Many treatments for depression are available. Medications and psychological therapy (psychotherapy) are very effective for most people.
In some cases, your doctor may prescribe medications to relieve symptoms of depression. However, many people need to see a doctor who specializes in diagnosing and treating mental health problems (psychiatric). Many people with depression will benefit also see a psychologist or other mental health counselor. In general, the most effective treatment for depression is a combination of medication and psychotherapy.
If you suffer from severe depression, a doctor, relative or guardian may be needed to guide your care until you are well enough to participate in decision-making. You may need hospitalization, or you may have to attend an outpatient treatment program until your symptoms improve.
Here's a closer look at your options for treatment of depression.
Medicine
A number of antidepressants to treat depression. There are several types of antidepressants. Antidepressants are generally categorized by how they affect the chemicals that occur naturally in the brain to change your mood.
Types of antidepressants include:
Selective inhibitors of serotonin reuptake inhibitors (SSRIs). Many doctors begin treatment with prescription depression an SSRI. These drugs are safe and usually cause fewer side effects than other antidepressants. SSRIs are fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), citalopram (Celexa) and escitalopram (Lexapro). The most common side effects include reduced sexual desire and delayed orgasm. Other side effects may go away as your body adjusts to the medicine. These may include digestive problems, tension, agitation, headache and insomnia.
Serotonin and norepinephrine (SNRIs). These medications include duloxetine (Cymbalta), venlafaxine (Effexor) and desvenlafaxine (Pristiq). Side effects are similar to those caused by SSRIs. At high doses of these drugs can cause increased sweating and dizziness. People with liver disease should not take duloxetine.
Norepinephrine and dopamine reuptake inhibitors (NDRIs). Bupropion (Wellbutrin) fall into this category. It is one of the few antidepressants that do not have sexual side effects. At high doses, bupropion may increase your risk of having seizures.
Atypical antidepressants. These drugs are called atypical because they do not fit into another category of antidepressants. These include trazodone (Desyrel) and mirtazapine (Remeron). Both antidepressants and sedatives are usually in the evening. In some cases, any of these medicines added to other antidepressants to help them sleep.
Tricyclic antidepressants. These have been used to treat depression for many years and are generally less effective new drugs. But because they are usually more severe and side effects of tricyclic antidepressants are generally not told, unless you've tried SSRIs first without an improvement in depression. Symptoms may include low blood pressure, dry mouth, blurred vision, constipation, urinary retention, tachycardia and confusion. Elderly people taking these drugs are subject to memory problems, confusion and hallucinations. Tricyclic antidepressants are also known to cause weight gain.
Monoamine oxidase inhibitors (MAOIs). MAO - such as tranylcypromine (Parnate) and phenelzine (Nardil) - are usually prescribed as a last resort when other drugs have not worked. That's because MAOIs can have serious side effects. They require a strict diet because of dangerous goods (even fatal) interactions with certain foods such as cheese, pickles and wine and some medications such as decongestants. Selegiline (Emsam) is a new MAOI, as you keep your skin as a patch instead of flowing. It may cause fewer side effects than other MAO inhibitors.
Strategies of other drugs. Your doctor may suggest other medicines to treat your depression. This may include stimulants, mood stabilizing drugs, drugs against anxiety and antipsychotic medications. In some cases, your doctor may recommend combining two or more antidepressants or other medications for the best effect. This strategy is known to increase.
Finding the right medication
Each person is different, so finding the right drug or drugs is likely to take some trial and error. This requires patience, since some drugs have eight or more weeks to take full effect and side effects comfortable as your body adjusts. If you have troublesome side effects, stop taking an antidepressant without consulting your doctor. Some antidepressants can cause withdrawal symptoms if the dose spot gradually and stop suddenly and can cause a sudden worsening of depression. Do not give up until you find an antidepressant or medication that is right for you - it is very likely to find one that works and does not have intolerable side effects.
If an antidepressant is not working, your doctor may recommend a blood test to check whether specific genes that affect the way your body uses antidepressants. Cytochrome P450 (CYP450) genotyping test is an example of this type of examination. Genetic studies of this type can help predict how your body can or can not process (metabolize) a drug. This can help identify antidepressants might be a good choice for you. These genetic tests are not widely available, they are only an option for people who have access to a clinic that offers them.
Antidepressants and pregnancy
If you are pregnant or breast-feeding, some antidepressants may have a greater risk to the health of her fetus or infant. Talk to your doctor if you become pregnant or planning a pregnancy.
