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Depression Treatment Approaches There are a variety of ways to treat depression. There are a variety of treatment options for depression. Psychotherapy (also called talk therapy) is a fantastic way to get support and develop new abilities. It can be done individually or in groups, and may involve a social worker, psychiatrist or counselor. The use of medication is another crucial aspect of treatment. Cognitive Behavioral Therapy (CBT) Cognitive behavioral therapy is a type of psychotherapy which can alleviate the symptoms of depression and mental health conditions. progressive depression treatment I Am Psychiatry is based on the notion that thoughts, feelings and actions are all interconnected. Unhelpful or negative beliefs, thoughts or perceptions can cause emotional distress and lead you to self-defeating behaviors. A therapist can assist you to recognize negative patterns and help you learn new ways to react in various situations. A therapist will use interactive sessions of question-and answer to help you get to the bottom of your emotional problems. They will encourage to discuss those times when you are feeling anxious and depressed. Together, you'll be able to identify unhealthy patterns of thought, distorted perceptions or behaviors that can cause depression and anxiety. Your therapist will also assist you to develop and implement self-help techniques to help you manage your concerns now. These techniques are sometimes referred to “cognitive reorganization techniques” and include goal setting, journaling and mindfulness meditation. Your therapist may also recommend that you try out new behaviors and coping strategies in controlled, safe settings to help you practice your new skills. CBT has been shown to be effective in several studies for psychiatric problems, including depression, anxiety disorders and substance abuse issues. It can be used on its own or in combination with a psychiatric medication. CBT requires an openness to change and an commitment to the process. If you're interested in finding out more about the advantages of this therapy, take a look at consulting with your physician or locating a therapist who specializes in CBT. Review your health insurance policy to find out whether these services are covered. Online resources are available to people with low incomes who require financial assistance. Finding help when you need it is the first step to recovery and living a healthier life. Interpersonal Therapy It was created by the late psychiatrist Gerald Klerman, IPT is another talking therapy that addresses particular issues that can lead to depression. It's based on the belief that depression is a biological predisposition, and that changes in the social environment of a person can activate it. It also posits that the interpersonal issues that cause depression can be addressed by focusing on the relationship difficulties that make symptoms worse. IPT is not like other modern psychotherapies, which focus on the unconscious motives of a person's actions or past traumas. Instead, therapists who use this treatment approach understand that those suffering from depression tend to have trouble expressing and coping with emotions like anger and frustration, and these difficulties can complicate their relationships with family, friends and partners. The initial phase of IPT lasts up to three sessions and is focused on identifying the area of interaction could be causing the depressive symptoms. Your Therapist will ask you to look over your significant relationships that are both past and present and classify them into four problematic areas such as unresolved grief (often associated with the loss of loved ones) or a role change, role dispute or interpersonal problems. The middle part of IPT typically occurs between sessions between four and fourteen. Your therapist will use strategies to address the specific challenge area. For instance, your therapist may assist you in navigating difficult transitions in your relationship, acknowledge and express your anger, or develop more adaptive ways of interacting with others. Your therapist will help you identify the skills you've learned during treatment and can use at home. They will also urge you to stay in contact with your therapist beyond sessions, for instance, through weekly phone calls or a monthly face-to-face meeting, to prevent repeat relapses and keep improving your abilities. Therapists might also recommend maintenance sessions for people suffering from chronic or recurrent mental health issues such as PTSD. Dialectical Behavior Therapy (DBT) DBT is a proven treatment method developed by psychologist Marsha Linhan to treat borderline personality disorder (BPD). The therapy focuses on helping people to manage their emotions, behavior, and develop skills that will help them build healthy relationship and deal with stress. DBT is divided into four stages. The first stage is focused on changing your reaction to situations such as when you are unhappy or sad. The second stage assists you to build a sense of emotional regulation, allowing you to be more comfortable with your emotions. The third stage helps you learn to sustain your efforts to make a change and live a life worth living. The fourth and final step will teach you how to apply the techniques you learned in therapy outside of your weekly sessions. Your therapist might employ telephone coaching, homework assignments, and other tools to help you develop and apply these techniques in your everyday life. A DBT-certified therapist will help you understand that your negative feelings and thoughts are normal and aren't necessarily “wrong”. They're the result of challenges you've faced in your life. They will also teach you to combine and balance seemingly contradictory methods, such as accepting changes and accepting. A variety of studies have demonstrated that DBT is effective for many conditions. One research study compared DBT standard with treatment that is standard for women with BPD. It concluded that DBT patients showed significantly lower parasuicidal behaviors, suicide attempts, psychiatric hospitalizations, and parasuicide-related behaviors than the control group. DBT was also associated reduced anxiety and improved functioning. DBT also involves regular meetings with a DBT-trained therapist participation in the DBT consulting team, and the ability to practice at home. The team consists of therapists who regularly meet to discuss common clinical problems like dealing with suicidal patients or helping them stay engaged in therapy. In the team meeting, therapists are encouraged to remain non-judgmental and kind towards their patients, even in the most difficult situations. They are also encouraged and helped to avoid burnout, and are monitored to ensure conformity with DBT procedures. Medication Many people with depression find that medication can alleviate symptoms and aid in recovery. If you're interested in using antidepressants, speak to your doctor to learn more about the various options available. Every person's body reacts differently to medicines, so it may take some time to find the right combination of drugs for you. It is important to speak with your doctor about any lifestyle changes that can help alleviate depression, like exercise or better sleep habits. If your depression is not responding to therapy or medications, you may need to consult a specialist, like a psychiatrist. They will review your medical history and thoroughly examine you. They can test to see if there are any underlying medical conditions that could be contributing to depression, like hypothyroidism and rheumatoid arthritis. They can also utilize the pharmacogenetic test, which can predict how your body will react to certain medications in relation to genetic markers. These tests are not currently covered by insurance. In some instances doctors may also add a medication to an antidepressant to boost its effects. This is referred to as augment therapy. Medications like Aripiprazole (Abilify) and brexpiprazole (Rexulti) or quetiapine (Seroquel XR) are FDA-approved for this reason. Additionally, certain doctors may prescribe an anesthetic drug called ketamine to provide rapid relief to patients suffering from treatment-resistant depression. This procedure is performed in a clinic or hospital setting. Talk therapy is a key part of depression treatment however, some people do not seek help because they believe the condition will disappear by itself or because therapy isn't effective. Therapy can help you develop skills and insight to speed up recovery and stop depression from recurring. Therapy for depression is often utilized in combination with other treatment options, like lifestyle modifications. Even even if you're not depressed it's important to follow your treatment schedule. Participate in all sessions. Don't skip your medication, either. If you stop taking your prescription then your depression could come back and you may suffer withdrawal-like symptoms.