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Depression Treatment Approaches There are a variety of ways to treat depression. There are many treatment options for depression. Psychotherapy, also known as talk therapy, is a way to develop new skills and to find help. It can be conducted in individual sessions or groups and can include a counselor, social worker, or psychiatrist. Another vital aspect of treatment is medication. Cognitive Behavioral Therapy (CBT) Cognitive behavioral therapy (CBT) is a type of psychotherapy that can decrease symptoms of depression as well as other mental health disorders. It's based on the belief that thoughts, emotions and behaviors are linked. Negative or harmful beliefs or thoughts can create emotional distress and lead you to self-defeating behavior. A therapist can help identify the negative patterns and help you discover new ways to handle different situations. A therapist will use interactive sessions of question-and answer to aid you in getting to the bottom of your emotional issues. They will urge you to pay attention to the times when you feel stressed or depressed and then discuss the feelings you experience. Together, you'll be able to identify unproductive patterns of thinking, deformed perceptions, or behavior that cause depression and anxiety. Your therapist can also help you develop and implement self-help strategies to help you manage your issues 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 practice new behaviors and coping strategies in controlled, safe environments to help you master the skills. CBT has been shown to be effective in a number studies of psychiatric disorders, including depression, anxiety disorders and issues with substance abuse. It can be performed on its own or in combination with the use of a psychiatric medication. CBT requires a willingness to change and an commitment to the process. If you're interested to learn more about the benefits of this therapy, take a look at speaking with your doctor or locating an expert therapist who is trained in CBT. Review your health insurance policy to find out whether it covers these services. And if you need financial assistance there are many online resources available to allow people with limited incomes to access mental health care. The first step to recovery and better health is to seek help when you need it. Interpersonal Therapy IPT was developed by the late psychiatrist Gerald Klerman is another talking therapy that addresses specific issues that can contribute to depression. It is based on the belief that depression is a predisposition which can be activated by challenges in a person's social setting. It also suggests that interpersonal issues that cause depression can be dealt with by attending to the relationship difficulties that make symptoms worse. Unlike some other modern psychotherapies that attempt to determine the root cause of a person's behavior, IPT doesn't focus on looking into the subconscious motives or past traumas. This treatment approach recognizes that people with depression have a difficult time expressing and coping with emotions such as anger and frustration, and that this can make relationships difficult for family members and friends, as well as partners. The first phase of IPT lasts up to three sessions and is focused on identifying the area of interaction might be contributing to the depression symptoms. Your Therapist will ask you to review your relationships with significant people, both current and past, and then group them into four potential problem areas such as unresolved grief (often due to the loss of loved ones) or a role change, role dispute or interpersonal issues. The middle phase of IPT usually occurs between sessions four and fourteen. Your therapist will use strategies to tackle the specific problem area. For example, your therapist may assist you in navigating difficult transitions in your relationship, acknowledge and express your anger, or find more effective ways to interact with others. Your therapist will assist you in identifying the skills that you have learned during treatment and can use at home. They'll also help you keep in contact with your therapist beyond sessions, like weekly phone calls or monthly face-to-face meetings to avoid relapses and keep improving your skills. The therapist might also suggest maintenance sessions for people suffering from mental health issues that are recurring or chronic such as PTSD. Dialectical Behavior Therapy DBT is an evidence-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 and behavior and develop skills that assist them build healthy relationships, and deal with stress. DBT is divided into four phases. The first stage focuses primarily on changing your response to situations such as when you feel unhappy or sad. The second phase helps you develop a sense of emotional control, which will allow you to tolerate your emotions better. The third stage helps you develop the ability to sustain your efforts to changing and to build a life that's worth living. The fourth and final stage is to help you practice the skills you've learned in therapy on a regular basis, outside of your weekly sessions with your therapist. Your therapist may use the telephone homework assignments, homework, and other tools to help you develop and apply these techniques in your daily life. A DBT-certified therapist can help you recognize that your negative emotions and thoughts are legitimate and aren't necessarily “wrong”. They're the result of experiences you've had in life. cognitive behavioral therapy for depression 'll also help you learn to reconcile and integrate seemingly contradictory strategies, such as acceptance and changing. A variety of studies have demonstrated that DBT is effective for many conditions. For example, one RCT conducted a comparison of the standard DBT to standard treatment for women with BPD and found that those receiving DBT had significantly lower parasuicide behaviors, suicide attempts and psychiatric hospitalizations days when compared to the control group. DBT was also associated with decreased anxiety and improved functioning. DBT also involves regular meetings with a therapist who has been trained in DBT, participation in a DBT consulting team, and the ability to practice at home. The group is comprised of therapists that regularly meet to discuss the most frequent clinical issues like how to deal with suicidal patients or assist them in maintaining their involvement in therapy. In the team meetings, therapists are urged to remain non-judgmental and kind toward their patients even in difficult circumstances. They are also encouraged and supported to avoid therapist burnout, and they're monitored to ensure they follow DBT procedures. Medication Many people suffering from depression find that medication can help ease symptoms and encourages recovery. If you're considering using antidepressants, speak to your doctor to find out more about the different options available. It may take a while before you discover the best medication for you. Talk to your doctor about changes to your lifestyle such as better sleep or exercise that may aid in overcoming depression. If you are not getting relief from your depression with treatments or medications, it may be the right time to see a doctor. They will review your history and treatment options, and conduct a an extensive medical examination. They will test for any the presence of any medical conditions, such as Rheumatoid arthritis or hypothyroidism, which may contribute to your depression. They can also use a tool called pharmacogenetic testing which can help predict the way your body reacts to certain medicines based on genetic markers. These tests are not currently covered by insurance. In some cases doctors can add a medication to an antidepressant to increase its effects. This is referred to as augment therapy. Medications such as Aripiprazole (Abilify), the brexpiprazole (Rexulti) or quetiapine (Seroquel XR) are FDA-approved for this reason. Some doctors might prescribe ketamine, an anesthetic drug that can provide quick 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 disorder will disappear by itself or because therapy isn't effective. Therapy can help you develop skills and insights that can speed up recovery and keep depression from recurring, even if you require medication. Talk therapies are often used in combination with other treatment options, like lifestyle modifications. Even even if you're not suffering from depression, it is important to adhere to your treatment plan. Attend all sessions. Don't skip medication, either. If you stop taking the medication, you'll be experiencing withdrawal symptoms, and depression could return.