Antidepressants and suicide increases the risk of
Although most antidepressants are generally safe, be careful when taking them. The Food and Drug Administration (FDA) now requires that all antidepressant drugs is not black-box warning. These are the most severe warnings the FDA can issue prescription drugs.
The antidepressant warnings note that in some cases, children, adolescents and young adults aged 18 to 24 have increased suicidal thoughts or behavior when taking antidepressants, especially during the first weeks after the start of a antidepressant or when the dose is changed. Because of this risk, people in these age groups will be closely monitored by their families, caregivers and healthcare professionals while taking antidepressants. If you - or someone you know - have suicidal thoughts while taking an antidepressant, you should immediately contact your doctor or get emergency assistance.
Again, make sure you understand the risks of various antidepressants. By working together, you and your doctor explore options for your symptoms of depression under control.
Psychotherapy
Counseling is another key to treating depression. Psychotherapy is a general term for a way to treat depression when talking about his health and related issues with a mental health provider. Psychotherapy is also known as therapy, speech therapy, counseling or psychosocial therapy.
To talk about these sessions, you will learn the causes of depression, so you can better understand. You can also learn to identify and make changes in unhealthy behavior or thoughts, explore relationships and experiences, to find better ways to address and solve problems and set realistic goals in your life. Psychotherapy can help you regain a sense of happiness and control your life and help relieve the symptoms of depression such as hopelessness and anger. It can also help you adapt to a crisis or other problem at the moment.
Several types of psychotherapy are effective for depression. Cognitive behavioral therapy is most commonly used. This type of therapy helps you identify negative beliefs and behaviors and replace them with healthy positive thoughts. It is based on the idea that their own thoughts - not other people or situations - determine how you feel or behave. Even if an unwanted situation does not change, you can change your way of thinking and behaving in a positive way. Interpersonal therapy and psychodynamic psychotherapy are other types of boards used to treat depression.
Electroconvulsive therapy (ECT)
In ECT, electrical currents through the brain. This procedure is thought to affect levels of neurotransmitters in the brain. Although many people are wary of ECT and its side effects, it generally offers immediate relief from severe depression, even when other treatments do not work. It is unclear how this therapy relieves the signs and symptoms of depression. The most common side effect is confusion, which can last from minutes to several hours. Some people also have amnesia.
ECT is usually used for people who do not improve with medication and with a high risk of suicide. ECT may be an option if you have severe depression, when you are pregnant and do not take drugs regularly. It can also be an effective treatment for older people with severe depression and antidepressant medications can be taken for health reasons.
Hospitalization and residential treatment programs
In some people, depression is so severe that hospitalization is necessary. Hospitalization may be necessary if you are unable to take care of yourself properly or when you are in immediate danger of harming yourself or others. Come to a hospital psychiatric treatment can help you stay calm and confident, until your mood improves. Partial hospitalization treatment programs or days, which are also useful for some people. These programs provide support and advice you need while you experience symptoms under control.
Other treatments for depression
If standard depression treatment is not effective, a psychiatrist can assess whether you can benefit from less commonly used procedure, such as:
Vagus nerve stimulation. This treatment uses electrical pulses with an implanted pulse generator to affect mood centers of the brain. This may be an option if you have chronic, treatment-resistant depression.
Transcranial magnetic stimulation. With this treatment, strong magnetic fields are used to modify brain activity. A large electromagnetic coil is held against your scalp near the forehead to produce an electric current through his brain.
Lifestyle and home remedies
Depression is an illness that usually you can be treated. But you can do things for yourself that will help you. In addition to professional treatment, follow these steps for self-care:
Stick to your treatment plan. Do not miss the meetings or sessions of psychotherapy, even if you do not want to go. Although not feeling well, resist any temptation to skip the drug. If you stop, the symptoms of depression may return, and you can also experience withdrawal-like symptoms.
Discover the depression. Commissioned education can give and motivate staff to plan treatment.
Pay attention to warning signs. Work with your doctor or therapist to learn what they can trigger symptoms of depression. Make a plan so you know what to do if symptoms worsen. Contact your doctor or therapist if you notice any changes in symptoms or how you feel. Ask family or friends to help watch the warning signs.
Exercise. Physical activity reduces symptoms of depression. Consider walking, jogging, swimming, gardening or taking some other activity you enjoy.
Avoid alcohol and illicit drugs. It may seem that alcohol or drugs relieve symptoms of depression, but in the long run tend to make symptoms worse and make it harder to treat depression.
