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Depression Treatment Recommendations If you are suffering from depression, your physician might recommend psychotherapy or medication. Changes in lifestyle, education and support from friends can help. Psychotherapy can be classified into a variety of types of sessions. Behavioral activation therapy, for instance, helps you understand the connection between your mood and your activities. Psychotherapy for interpersonal relationships involves talking about relationships and your part in these relationships. Psychotherapy Talk therapy or psychotherapy is an important treatment option for depression. It can help patients learn to recognize and overcome self-defeating patterns of thinking and irrational fears. It can also help people identify and change problem behaviors. Psychotherapy can also help people manage problems in relationships, at work or at school. It can be used in conjunction with other treatments, for instance medication and exercise, or used alone. The kind of psychotherapy that a person gets depends on many factors, including the severity of their depression and their preferences. Patients with mild symptoms might benefit from psychotherapy, in addition to other lifestyle changes like getting enough sleep, or reading self-help books or websites. You might be able to join an online support group. People with moderate to severe depression can usually be assisted by antidepressant medication and psychotherapy. In certain cases, psychiatric care in a hospital may be required for those who are not able to take care of themselves or have thoughts of harming themselves or others. It is important to choose a therapist that you feel comfortable with. If you can, pick someone who has experience in treating depression and with whom you are at ease. You should also select an appointment time that works for you to see your therapist. If you have to drive to your appointment, be prepared for traffic and other unexpected delays. If you're worried about the cost of treatment, ask your physician whether you are eligible for a rebate under Medicare or other insurance programs. The cost of psychotherapy can be expensive, but is worth it for your mental health. Medication In cases of moderate or severe depression, psychotherapy can be coupled with medication. This is particularly important for people who have an history of prior episodes or with severe symptoms, or who are contemplating suicide. Treatments for depression can include mood stabilizers, antidepressants and occasionally an antipsychotic drug. Doctors may suggest “watchful waiting” for mild depression. This involves monitoring patients while they continue receiving treatment such as psychotherapy or another. If you're experiencing symptoms that range from moderate to severe, then medication is typically the first option for treatment. Doctors will begin with selective serotonin reuptake inhibitors (SSRIs). These drugs are less risky and have less side negative effects than antidepressants that are older. Examples include citalopram (Celexa) as well as Escitalopram (Lexapro) and the fluoxetine (Prozac, Prozac XR) and paroxetine (Paxil, Pexeva) and sertraline (Zoloft). The second category of antidepressants is the serotonin-norepinephrine reuptake inhibitors (SNRIs), including duloxetine (Cymbalta), venlafaxine (Effexor XR, Pristiq, Khedezla) and desvenlafaxine (Pristiq, Fetzima). There are also tricyclic antidepressants that are extremely effective, but can cause more serious adverse effects than the newer drugs. Examples of this category include imipramine (Tofranil), Doxepin (Surmontil) and nortriptyline (Pamelor). The best-studied treatments for depression are psychological treatments, which are also referred to as cognitive behavior therapy (CBT). They help you recognize and alter negative thinking patterns and enhance your coping capabilities. Other psychological treatments for depression include interpersonal psychotherapy as well as various marriage and family counseling techniques. It can take some time for antidepressant medications to start working. It is crucial to talk with your doctor if are not seeing any improvement after a couple of weeks. If you aren't responding to a medication, your doctor might change your prescription or prescribe additional medications to boost the antidepressant effects. Exercise Physical activity can help to boost your mood and reduce depression symptoms. Try jogging, walking, gardening or swimming. Avoid drinking and recreational drugs as they can worsen depression over time. Exercise and sports are less likely to cause side effects than psychotherapy and medications. However, they may not be suitable for everyone suffering from depression. Some people may even feel worse after exercising. Other Lifestyle Changes Depression can make you feel as if you're trapped in a dark pit with no way out. However, even severe depression is treatable and can be alleviated through therapy, medication and self-help coping strategies and lifestyle changes. People with depression can benefit from all of these things, and the skills learned through treatment can be used to prevent recurrences of symptoms in the future. Stress reduction is an excellent method of reducing depression. This includes finding ways to reduce and manage the amount of stress you experience that you experience in your life, such as getting enough sleep, working out, and spending time around people and family members who make you feel happy. clinical depression treatments , meditation or other activities that help you relax can boost your mood and help you get better sleep. If you're suffering from depression, it's a good idea to avoid drugs and alcohol, especially those that have a high level of sedating effects. This will allow you to feel better and stay on your medication which is an essential component of treatment for depression. Antidepressants take a long time to take effect and can cause undesirable adverse effects. Other treatments, like cognitive-behavioral therapy (CBT), relaxation exercises, or acupuncture, can help to reduce the adverse side effects. You may be able to locate a therapist to collaborate with through word of mouth, or your primary care physician or other health care professionals can provide a referral. If price is a concern, community mental health programs and senior centers, as well as religious groups, and other locations offer therapy on a sliding scale, or even free. If you are suffering from depression that is more severe you could test an experimental treatment known as transcranial magnetic stimulation (TMS) which makes use of a non-invasive device that sends regular magnetic pulses through your skull to increase the number of brain cells that influence your mood. Support Groups Depression can be a lonely, isolating illness. While family and friends can offer support but they don't have the depth of understanding other sufferers of similar experiences have. Depression support groups can be a fantastic solution. They are typically led by peers, and meet regularly either in person or online. They are an excellent supplement to any treatment plan and make people feel less lonely in their struggle with depression. These groups are usually free to join, and you will find them in your locality or online. These groups are usually led by mental health professionals, community organizations or people who have experience with the condition. Some also have a professional moderator or facilitator to help guide the discussions. Although more research is needed to determine the long-term efficiency of depression support groups they are believed to be beneficial. They could also be an excellent addition to psychotherapy. These groups provide those suffering from depression the opportunity to discuss their experiences and offer one another with comfort and support, as well as strategies for dealing with depression. These groups are a valuable source for those who are unable to attend regular therapy sessions due to financial limitations, scheduling conflicts, or other factors. They may also be beneficial for those who's symptoms aren't quite severe enough to warrant a hospital stay or psychiatric treatment. Searching the ADAA website will provide an array of depression support groups both in person and online. It's crucial to choose a group that is safe and comfortable for you, and it's usually best to test several groups before settling on one. Some groups are synchronous, and meet every week or biweekly in person or via video chat, while others are more ad-hoc and are available anytime.