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Depression Treatment Approaches There are many ways to treat depression. There are many treatment options for depression. Psychotherapy, sometimes called talk therapy, is a means to learn new skills and to find support. It can be conducted in group sessions or individually and can involve a counselor, social worker, or psychiatrist. Medications are another important part of treatment. Cognitive Behavioral Therapy Cognitive behavioral therapy is a type of psychotherapy which can reduce the symptoms of depression and mental health conditions. It's based on the notion that emotions, thoughts and behaviors are linked. Unhelpful or negative beliefs, thoughts or perceptions may cause emotional distress and can lead to self-defeating behaviours. A therapist can assist you to recognize negative patterns and help you learn new ways to respond in different situations. A therapist will use interactive question-and-answer sessions to determine the cause of your emotional problems. They will encourage you to talk about those times when you feel anxious and depressed. Together, you'll be able to identify unproductive patterns of thinking, distorted perceptions, or actions that cause depression and anxiety. Your therapist will also assist you create and implement self-help strategies to help you manage your concerns now. These strategies are sometimes referred to as “cognitive techniques for reorganizing” and include goals, journaling, and mindfulness meditation. Your therapist might also suggest that you try new behaviors and strategies to cope in safe, controlled settings to help you practice your new skills. CBT has been proven to be effective in several studies on psychiatric issues such as anxiety, depression disorders and issues with substance abuse. It can be used by itself or in combination with a psychiatric medication. CBT is a method that requires commitment and a willingness to adapt. If you're interested in learning more about the benefits of this therapy take a look at consulting with your physician or locating the right therapist that specializes in CBT. You can also check your health insurance policy to see if they cover these services. Online resources are available to those with a low income who need financial assistance. The first step in regaining your health and living a healthier life is seeking help when you need it. Interpersonal Therapy IPT created by the late psychiatrist Gerald Klerman is another talking therapy which addresses specific problems that may contribute to depression. It is based on the notion that depression is a predisposition that may be triggered by the challenges in a person's social setting. It also suggests that the problems with relationships that cause depression can be addressed by solving the relationship issues that exacerbate symptoms. IPT is different from other modern psychotherapies, which focus on the unconscious motives of a person's actions or previous traumas. This treatment method recognizes that people suffering from depression have a difficult time expressing and coping with emotions like anger and frustrated and can complicate relationships with family and friends, as well as partners. The initial phase of IPT can last up to three sessions and is focused on identifying the areas of interaction might be causing the depressive symptoms. Your counselor will ask you to look over your most significant relationships, both current and past and classify them into four problematic areas: unresolved grief (often associated with the loss of a loved one), role transition or role conflict, or interpersonal problems. The middle part of IPT typically takes place between sessions four and fourteen. Your therapist will use strategies to address the specific challenge area. For instance your therapist might assist you through difficult transitions in your relationship, acknowledge and vent your anger, or create more adaptive ways to interact with others. In the final stage of IPT that usually occurs after session 14 and lasts for up to eight weeks, your therapist will help you discover the skills you've learned during treatment that you can use at home. They will also advise you to stay in contact with your therapist beyond sessions, such as via weekly phone calls or a monthly face-toface meeting to avoid repeat relapses and keep improving your skills. The therapist might also suggest maintenance sessions for people suffering from mental health issues that are chronic or recurrent like PTSD. Dialectical Behavior Therapy (DBT) DBT is a research-based treatment approach created by psychologist Marsha Linehan to treat borderline personality disorder (BPD). The therapy focuses on teaching people how to manage their emotions, behavior and develop abilities that help them build healthy relationship and cope with distress. DBT is divided into four stages. The first stage focuses on changing your response to situations such as when you feel upset or sad. The second stage helps to create emotional regulation to help you better tolerate your emotions. The third phase helps you get the hang of your efforts to change and create an existence that is worth living. clinical depression treatments Iam Psychiatry and final step teaches you how to apply the skills you learned in therapy outside of your regular sessions. Your therapist will utilize tools such as homework assignments, phone coaching, and other tools to help you learn how to apply these skills. A therapist trained in DBT will help you realize that your negative feelings and thoughts are normal and not necessarily “wrong”. They're a result of the challenges you've had to face in life. They'll also help you learn to reconcile and integrate seemingly incompatible strategies, such as acceptance and changing. A number of studies have demonstrated that DBT is effective in treating a variety of diseases. One research study compared DBT standard to treatment as usual for women suffering from BPD. It concluded that DBT patients showed significantly lower suicide attempts, parasuicide and psychiatric hospitalizations as well as suicide-related behavior than the control group. DBT was also associated with a decrease in trait anger and improved social functioning. In addition to individual and group therapy sessions, DBT includes practice at home (e.g. by using a telephone coaching system and homework), regular meetings with a therapist who's proficient in DBT and participation in an DBT consultation team. The team is comprised of therapists who meet regularly to discuss common clinical issues like dealing with patients who are suicidal or helping them keep their engagement in therapy. In the team meeting, therapists are urged to remain non-judgmental and compassionate towards their patients even in challenging situations. They're also supported and encouraged to avoid burnout and they're supervised to ensure they follow DBT procedures. Medication Many people suffering from depression find that taking medication helps ease symptoms and promotes recovery. If you're interested in taking antidepressants, talk with your doctor to learn more about the various options available. It may take a while before you find the right medication for you. Discuss with your doctor about changes to your lifestyle like better sleep or exercise that may help you beat depression. If you are not getting relief from your depression with treatment or medication it could be the right the right time to see a doctor. They will go over your history and treatment, and then conduct a a thorough medical exam. They will test for any underlying medical conditions, like Rheumatoid arthritis or hypothyroidism, which may contribute to your depression. They can also utilize the pharmacogenetic test, which can predict how your body will react to certain medications by analyzing genetic markers. These tests aren't currently covered by insurance. In some cases doctors may also include a medication in an antidepressant to boost its effects. This is referred to as augment therapy. Drugs like Aripiprazole (Abilify) and brexpiprazole (Rexulti) or quetiapine (Seroquel XR) are FDA-approved for this purpose. Certain doctors may also prescribe ketamine, an anesthetic drug that can provide rapid relief for those suffering from treatment-resistant depression. This procedure can be performed in a hospital or clinic setting. Talk therapy is a key element of treating depression However, some people don't seek help because they believe the condition will disappear by itself or because therapy isn't working. Talk therapy can teach you skills and insights that can speed up recovery and keep depression from recurring, even if you need to take medication. Talk therapies can be used as a stand-alone treatment or in combination with other treatments for depression, including lifestyle modifications. Even even if you're not depressed it is important to adhere to your treatment schedule. Participate in all therapy sessions. Do not skip your medication either. If you stop taking your prescription then your depression could return and you may be suffering from withdrawal-like symptoms.