Get plenty of sleep. Sleeping well is very important when you are depressed. If you have trouble sleeping, ask your doctor about what can be done.
In some cases, your doctor may prescribe medications to relieve symptoms of depression. However, many people need to see a doctor who specializes in diagnosing and treating mental health problems (psychiatric). Many people with depression will benefit also see a psychologist or other mental health counselor. In general, the most effective treatment for depression is a combination of medication and psychotherapy.
If you suffer from severe depression, a doctor, relative or guardian may be needed to guide your care until you are well enough to participate in decision-making. You may need hospitalization, or you may have to attend an outpatient treatment program until your symptoms improve.
Here's a closer look at your options for treatment of depression.
Medicine
A number of antidepressants to treat depression. There are several types of antidepressants. Antidepressants are generally categorized by how they affect the chemicals that occur naturally in the brain to change your mood.
Types of antidepressants include:
Selective inhibitors of serotonin reuptake inhibitors (SSRIs). Many doctors begin treatment with prescription depression an SSRI. These drugs are safe and usually cause fewer side effects than other antidepressants. SSRIs are fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), citalopram (Celexa) and escitalopram (Lexapro). The most common side effects include reduced sexual desire and delayed orgasm. Other side effects may go away as your body adjusts to the medicine. These may include digestive problems, tension, agitation, headache and insomnia.
Serotonin and norepinephrine (SNRIs). These medications include duloxetine (Cymbalta), venlafaxine (Effexor) and desvenlafaxine (Pristiq). Side effects are similar to those caused by SSRIs. At high doses of these drugs can cause increased sweating and dizziness. People with liver disease should not take duloxetine.
Norepinephrine and dopamine reuptake inhibitors (NDRIs). Bupropion (Wellbutrin) fall into this category. It is one of the few antidepressants that do not have sexual side effects. At high doses, bupropion may increase your risk of having seizures.
Atypical antidepressants. These drugs are called atypical because they do not fit into another category of antidepressants. These include trazodone (Desyrel) and mirtazapine (Remeron). Both antidepressants and sedatives are usually in the evening. In some cases, any of these medicines added to other antidepressants to help them sleep.
Tricyclic antidepressants. These have been used to treat depression for many years and are generally less effective new drugs. But because they are usually more severe and side effects of tricyclic antidepressants are generally not told, unless you've tried SSRIs first without an improvement in depression. Symptoms may include low blood pressure, dry mouth, blurred vision, constipation, urinary retention, tachycardia and confusion. Elderly people taking these drugs are subject to memory problems, confusion and hallucinations. Tricyclic antidepressants are also known to cause weight gain.
Monoamine oxidase inhibitors (MAOIs). MAO - such as tranylcypromine (Parnate) and phenelzine (Nardil) - are usually prescribed as a last resort when other drugs have not worked. That's because MAOIs can have serious side effects. They require a strict diet because of dangerous goods (even fatal) interactions with certain foods such as cheese, pickles and wine and some medications such as decongestants. Selegiline (Emsam) is a new MAOI, as you keep your skin as a patch instead of flowing. It may cause fewer side effects than other MAO inhibitors.
Strategies of other drugs. Your doctor may suggest other medicines to treat your depression. This may include stimulants, mood stabilizing drugs, drugs against anxiety and antipsychotic medications. In some cases, your doctor may recommend combining two or more antidepressants or other medications for the best effect. This strategy is known to increase.
Finding the right medication
Each person is different, so finding the right drug or drugs is likely to take some trial and error. This requires patience, since some drugs have eight or more weeks to take full effect and side effects comfortable as your body adjusts. If you have troublesome side effects, stop taking an antidepressant without consulting your doctor. Some antidepressants can cause withdrawal symptoms if the dose spot gradually and stop suddenly and can cause a sudden worsening of depression. Do not give up until you find an antidepressant or medication that is right for you - it is very likely to find one that works and does not have intolerable side effects.
If an antidepressant is not working, your doctor may recommend a blood test to check whether specific genes that affect the way your body uses antidepressants. Cytochrome P450 (CYP450) genotyping test is an example of this type of examination. Genetic studies of this type can help predict how your body can or can not process (metabolize) a drug. This can help identify antidepressants might be a good choice for you. These genetic tests are not widely available, they are only an option for people who have access to a clinic that offers them.
