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Depression Treatment Guidelines Depending on your symptoms, your doctor might recommend lifestyle changes, talking therapies, or medication. A combination of these treatments is usually advised for severe or moderate depression. It is important to be aware that a relapse of depression following stopping treatment is not uncommon. Patients and their families should be educated on the possibility of relapse and how to recognize early signs. Medication Medications are one of the most important tools used in the treatment of depression. Up to 70% of people who take these medications experience relief from the symptoms. modern approaches to depression treatment are usually taken at a low dosage and gradually increased until the optimal dose is reached. There are a variety of different kinds of antidepressants. Some are sedative, whereas others can make you more alert or energetic. The type of medication you are prescribed depends on your symptoms as well as other factors such as the presence of comorbid conditions, and whether you are pregnant or breastfeeding. SSRIs are the most frequently prescribed antidepressants. They are believed to be less harmful and have less adverse negative effects than other antidepressants. These include citalopram, escitalopram, fluoxetine (Prozac) and paraxetine (Paxil and Pexeva), and sertraline. You should tell your doctor if you are taking an SSRI, and have suicidal thoughts. You may need a change of medication or stop taking the current medication. If you're concerned about the side effects of your antidepressants try to find ways to lessen them. Exercise, socialising with friends and learning relaxation techniques are great ways to manage these issues. You can also report any suspected adverse effects to the Yellow Card scheme, which is managed by the Medicines and Healthcare products Regulatory Agency. Some people aren't able to respond to antidepressants, or experience worsening of their symptoms when they stop taking them. They may have to be prescribed a different kind of antidepressant or an augmenting medication, such as lithium, psychostimulants, modafinil, thyroid hormone or electroconvulsive therapy (ECT). Consult your doctor about the symptoms you're experiencing. They'll then be able to determine which medication is right for you. You should also look into support groups as well as other sources of help. You might be able to receive counseling or join a depression and bipolar support group, as an example. Certain workplace and religious groups offer support for people with mental problems. You can also find information and support on the internet. Psychotherapy Psychotherapy can be a valuable supplement to antidepressant medication. This type of treatment helps people to change negative thoughts and behaviors that cause depression. It can also assist patients to learn new skills that will enhance their lives. However, it can take several months to see results. In this period, it's important to keep in contact with your therapist and discuss how you're feeling. If you're not seeing improvement you might want to consider finding a different therapist or trying an alternative type of therapy. The majority of the major American and European depression treatment guidelines offer similar basic principles, including individualized treatment, preparing patients for treatment that could last a long time, and measuring outcomes. Although these guidelines are all based on evidence, there is a certain degree of variance in the specific guidelines. These differences are attributed to the composition of consensus groups and the underlying directives. In general, these guidelines recommend the use of psychotherapy and cognitive behavior therapy for the treatment of depression. To diagnose depression, the mental health professional will assess the signs and symptoms and analyze the patient's background. The doctor will also conduct physical examination and request lab tests to determine the general health of the patient. The mental health professional will then apply the depression criteria as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The initial treatment plan must be carefully formulated considering the preferences of the patient as the clinical circumstances. The therapist should work closely with the patient and their caregivers in order to ensure that the treatment is successful. After a couple of months, the therapist will check if the patient is responding well to treatment. If not, the therapist might require adjusting the dosage of medication or switch to a different antidepressant. The therapist should also consider whether there is a history of substance use and whether it interferes with the treatment. If a patient suffering from depression has severe symptoms, such as suicidal thoughts or a poor physical health it is essential to take the patient to an inpatient facility for a proper assessment and treatment. The patient can decide to use the treatment of psychotherapy or antidepressants according to their preferences and the possibility of repeating the symptoms. Therapy for interpersonal relationships This form of therapy focuses on your relationships and social interactions. It helps you identify roadblocks that could be causing your depression symptoms and helps you develop new techniques to deal with these. It can also help you deal with negative emotions such as anger and fear. You can seek this kind of treatment from your psychiatrist, psychologist, or other mental health professionals. Based on your specific situation, you may have to attend a few sessions before your symptoms improve. This is particularly relevant if you suffer from severe depression. In this case you might need to stay in a mental health facility for a time. This is only required when the patient is unable to manage their own health or is at risk of harming others or himself. Inpatient care at psychiatric institutions include medication, a controlled environment and personnel who are supervised. In some cases, the same treatment can be obtained through a day treatment or partial hospitalization program. Interpersonal psychotherapy is a diagnosis-focused time-bound treatment that has been proven to be effective in a number of clinical studies. It combines psychotherapy with an organized approach that includes regular assessment and homework by the therapist. Its success led to its inclusion in a variety of international and national treatment guides. The foundational principles of the therapy are based on research-based evidence that demonstrates an interrelation between mood symptoms and interpersonal problems. The therapist helps patients recognize their emotions as social signals, to make use of them to improve interpersonal situations and to mobilize social supports. During the course of the therapy patients report that their moods improve and they feel more confident about themselves. In the beginning the therapist is attentive to the patient's complaints. He then conducts a thorough interview. They discuss the patient’s symptoms, their family and interpersonal histories, and any changes to their relationships. The therapist uses the outcomes of the interview to diagnose and identify areas that require improvement. In addition to counseling, your therapist could teach you strategies that you can practice at home to help you deal with difficult emotions. This could include learning to communicate more effectively with your children or spouse. They can also teach strategies to help avoid the impulsive behavior that could lead to relapse. Lifestyle changes Many people with depression find that lifestyle changes can help lift their moods and prevent the condition from recurring. These changes can include regular exercise, a balanced diet, and techniques to reduce stress. Psychotherapy is also a possibility to incorporate into an overall treatment plan for certain people. People who are struggling with depression can enhance their social support by group therapy and reconnecting with former family members and friends. Several studies have shown lifestyle changes can enhance the effectiveness of treatment for depression. These changes can enhance treatment with medication and therapy for talk disorders and can improve the therapeutic results. Although there isn't much research on certain aspects of lifestyle the most solid evidence is from studies of diet modification and exercise. In one study, researchers examined the effects of a multi-faceted exercise program that included exercise, sleep patterns and mindfulness meditation for participants with depression. They found that nearly half of those who took part in the program had a remission in contrast to only one person in the control group. Other lifestyle changes can reduce depression symptoms, such as a healthy diet and adequate sleep. You can also use relaxation techniques such as reiki or massage. These changes are very effective and can even produce more rapid results than medications. It is important to remember that these treatments do not address the root causes of depression. However, they can be an effective complement to psychiatric care and can make your recovery more rapid. A diet rich in fruits and vegetables can improve your mood and increase your energy levels. Avoid sugary and processed foods and concentrate on a balanced diet of lean meats and fish, whole grains and vegetables and fruits. You should also limit the consumption of alcohol, caffeine cigarettes, and alcohol. Try to incorporate aerobic exercise, such as swimming or walking, every day. This will help you burn calories and release endorphins in your brain which are chemicals that boost mood. It is recommended to complete 30-60 minutes of exercise each day. You can also try relaxation techniques, such as yoga, deep breathing, or hypnosis. Speak to an experienced psychiatrist or psychologist if you're struggling with depression to find out more. These professionals can aid you in creating a depression treatment program which includes psychotherapy, medication and lifestyle adjustments. They can also help you deal with the challenges of recovery and keep you on track. Additionally, they can teach you to identify warning signs and urge you to seek help when you notice them.