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Depression Treatment Approaches There are a variety of ways to treat depression. The most common treatment methods are: Psychotherapy (also known as talk therapy) is a fantastic way to gain support and master new techniques. It can be done in groups or individual sessions and may involve a counselor, social worker or psychiatrist. Another crucial aspect of treatment is medication. Cognitive Behavioral Therapy Cognitive behavioral therapy (CBT) is a type of psychotherapy that helps decrease symptoms of depression as well as other mental health conditions. It is based on the idea that emotions, thoughts and behaviors are all linked. Negative or unhelpful beliefs or thoughts can cause anxiety and cause self-defeating behavior. A therapist can help recognize negative patterns and help you learn new ways to respond in different situations. A therapist will utilize interactive sessions that include questions and answers to help you get to the root of your emotional problems. Iam Psychiatry will help you talk about the times that make you feel anxious or depressed. Together, you'll be able to identify negative patterns of thinking, inaccurate perceptions, or behaviors that contribute anxiety and depression. Your therapist will also help you to develop and implement self-help techniques to help you deal with your concerns now. They are commonly referred to as “cognitive restructuring techniques,” and include goal-setting, journaling, mindfulness meditation and exposure therapy. Your therapist may recommend that you try new behaviors and coping techniques in a controlled, secure environment to help you develop. CBT has been proven to be effective in numerous outcome studies for mental disorders, such as anxiety disorders, depression, and addiction issues. It can be used on its own or in combination with a psychiatric medication. Cognitive behavioral therapy is a process that requires commitment and a willingness to change. If you're interested to learn more about the benefits of this therapy, think about talking to your doctor or locating the right therapist that specializes in CBT. You can also verify your health insurance policy to see if they cover these services. Online resources are available for people with low incomes who require financial assistance. Getting help when you need it is the first step towards recovery and a better life. Interpersonal Therapy Developed by the late psychiatrist Gerald Klerman, IPT is another form of therapy that focuses on specific issues that contribute to depression. It's based on the belief that depression is a genetic predisposition and that challenges in the social context can activate it. It also suggests that interpersonal challenges that trigger depression can be addressed by focusing on the relationships issues that make symptoms worse. Contrary to other modern psychotherapies that attempt to find the root causes of one's behavior, IPT doesn't focus on investigating the unconscious motives of a person or their past traumas. Instead, therapists using this treatment approach understand that those suffering from depression tend to have trouble expressing and coping with emotions such as anger and frustration, and that these difficulties can impede their relationships with their family, friends and partners. The initial phase of IPT could last for up to three sessions. It focuses on identifying the area of interaction that could be contributing to depression-related symptoms. Your therapist will ask that you examine all your significant relationships both present and past and then categorize them into four possible problem areas such as unresolved grief (often caused by the loss of an individual loved one) or a change in role, a role dispute, or interpersonal problems. In the middle stage of IPT typically takes place from session four to 14, your therapist will employ specific strategies to tackle the issue being addressed, such as helping you work through delayed or distorted grief following the death of a loved one, or helping you in dealing with difficult transitions in your relationship or expressing and validating your anger, or developing more flexible ways of communicating with others. In the final stage of IPT, which usually occurs after session 14 and can last up to eight weeks Your therapist will assist you discover the skills you've learned in treatment that you can apply at home. They'll also advise you to keep in contact with your therapist beyond sessions, such as through weekly phone calls or monthly face-to-face meetings, in order to prevent relapse and continue developing your skills. Therapists may also suggest maintenance sessions for individuals with mental health conditions that are chronic or recurrent like PTSD. Dialectical Behavior Therapy (DBT) DBT is a research-based treatment method developed by psychologist Marsha Linehan for borderline personality disorder (BPD). The therapy focuses on teaching people to manage their emotions, behavior, and develop skills that will aid them in establishing healthy relationships and deal with stress. DBT is broken down into four stages. The first stage focuses on changing your reaction to situations like when you are upset or sad. The second phase helps you build a sense of emotional regulation, allowing you to manage your emotions better. The third stage teaches you how to sustain your efforts for change and create an existence that is worth living. The fourth and final stage teaches you to apply the techniques you learned in therapy outside of your weekly sessions. Your therapist will use tools such as homework assignments, phone coaching and other tools to help you learn how to apply these techniques. A therapist who is trained in DBT will help you understand that your negative thoughts and emotions aren't necessarily “wrong” and are legitimate due to the difficulties you've faced in your life. They'll also help you learn to reconcile and integrate seemingly contradictory strategies, such as acceptance and changing. Numerous studies have proven that DBT is effective in treating a variety of conditions. For instance, one study conducted a comparison of standard DBT to treatment-as-usual in women with BPD and found that patients receiving DBT were significantly less prone to parasuicide behaviors, suicide attempts and psychiatric hospitalization days as compared to those who received the control group. DBT was also associated with reduced trait anger and improved social functioning. In addition to group and individual therapy sessions, DBT includes practice at home (e.g., by using a phone coach and homework) regularly scheduled sessions with a therapist adept in DBT, and participation in an DBT consultation team. The team consists of therapists who regularly meet to discuss common clinical problems such as treating patients with suicidal tendencies or helping them maintain engagement in therapy. In the team meeting, therapists are encouraged to remain non-judgmental and kind towards their patients, even in difficult circumstances. They are also aided and urged to avoid therapist burnout, and they're supervised for compliance with DBT procedures. Medication Many people with depression find that medication can alleviate symptoms and aid in recovery. If you're considering taking antidepressants, consult your doctor about the various options available. It could take some time before you find the right medication for you. It is important to speak with your doctor about any changes to your lifestyle that can help reduce your depression, like exercise or a better sleeping routine. If you're not getting relief from depression through treatments or medications it could be the right time to consult a specialist. They will review your medical history and examine you thoroughly. They will be able to test if there are any underlying medical conditions that could be causing your depression, such as hypothyroidism or rheumatoid arthritis. They can also use the pharmacogenetic test which can help predict how your body will react to certain medicines in relation to genetic markers. These tests are not currently covered by insurance. In certain instances, doctors may add a drug to an antidepressant to enhance its effect. This is referred to as an augmentation therapy. FDA-approved medications like aripiprazole, brexpiprazole, or quetiapine are used to achieve this goal. Some doctors might also prescribe ketamine, an anesthetic drug that can provide rapid relief for those suffering from treatment-resistant depression. This procedure is performed in a hospital or clinic setting. Talk therapy is an essential part of depression treatment However, some people don't seek help due to the belief that the depression will disappear on its own or that therapy isn't working. Talk therapy can teach you techniques and insights that will accelerate recovery and prevent depression from recurring, even if you have to take medication. Therapy for depression is often utilized in combination with other depression treatment options, such as lifestyle changes. It is important to stick to your treatment plan and keep up with all therapy sessions, even if you're not feeling depressed. Don't skip your medication either. If you stop taking your prescription your depression is likely to be recurrent and you could experience withdrawal-like symptoms.