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Depression Treatment Recommendations If you suffer from depression, your doctor might recommend medication and psychotherapy. Education, lifestyle modifications as well as social support can be beneficial. Psychotherapy includes several different kinds 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 role in them. Psychotherapy Psychotherapy or talk therapy is an essential treatment option for depression. It can help people identify and overcome self-defeating ways of thinking, irrational fear, and problem behavior. Psychotherapy can also assist people to manage difficulties in relationships, at work, or at school. It can be combined with other treatments, for instance exercise and medication, or used alone. The type of psychotherapy that is offered to a patient depends on a variety of factors, including their depression severity and their personal preferences. Patients with mild symptoms might benefit from psychotherapy, in addition to other lifestyle changes, such as getting enough sleep, or reading self-help books or websites. You may be able to join an online support group. Psychotherapy and antidepressant medications can assist people suffering from moderate to severe depressive disorders. In certain instances, people who are unable to cope or think of harming themselves or others may need psychiatric treatment in a hospital. It is essential to find a therapist whom you feel comfortable with. If you can, choose one who has experience in treating depression and with whom you feel comfortable. You should also choose the time that is most convenient for you to visit your therapy provider. If you have to drive to your appointment, prepare for traffic and other unexpected delays. And if you're concerned about the cost of therapy, ask your physician if you qualify for a rebate through Medicare or another health insurance program. The cost of psychotherapy can be expensive, but worth it for your mental health. Medication For moderate to severe depression The use of medication can be recommended in conjunction with psychotherapy. This is especially important in people with prior episodes, serious symptoms or thoughts of suicide. Medications used to treat depression include mood stabilizers as well as antidepressants, and occasionally an antipsychotic drug. Doctors may recommend “watchful wait” for mild depression. This involves closely watching patients while they are receiving psychotherapy or other treatments. If you are experiencing symptoms that range from moderate to severe, then medication is the first treatment recommended. Doctors may begin with selective serotonin reuptake inhibitors (SSRIs). These medications are less harmful and have fewer adverse effects than older antidepressants. Examples include citalopram (Celexa) as well as the escitalopram (Lexapro) and the fluoxetine (Prozac, Prozac XR), 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 side effects than newer drugs. This category includes imipramine (Tofranil), surmontil (doxepin) and pamelor (nortriptyline). Psychological therapies — sometimes referred to as talking therapies or cognitive behavior therapy (CBT) — are the most researched treatment for depression. They help you recognize and change negative thinking patterns and enhance your coping capabilities. Other treatments for depression include interpersonal psychotherapy as well as several methods for counseling couples and families. It may take a while before an antidepressant begins working. If you don't notice improvement after several weeks it is essential to consult your doctor. If you don't respond to a medication, your doctor might change your prescription or prescribe other medication to enhance the antidepressant effects. Exercise Physical activity can help to improve your mood and relieve depression symptoms. Try jogging, walking, gardening or swimming. Also make sure you get plenty of sleep, and avoid recreational drugs or alcohol – they can cause depression in the long term. Contrary to psychotherapy and medication, exercising and sports are completely free and have few side effects. They might not be suitable for everyone with depression. Some people may even feel worse after exercising. Other Lifestyle Changes Depression can feel like you're trapped in a dark pit with no way out. However, even severe depression can be treatable and can be relieved with therapy, medication as well as self-help strategies for coping and lifestyle adjustments. All of these treatments are beneficial for people suffering from depression, and the techniques they learn can help them to prevent recurrences in the future. Reduce stress is one of the most important ways to help manage your depression. This includes figuring out ways to reduce and manage the amount of stress that you encounter in your own life, like getting enough sleep, exercising and spending time with your family and friends who make you feel good. Taking time to relax through yoga, meditation or other activities that focus on mindfulness can improve your mood and help you get better sleep. If you're suffering from depression, it's also recommended to stay clear of alcohol and drugs, particularly those that cause a lot of sedation. This can help you feel better and adhere to your medication. This is an essential element of tackling depression. Often, antidepressants take a while to start working, and they can cause side effects that can be uncomfortable or bothersome. Adding other treatments, such as cognitive-behavioral therapy (CBT), relaxation exercises, or acupuncture may alleviate these adverse side effects. You can locate a therapist through a referral from your primary physician or other health care professionals. If you are struggling with money, many places, such as senior centers, community mental-health programs, and religious associations offer therapists on an affordable rate or free. You may also consider an experimental treatment referred to as transcranial magnet stimulation (TMS) which is a device that transmits regular magnetic pulses to the skull. This boosts brain cells, which affect your mood. Support Groups Depression can be a lonely, isolating illness, and although family members and friends may offer assistance, they usually do not have the depth of understanding that others with similar experiences can offer. Depression support groups can be a fantastic solution. They are typically led by peers and meet regularly in person or via the internet. They can be a great supplement to any treatment program and can help people feel less isolated in their battle with depression. depression treatment centers are generally free to join and you are likely to locate them in your area or online. They may be run by community organizations or mental health professionals, or any other individuals with had experience with the disease. Some groups have a professional facilitator or moderator who leads the discussion. Although more research is required to determine the long-term efficacy of depression support groups they are believed to be beneficial. They are also a good addition to psychotherapy. These support groups provide the chance for those suffering from depression to share their experiences with others, and offer each other support, comfort, and strategies for coping. They can be a valuable resource for those who are struggling to attend regular therapy sessions due to financial limitations or scheduling conflicts as well as other reasons. They may also be beneficial for those whose symptoms aren't yet severe enough to require an inpatient stay or psychiatric treatment. The ADAA website will give you a list of depression-related support groups both in person and online. It is recommended to test different groups before you choose one you are at ease with. Some groups are synchronous, and meet regularly, either in person or via video chat, whereas others are more ad-hoc and are available at any time.