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Depression Treatment Approaches There are many methods to treat depression. There are many treatments for depression. Psychotherapy (also called talk therapy) is a great way to find support and learn new skills. It can be done either in a group or on its own, and may involve psychiatrists, social workers or counselor. Another important part of the treatment is medication. Cognitive Behavioral Therapy Cognitive behavioral therapy is a type of psychotherapy which can alleviate the symptoms of depression and mental health issues. depression and anxiety treatment is based on the idea that emotions, thoughts and behaviors are linked. Negative or unhelpful beliefs or thoughts can cause anxiety and cause self-defeating behaviors. A therapist can assist you to identify negative patterns and teach you new ways to respond in different situations. A therapist will use interactive sessions of question and answer to assist you in getting to the root of your emotional issues. They will encourage you to talk about those times that make you feel anxious or depressed. Together, you'll identify unhealthy patterns of thinking, inaccurate perceptions, or behaviors that cause depression and anxiety. Your Therapist will also help you to create and implement self-help strategies that can help you address your concerns right 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 out new behaviors and coping strategies in a controlled, safe environment to practice your new skills. CBT has been found to be effective in a number of outcomes studies of mental disorders, such as anxiety disorders, depression, and substance abuse problems. It can be used alone or in conjunction with a psychiatric drug. Cognitive behavioral therapy requires a willingness to change and a commitment to the process. If you're interested in learning more about this method, talk to your doctor or find a therapist that is specialized in CBT. You can also verify your health insurance to see whether they will cover these therapies. Online resources are available to those with limited incomes who need financial assistance. The first step to recovery and better health is to get help when you need it. Interpersonal Therapy The idea was developed 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 idea that depression is a genetic predisposition, and that changes in the social environment of a person can trigger it. It also suggests that interpersonal challenges that trigger depression can be treated by attending to the relationship difficulties that make symptoms worse. Unlike some other psychotherapies of the present that try to identify the root causes of a person's behavior, IPT doesn't focus on looking into the subconscious motives or past traumas. Instead, therapists in this approach realize that those suffering from depression often have trouble expressing and coping with emotions like anger and frustration, and that these difficulties can impede their relationships with family and friends, as well as with partners. The initial phase of IPT can last as long as three sessions. It concentrates on identifying the specific area of interaction that may contribute to the depression symptoms. Your Therapist will ask you to review your significant relationships, both current and past and group them into four potential problem areas: unresolved grief (often due to the loss of loved ones) or a role change, role dispute or interpersonal issues. In the middle stage of IPT that usually takes place from session four to 14, your therapist will use specific strategies to deal with the challenge area that's being addressed, for example, helping you work through delayed or disorganized grief following the loss of a beloved one, assisting you in dealing with difficult transitions in your relationship as well as validating and expressing your anger, or developing more adaptive ways of interacting with others. Your therapist will help you identify the skills you've learned during treatment and can apply at home. They will also urge you to keep in touch with your therapist even after sessions, such as through weekly phone calls or a monthly face-to-face meeting, to prevent repeat relapses and keep improving your skills. Therapists may also suggest maintenance sessions for those suffering from chronic or recurring mental health conditions such as PTSD. Dialectical Behavior Therapy (DBT) DBT is an evidence-based treatment approach created by psychologist Marsha Linehan to treat borderline personality disorder (BPD). The therapy focuses on teaching people to manage their emotions, behavior, and develop skills that will help them build healthy relationship and manage distress. DBT is divided up into four phases. The first stage focuses on changing the way you respond to situations such as how you respond when you're sad or angry. The second stage helps you build a sense of emotional regulation, allowing you to manage your emotions better. The third stage helps you learn to sustain your efforts at changing and to build an enjoyable life. The fourth and final phase will teach you how to apply the skills you've acquired in therapy on a regular basis, in addition to your weekly sessions with your therapist. Your therapist will utilize tools like homework assignments, telephone coaching, and other tools to show you how to apply these skills. A therapist who is trained in DBT can help you realize that your negative thoughts and feelings are not necessarily “wrong” and are valid due to the challenges you've experienced in your life. They'll also help you learn to balance and unite seemingly incompatible strategies, such as acceptance and change. Numerous studies have demonstrated that DBT is effective for a variety of diseases. For example, one RCT evaluated standard DBT to standard treatment for women suffering from BPD and found that those receiving DBT were significantly less prone to parasuicide behavior, suicide attempts, and psychiatric hospitalizations days compared to the control group. DBT was also associated with decreased aggression and improved functioning. In addition to group and individual therapy sessions, DBT includes practice at home (e.g. using a phone coach and homework), regular meetings with a therapist who's proficient in DBT and participation in a DBT consultation team. The group is comprised of therapists that regularly meet to discuss the most frequent clinical issues like how to deal with suicidal clients, or how to help them maintain their engagement in therapy. In the team meeting, therapists are urged to remain non-judgmental and kind toward their patients even in difficult circumstances. They are also urged and supported to avoid burnout and monitored for conformity with DBT procedures. Medication Many people who suffer from depression find that taking medication can help ease symptoms and encourages recovery. Consult your doctor about the many options available if you are interested in antidepressants. Every body reacts in a different way to medications, so it may take a while to find the ideal combination of drugs that works for you. It is also important to talk with your doctor about any changes to your lifestyle that could help ease your depression, like exercise or a better sleeping routine. If your depression is not responding to treatment or medication it is possible to consult with a specialist like a psychiatrist. They will examine your medical background and conduct a thorough examination of you. They can test for the presence of any medical conditions, such as the rheumatoid or hypothyroidism which may contribute to your depression. They can also make use of a tool called pharmacogenetic testing, which can predict the way your body reacts to certain medicines in relation to genetic markers. These tests aren't currently covered by insurance. In some cases doctors may add a drug to an antidepressant to increase its effects. This is known as augmentation therapy. FDA-approved drugs such as aripiprazole, brexpiprazole or quetiapine can be used for this purpose. Certain doctors may also prescribe ketamine as an anesthetic drug that can provide rapid relief for people with treatment-resistant depression. This procedure can be performed in a hospital setting or a clinic. Talk therapy is an important element of treating depression. However, many people are reluctant to seek help because they believe that the condition will disappear by itself or that therapy is not effective. Therapy can help you develop abilities and knowledge that can speed up recovery and keep depression from recurring, even if you require medication. Talk therapy can be used on their own or in conjunction with other treatments for depression such as lifestyle modifications. Even even if you're not suffering from depression, it is important to adhere to your treatment program. Participate in all sessions. Don't forget to take your medication. If you stop taking the medication, you'll suffer withdrawal symptoms and depression may recur.