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Depression Treatment Recommendations If you suffer from depression, your doctor may recommend medication or psychotherapy. Education, lifestyle changes and support from friends can help. Psychotherapy can be divided into several types of sessions. Behavioral activation therapy for instance, helps you understand the links between your mood and the activities you engage in. Interpersonal psychotherapy is the process of discussing relationships and your role within them. Psychotherapy Psychotherapy or talk therapy is an essential treatment option for depression. It can help patients identify and alter self-defeating patterns of thinking, irrational fear and other problematic behaviors. Psychotherapy can help people with issues with their relationships, at school or work. It can be utilized in conjunction with other treatments such as exercise and medication or on its own. The type of psychotherapy is offered to a patient depends on a variety of variables that include their depression level and their preferences. People who have mild symptoms may benefit from psychotherapy, as well as other changes to their lifestyle, such as getting enough sleep and reading trusted self-help websites and books. They may also be able to participate in an organization for support. People suffering from moderate to severe depression can be helped by antidepressant drugs and psychotherapy. In some instances, those who are not able to do so or are worried about harming themselves or others may require psychiatric treatment at a hospital. It is crucial to find a therapist with whom you feel comfortable. If you can, choose someone who has experience treating depression and with whom you are at ease. It is also important to choose a time that works for you to meet your therapist. Plan ahead for traffic delays and other issues in the event that you need to drive to your appointment. If you're worried about the cost of therapy, ask your physician if you qualify for an insurance rebate through Medicare or another health insurance plan. The cost of psychotherapy is high, but it's worth it for your mental health. Medication In cases of moderate to severe depression, psychotherapy may be combined with medication. This is especially relevant for those who have an history of prior episodes or severe symptoms or who are contemplating suicide. The drugs used to treat depression are antidepressants and mood stabilizers, along with an antipsychotic drug. Doctors may recommend “watchful wait” for mild depression. This involves monitoring patients as they continue receiving treatment such as psychotherapy or another. If you're experiencing symptoms that range from moderate to severe, then medication is usually the first option for treatment. Doctors will start with selective serotonin reuptake inhibitors (SSRIs). These medications are less dangerous and have fewer negative effects compared to other antidepressants. finding the right depression treatment include citalopram (Celexa), 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). Tricyclic antidepressants also are available. They can be efficient, but they may have more severe side effects than the more recent medications. This group includes imipramine (Tofranil) and surmontil (doxepin) and pamelor (nortriptyline). Psychological treatments, often referred to as talking therapies or cognitive behavior therapy (CBT) are the best-studied treatment for depression. They teach you to recognize and change negative thinking patterns and help you improve your coping skills. Other psychotherapies include interpersonal psychotherapy, family and marriage counseling and various other methods. It can take a while before an antidepressant begins working. It is important to speak with your doctor if you do not notice any improvement after a few weeks. If you aren't responding to the medication you are taking or treatment, your doctor may alter your prescription or prescribe other medications to boost the effects of antidepressants. Exercise Physical activity can improve your mood and alleviate depression symptoms. Try walking, jogging, gardening, or swimming. Also make sure you're getting enough rest, and avoid drinking or taking recreational drugs – they can cause depression in the long run. Contrary to psychotherapy and medication, exercising and sports are completely free and have few side effects. However, they might not be effective for all people with depression. Some people may even feel worse after exercising. Other Lifestyle Changes Depression can leave you feeling trapped in a pit of darkness, with no way to escape. However, even severe depression is treatable and can be alleviated with therapy, medication and self-help coping strategies and lifestyle modifications. Depression sufferers can benefit from all of these things and the techniques learned through treatment can be used to avoid recurrences in the future. Stress reduction is an excellent way to manage depression. This means finding ways to manage and reduce the amount of stress that you experience by getting enough rest, exercising, and spending time with your family or friends which make you feel positive about yourself. Taking time to relax through meditation, yoga or other activities that focus on mindfulness can boost your mood and help you get better sleep. Avoiding alcohol and other drugs particularly those with an arousing effect, is also advisable if you suffer from depression. This can help you feel better and stay on your medication. This is a crucial element of tackling depression. Antidepressants can take a lengthy time to take effect and can cause undesirable adverse effects. The addition of other treatments, like cognitive-behavioral therapy (CBT) or relaxation exercises, or acupuncture, can aid in easing these adverse effects. You can locate a therapist through the recommendation of your primary doctor or other health professionals. If you are struggling with money there are many institutions, like senior centers, community mental-health programs, and religious organizations offer therapists on a sliding scale or for free. For severe depression, you can try an experimental treatment called transcranial magnetic stimulation (TMS), which uses a non-invasive device that sends periodic magnetic pulses to the skull to increase the number of brain cells that impact your mood. Support Groups Depression is a lonely and isolating disease. While friends and family can offer support, they lack the depth of understanding that people with similar experiences have. This is where depression support groups can help. They are usually led by peers and meet regularly, either in person or online. They can be a great supplement to any treatment program, and can help those who are depressed feel less alone in the battle against depression. Typically they are free to join and are available in your area or online. They can be operated by community groups or mental health professionals, or other individuals who have experiences with the illness. Some also have a professional moderator or facilitator to help facilitate discussions. While there is more research needed on the long-term efficacy of depression support groups, they appear to be beneficial and may be a valuable addition to psychotherapy. These support groups offer the opportunity for those suffering from depression to talk about their experiences with others and provide each other comfort, guidance and strategies for coping. They can be an important source for those struggling to attend regular therapy sessions due to financial limitations or scheduling conflicts, among other factors. They can also be helpful for those whose symptoms aren't yet sufficient to warrant an inpatient stay or psychiatric treatment. The ADAA website will give you a list of depression support groups both in person and online. It's crucial to find a group that feels comfortable and safe for you, and it's best to try several different groups before you settle on one. Some groups are synchronous, which meet every week or biweekly in person or via video chat, whereas others are more informal and available anytime.