialists in treating mental illnesses and have access to the most recent research and information on what treatments will be most effective for you. Medication Management Although there isn't a single treatment for depression, combining therapy and medication remains the most effective way to combat resistant forms of the disorder. Medication management requires working closely with a mental healthcare professional who can diagnose, evaluate and prescribe medications. These medications are usually antidepressants and antianxiety drugs. They can also be employed to treat sleep issues, appetite and other symptoms. Medication can aid those who are in a severe phase of depression by reducing the intensity of their symptoms as well as increasing their capacity to participate in talk therapy. Talk therapy is a form of psychotherapy that helps people learn new ways to cope with depression and alter unhelpful thinking patterns. It could include learning to recognize warning symptoms of a depression episode and developing problem-solving skills, and experimenting with relaxation techniques. It also might involve sessions with a group or family member which could teach family members how to spot and respond to 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 recognize and address negative thoughts, behaviors and beliefs that contribute to their depression. It can enhance the effectiveness of other talking therapies and assist patients in feeling in control of their lives. IPT concentrates on interactions and relationships with others, with the theory that these issues can trigger depression or cause it to worsen. EMDR assists people suffering from flashbacks, nightmares, or traumatizing memories. It can help alleviate depression and anxiety caused by a bad event like trauma or a car accident. Natural remedies, like diet and exercise, can also play an important part in treating depression. Stress can be decreased by simplifying your lifestyle, getting adequate sleep, and limiting the use of alcohol or other drugs for recreational use. Relaxation and meditation techniques can improve mood. Other natural treatments for depression are writing in a journal, looking for websites and books with suggestions and tips, and reading.