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Depression Treatment Modalities Psychological treatment, also referred as talk therapy, is an effective tool to help people manage depression. It is essential to find a therapist with whom you feel comfortable. During sessions the mental health professionals review your complete health history and the severity of your symptoms. They may conduct a physical exam or order lab tests. types of therapy for depression is a proven treatment for anxiety and depression. It helps you overcome negative or harmful thinking or behavior patterns by combining the most recent insights in psychology and neuroscience with self-help techniques that are designed to improve your standard of living. CBT is a method of teaching people that their emotions and thoughts are interconnected, and that the way they see a situation may influence how they respond to it. This method concentrates on changing patterns of negative thinking that are referred to as cognitive distortions. This includes all-or-nothing thinking, catastrophizing, as well as personalization (believing that a negative incident was your fault). CBT encourages therapists and clients to develop a variety of healthy strategies for coping. CBT is a short-term, goal-oriented therapy, in contrast to psychoanalysis which is reverse-engineered to discover the root source of the problem. CBT was invented in the 1960s by psychiatrist Aaron Beck, and it blends different types of thinking like rational emotional behavior therapy (REBT) and gestalt theory. In CBT therapy, the therapist may spend an hour or so looking at past events, but the majority of the time, they are discussing current situations and emotions. The therapist will ask rational, concrete questions about the issues you are experiencing and will challenge any irrational thoughts or ruminations that are contributing to your anxiety. A therapist might also suggest you to keep a diary which can be useful to break down negative reactions into categories, such as “cognitive distortions.” The therapist will then help you find more effective ways to deal with these issues. You will be taught a set of coping skills such as mindfulness, which is the awareness of the present moment without judgement. Your therapist will also instruct you how to apply these techniques in controlled settings which will help you build confidence. Ultimately, your counselor will try to become your own therapist by helping you to understand your maladaptive coping strategies and thought patterns, and giving you the tools needed to change them. CBT can be completed in between 5 to 20 sessions. However it isn't an absolute rule. Sessions can be scheduled in person, over the phone or online and may be group or individual therapy. Interpersonal Therapy (IPT) Depression is often linked to issues in the relationships of patients. This is why interpersonal therapy (IPT) is among the most commonly used depression treatment modalities. IPT was developed in the 1970s, by Gerald Klerman & Myrna Wiessman. It uses a variety theories and research in interpersonal therapy to improve the quality of patient's relationships. The approach focuses on the problems with relationships that occur prior to and/or accompany depression episodes. The first step of IPT is to conduct an inventory of interpersonal relationships that helps the therapist to understand the current status of a patient's most important relationships and how they are changing. This is a structured conversation in which the patient describes how their relationships function and what issues might hinder their development. During the middle phase of IPT The therapist works to create a positive therapeutic alliance and encourages expression of emotions. They also tackle the interpersonal issue that is identified by helping patients find ways to respond to life situations and easing their stress. This is done through role-playing and encouraging the patient's new responses within the context of the sessions. In addition to addressing these relationships difficulties The therapist will also provide psychoeducation on depression. They will emphasize that depression is not the blame of the patient, but is a medical issue. This will help to dispel feelings of guilt or shame that accompany depression, and increase adherence to treatment. Following the completion of IPT the therapist could provide maintenance sessions to avoid the possibility of relapse. They will talk about the causes of depression, as well as how to spot recurrent symptoms. Online IPT is also beneficial for people who don't feel at ease talking to the therapist face-to–face. This type of therapy offers the same services as in-person therapy, and can be equally beneficial for those suffering from depression. It's also convenient, and eliminates the need to commute in heavy traffic or deal with public transportation. Talk to your therapist If you're interested in online IPT. Medicines In some cases your physician may recommend medication to help ease depression symptoms. Depression medications are usually employed in combination with psychotherapy (sometimes referred to as counseling or talk therapy). Combination therapy has been proven to be more effective than any method on its own in a number of studies. Talk therapy can teach you how to manage the stress of life and help you understand the thought patterns that cause depression. Medications used to treat depression include antidepressants as well as other medications that regulate mood. Antidepressants balance the chemicals in your brain which regulate emotions. Most often, they are prescribed to those suffering with severe depression. Before prescribing antidepressants to patients, doctors usually recommend other treatments such as cognitive behavioral therapy, a type of talking treatment. The first-line medications that treat depression are monoamine oxidase inhibitors (MAOIs). They block an enzyme process that boosts brain chemicals associated with mood, such as serotonin and norepinephrine. MAOIs can also be used to treat seasonal depression (SAD) which is a condition that occurs during the dark winter months. Common MAOIs include Phenelzine (Nardil) and tranylcypromine (Parnate) and isocarboxazid (Marplan). Other medications that are used to treat depression include selective serotonin receptor inhibitors (SSRIs), which increase the amount of serotonin present in your brain. SSRIs are fluoxetine (Prozac), sertraline (Zoloft), and other. Doctors also utilize the class of drugs known as SNRIs that are similar to SSRIs but have more specific targets in the brain. SNRIs are desvenlafaxine, (Feminipe), and venlafaxine, (Effexor). Some depression medications can have adverse negative side adverse effects. It is important to follow your doctor's instructions. If you skip therapy sessions or don't adhere to the advice of your therapist, your symptoms may return and you may become suicidal. It may take some time to get depression under control. It may take a number of treatments before you can find the best combination. If you're struggling to find the right treatment for depression, think about seeking a second opinion with a psychiatrist or psychiatrist nurse practitioner. They specialize in treating mental illnesses and have access to research and knowledge about what treatments are most likely to benefit you. Medication Management While there is no single treatment for depression, combining therapy and medication remains the most effective way to combat resistant forms of the disorder. Medication management is the process of working closely with a mental healthcare professional who can diagnose, analyze and prescribe medications. The majority of these medications are antidepressants or antianxiety drugs. They may also be used to manage sleep problems, appetite and other symptoms. The use of medication can benefit those who are in a severe stage of depression by reducing the intensity of their symptoms and increasing their ability to take part in therapy. Talk therapy is a kind of psychotherapy that helps people find new ways to cope and change their unhelpful thoughts patterns. It could include learning to recognize warning signs of a depression episode, developing problem solving skills and practicing relaxation methods. It could also involve group or family sessions that train family members to recognize and respond to early warning signs. In addition to individualized psychotherapy, other options for treating depression include cognitive behavior therapy (CBT), interpersonal therapy (IPT) and eye movement desensitization and reprocessing therapy (EMDR). CBT is a practice that is based on research and helps people recognize the negative thoughts and actions that cause depression. It can increase the effectiveness of other talk therapies, and help patients feel more in control of their lives. IPT is focused on interactions and relationships with others, based on the notion that these issues can cause depression or cause it to worsen. EMDR helps people who have flashbacks, nightmares, or memories that are traumatic. It can relieve anxiety and depression that is caused by a bad event such as trauma or a car accident. Natural remedies, like exercise and diet can also play an important part in treating depression. Taking steps to simplify your life, getting enough sleep and limiting alcohol or other recreational drugs can help reduce stress levels. Relaxation and meditation can boost mood. Other options for natural treatments for depression include writing in a journal and locating books and websites that offer ideas and tips.