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Depression Treatment Approaches There are a variety of ways to combat depression. Some of the treatment options include: Psychotherapy, sometimes called talk therapy, is a method to improve your techniques and gain help. It can be conducted in individual sessions or groups and may involve a counselor, social worker, or psychiatrist. Another vital aspect of treatment is medication. Cognitive Behavioral Therapy Cognitive behavioral therapy (CBT) is a kind of psychotherapy that helps reduce symptoms of depression and other mental health issues. It is based on the idea that thoughts, emotions and behaviors are connected. Negative or unhelpful beliefs, thoughts or perceptions can cause emotional distress and lead to self-defeating behavior. A therapist can assist you to identify negative patterns and teach you new strategies to handle different situations. A therapist will use interactive questions and answers to get to the root of your emotional issues. They will help you be aware of the moments when you feel depressed or anxious and talk about these moments. Together, you'll be able to identify unproductive patterns of thinking, deformed perceptions, or behaviors that contribute anxiety and depression. Your therapist will also work with you to develop and implement self-help strategies that can help you address your issues right now. These are often called “cognitive restructuring methods,” and include goal-setting and journaling, mindfulness meditation and exposure therapy. Your therapist may also suggest that you try new behaviors and strategies for coping in a controlled, safe environment to help you develop your new skills. CBT has been found to be effective in a number of outcomes studies for mental disorders, such as anxiety disorders, depression and substance abuse problems. It can be used alone or in conjunction with a psychiatric drug. CBT is a procedure that requires commitment and the willingness to change. If you're interested in finding out more about this method consult your physician or find a therapist that is skilled in CBT. You can also look into your health insurance plan to determine if they cover these services. Online resources are available for 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 The idea was developed by the late psychiatrist Gerald Klerman, IPT is another talking therapy that addresses specific issues that contribute to depression. It is based on the idea that depression is a predisposition which can be triggered by the challenges in a person's social setting. It also posits that the social issues that cause depression can be dealt with by attending to the issues in relationships that cause symptoms worse. Unlike some other modern psychotherapies that attempt to identify the root causes of behavior, IPT doesn't focus on exploring unconscious motives or past traumas. This treatment approach recognizes that those suffering from depression have a difficult time expressing and coping with emotions such as anger and frustrated and can make relationships difficult for family members and friends. The first phase of IPT can last up to three sessions. It is focused on identifying the areas of interaction that may contribute to the depression-related symptoms. Your therapist will request you examine all your significant relationships both present and past and group them into four areas of concern grieving that is unresolved (often related to the loss a loved one), a role transition or a conflict over roles, or interpersonal problems. In the middle phase of IPT that usually takes place from session four to 14 sessions, your therapist will use specific strategies to tackle the challenge area that's being addressed, for example, helping you work through delayed or distorted grief following the death of a loved one, or helping you in managing difficult changes in relationships, validating and expressing your anger, or establishing more adaptive ways to interact with other people. Your therapist will assist you in identifying the skills that you have learned in treatment and are able to apply 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, so that you can avoid relapses and continue to improve your abilities. The therapist might also recommend maintenance sessions to individuals with chronic or recurrent mental health conditions, such as PTSD. Dialectical Behavior Therapy DBT is an evidence-based treatment method developed by psychologist Marsha Linehan to treat borderline personality disorder (BPD). The therapy is focused on teaching people how to manage their emotions and behavior learn skills that will help people build healthy relationships and cope with distress. DBT is broken down into four phases. The first stage focuses primarily on changing the way you react to situations such as when you are upset or sad. The second stage assists you to develop a sense of emotional regulation, allowing you to be more comfortable with your emotions. The third stage helps you learn to maintain your efforts for change and build a life worth living. 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 help you learn how to apply these skills. A DBT-certified therapist can help you recognize that your negative feelings and thoughts are normal and aren't necessarily “wrong”. They're a result of challenges you've faced through life. They'll also show you how to reconcile and integrate seemingly incompatible strategies, such as acceptance and change. DBT has been shown to be effective in treating a wide variety of illnesses. For instance, one study compared the standard DBT to standard treatment for women with BPD and found that patients receiving DBT were significantly less prone to parasuicide behaviors, suicide attempts and psychiatric hospitalizations compared to the control group. DBT was also associated with reduced aggression and improved functioning. In addition to group and individual therapy sessions, DBT includes practice at home (e.g. by using a telephone coaching system and homework), regular meetings with a therapist who's adept in DBT and also participation in the DBT consultation team. The group is comprised of therapists who regularly meet to discuss the most common clinical issues, such as how to deal with suicidal clients, or how to help them maintain their engagement in therapy. The team meeting is a time where therapists are encouraged, even in difficult situations, to be kind and non-judgmental to their patients. They are also encouraged and helped to avoid burnout, and are monitored to ensure compliance with DBT procedures. Medication Many people with depression find that medication can help reduce symptoms and speed recovery. If you're thinking of taking antidepressants, consult your doctor about the different options available. Every person's body reacts differently to medications, so it may take some time before you find the right combination of drugs for you. You should also talk to your doctor about any changes to your lifestyle that could reduce your depression, such as exercise or better sleeping habits. If you are not getting relief from depression through treatment or medication it could be the right an appropriate time to seek out a specialist. They will go over your history and treatments, and perform an extensive medical examination. They will test to determine whether there are any underlying medical conditions that may be contributing to depression, like hypothyroidism or rheumatoid arthritis. They can also utilize a tool called pharmacogenetic testing that can tell you the body's reaction to certain medications in relation to genetic markers. These tests are currently not covered by insurance. In certain instances doctors may add a medication to an antidepressant to boost its effects. This is referred to as an augmentation therapy. The medications such as aripiprazole (Abilify) or the brexpiprazole (Rexulti) or quetiapine (Seroquel XR) are FDA-approved for this purpose. Certain doctors may also prescribe ketamine, an anesthetic drug that can provide rapid relief for those suffering from treatment-resistant depression. This procedure is carried out in a hospital or in a clinic. Talk therapy is an important part of depression treatment. However, some people don't seek help due to the belief that the condition will go away by itself or that therapy is ineffective. Therapy can help you gain skills and insights to speed up your recovery and prevent depression from recurring. Talk therapies can be used as a stand-alone treatment or in combination with other treatments for depression such as lifestyle changes. depression treatment strategies is important to stick to your treatment plan and keep up with all therapy sessions, even if it's not the case that you feel depressed. Do not skip your medication, either. If you stop taking your medication your depression is likely to return and you may experience withdrawal-like symptoms.