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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 called talk therapy) is a great method to gain support and master new techniques. It can be carried out in individual sessions or groups and can involve a counselor, therapist, social worker, or psychiatrist. Another vital aspect of treatment is medication. Cognitive Behavioral Therapy (CBT) Cognitive behavioral therapy is a form of psychotherapy that can help reduce the symptoms of depression and mental health disorders. holistic depression treatment 's based on the belief that emotions, thoughts and behavior are interconnected. Negative or harmful beliefs or thoughts can cause anxiety and cause self-defeating behaviours. A therapist can assist you to identify the negative patterns and teach you new ways to handle different situations. A therapist will engage you in interactive question-and-answer sessions to determine the cause of your emotional difficulties. They will encourage you to pay attention to the times that you feel depressed or anxious and talk about those moments. Together, you'll identify negative patterns of thinking, inaccurate perceptions, or behaviors that contribute anxiety and depression. Your therapist will also assist you develop and implement self-help strategies to help you manage your issues now. These are often called “cognitive restructuring techniques,” and include goal-setting journaling, mindfulness meditation, journaling and exposure therapy. Your therapist might also suggest that you try out new behaviors and strategies for coping in safe, controlled settings to practice your new skills. CBT has been proven to be effective in numerous studies on psychiatric issues such as anxiety, depression disorders, and substance abuse issues. It can be done as a stand-alone treatment or in combination with an psychiatric drug. Cognitive behavioral therapy requires an openness to change and a commitment to the process. If you're interested in finding out more about the benefits of this therapy take a look at speaking with your doctor or finding a therapist who specializes in CBT. Examine your health insurance policy to see if it covers these services. Online resources are available to those with limited incomes who require financial assistance. Getting help when you need it is the first step towards recovery and a more healthy life. Interpersonal Therapy IPT created by the late psychiatrist Gerald Klerman is another talking therapy that addresses specific issues that could contribute to depression. It's based on the belief that depression is a genetic predisposition and that problems in one's social environment can trigger it. It also posits that the interpersonal issues that cause depression can be addressed by attending to the issues in relationships that cause symptoms worse. IPT is different from other psychotherapies that focus on the unconscious motives of a person's actions or previous traumas. This approach to treatment recognizes that those suffering from depression have a difficult time expressing and coping with emotions such as anger and frustrated and this may make relationships difficult for family members, partners, and friends. The first phase of IPT can last up to three sessions and focuses on identifying the areas of interaction could be contributing to depressive symptoms. Your counselor will ask you to look over your relationships with significant people, both current and past and group them into four potential problem areas such as unresolved grief (often associated with the loss of a loved one) or a role change and conflict over roles, or interpersonal issues. In the middle of IPT that usually occurs between sessions four to 14 sessions, your therapist will use specific strategies to address the issue being addressed, for example, helping you deal with delayed or distorted grief following the loss of a loved one, helping you with dealing with difficult transitions in your relationship or expressing and validating your anger, or creating more adaptive ways to interact with other people. Your therapist will help you identify the skills that you have learned in treatment and are able to use at home. They'll also help you keep in contact with your therapist beyond sessions, such as through weekly phone calls or monthly face-toface meetings, in order to avoid relapses and keep developing your skills. The therapist might also suggest maintenance sessions for individuals with mental health conditions that are chronic or recurrent such as PTSD. Dialectical Behavior Therapy DBT is a research-based treatment approach created by psychologist Marsha Linehan for borderline personality disorder (BPD). The therapy focuses on helping people how to manage their emotions, behavior and develop skills that will aid them in establishing healthy relationships and manage distress. DBT is divided up into four phases. The first stage focuses on changing how you react to certain situations such as the way you react when you're sad or angry. The second phase helps you develop a sense of emotional regulation, so you can manage your emotions better. The third stage teaches you how to maintain your efforts to make a change and live an existence that is worth living. The fourth and final step will teach you to use the skills you acquired in therapy outside of your regular sessions. Your therapist will use tools like homework assignments, phone coaching, and other tools to show you how to apply these skills. A DBT-trained therapist will help you realize that your negative emotions and thoughts are legitimate and aren't necessarily “wrong”. They're a result of experiences you've had in your life. They'll also teach you how to manage and combine seemingly contradictory strategies, such as acceptance and change. DBT has been shown to be effective in treating a wide range of disorders. One RCT compared DBT standard with treatment as usual in women suffering from BPD. It found that DBT patients had significantly less suicide attempts, parasuicide and psychiatric hospitalizations as well as parasuicide-related behaviors than the control group. DBT was also associated with less trait anger and improved social functioning. DBT also includes regular sessions with a DBT-trained therapist, participation in an DBT consulting team, and the ability to practice at home. The team is comprised of therapists who meet regularly to discuss common clinical problems like treating patients with suicidal tendencies or helping them keep their engagement in therapy. In the team meetings, therapists are encouraged to remain non-judgmental and compassionate towards their patients even in challenging situations. They are also aided and urged to avoid burnout and they're monitored to ensure they follow DBT procedures. Medication Many people suffering from depression discover that medication can help reduce symptoms and speed recovery. If you're considering taking antidepressants, consult your doctor to learn more about the various options available. It may take a while before you find the right medication for you. Talk to your doctor about lifestyle changes such as better sleep or exercise that could help you overcome depression. If your depression is not responding to therapy or medications it is possible to consult a specialist, like a psychiatrist. They will go over your history and treatment, and then conduct a an extensive medical exam. They will test for any chronic medical conditions like the rheumatoid or hypothyroidism that could contribute to your depression. They can also make use of the pharmacogenetic test, which can predict how your body will react to certain drugs in relation to genetic markers. These tests aren't currently covered by insurance. In some cases, doctors can add a drug to an antidepressant in order to increase its effects. This is referred to as an augmentation therapy. FDA-approved medicines like aripiprazole, brexpiprazole or quetiapine are utilized to accomplish this. In addition, some doctors can prescribe an anesthetic medicine called ketamine for providing rapid relief for people suffering from treatment resistant depression. This procedure is done in a hospital or clinic setting. Talk therapy is a crucial component of treatment for depression However, some people don't seek help because they believe the condition will go away by itself or that therapy isn't efficient. Talk therapy can help you develop skills and insight to speed up your recovery and prevent depression from returning. The use of talk therapies is usually in combination with other treatment options, like lifestyle modifications. Even even if you're not depressed it is important to adhere to your treatment schedule. Make sure you attend all therapy sessions. Don't forget to take your medication. If you stop taking your medication, your depression will likely be recurrent and you could suffer withdrawal-like symptoms.