Antidepressants and pregnancy
If you are pregnant or breast-feeding, some antidepressants may have a greater risk to the health of her fetus or infant. Talk to your doctor if you become pregnant or planning a pregnancy.
Antidepressants and suicide increases the risk of
Although most antidepressants are generally safe, be careful when taking them. The Food and Drug Administration (FDA) now requires that all antidepressant drugs is not black-box warning. These are the most severe warnings the FDA can issue prescription drugs.
The antidepressant warnings note that in some cases, children, adolescents and young adults aged 18 to 24 have increased suicidal thoughts or behavior when taking antidepressants, especially during the first weeks after the start of a antidepressant or when the dose is changed. Because of this risk, people in these age groups will be closely monitored by their families, caregivers and healthcare professionals while taking antidepressants. If you - or someone you know - have suicidal thoughts while taking an antidepressant, you should immediately contact your doctor or get emergency assistance.
Again, make sure you understand the risks of various antidepressants. By working together, you and your doctor explore options for your symptoms of depression under control.
Psychotherapy
Counseling is another key to treating depression. Psychotherapy is a general term for a way to treat depression when talking about his health and related issues with a mental health provider. Psychotherapy is also known as therapy, speech therapy, counseling or psychosocial therapy.
To talk about these sessions, you will learn the causes of depression, so you can better understand. You can also learn to identify and make changes in unhealthy behavior or thoughts, explore relationships and experiences, to find better ways to address and solve problems and set realistic goals in your life. Psychotherapy can help you regain a sense of happiness and control your life and help relieve the symptoms of depression such as hopelessness and anger. It can also help you adapt to a crisis or other problem at the moment.
Several types of psychotherapy are effective for depression. Cognitive behavioral therapy is most commonly used. This type of therapy helps you identify negative beliefs and behaviors and replace them with healthy positive thoughts. It is based on the idea that their own thoughts - not other people or situations - determine how you feel or behave. Even if an unwanted situation does not change, you can change your way of thinking and behaving in a positive way. Interpersonal therapy and psychodynamic psychotherapy are other types of boards used to treat depression.
Electroconvulsive therapy (ECT)
In ECT, electrical currents through the brain. This procedure is thought to affect levels of neurotransmitters in the brain. Although many people are wary of ECT and its side effects, it generally offers immediate relief from severe depression, even when other treatments do not work. It is unclear how this therapy relieves the signs and symptoms of depression. The most common side effect is confusion, which can last from minutes to several hours. Some people also have amnesia.
ECT is usually used for people who do not improve with medication and with a high risk of suicide. ECT may be an option if you have severe depression, when you are pregnant and do not take drugs regularly. It can also be an effective treatment for older people with severe depression and antidepressant medications can be taken for health reasons.
Hospitalization and residential treatment programs
In some people, depression is so severe that hospitalization is necessary. Hospitalization may be necessary if you are unable to take care of yourself properly or when you are in immediate danger of harming yourself or others. Come to a hospital psychiatric treatment can help you stay calm and confident, until your mood improves. Partial hospitalization treatment programs or days, which are also useful for some people. These programs provide support and advice you need while you experience symptoms under control.
Other treatments for depression
If standard depression treatment is not effective, a psychiatrist can assess whether you can benefit from less commonly used procedure, such as:
Vagus nerve stimulation. This treatment uses electrical pulses with an implanted pulse generator to affect mood centers of the brain. This may be an option if you have chronic, treatment-resistant depression.
Transcranial magnetic stimulation. With this treatment, strong magnetic fields are used to modify brain activity. A large electromagnetic coil is held against your scalp near the forehead to produce an electric current through his brain.
Lifestyle and home remedies
Depression is an illness that usually you can be treated. But you can do things for yourself that will help you. In addition to professional treatment, follow these steps for self-care:
Stick to your treatment plan. Do not miss the meetings or sessions of psychotherapy, even if you do not want to go. Although not feeling well, resist any temptation to skip the drug. If you stop, the symptoms of depression may return, and you can also experience withdrawal-like symptoms.
Discover the depression. Commissioned education can give and motivate staff to plan treatment.
Pay attention to warning signs. Work with your doctor or therapist to learn what they can trigger symptoms of depression. Make a plan so you know what to do if symptoms worsen. Contact your doctor or therapist if you notice any changes in symptoms or how you feel. Ask family or friends to help watch the warning signs.
Exercise. Physical activity reduces symptoms of depression. Consider walking, jogging, swimming, gardening or taking some other activity you enjoy.
Avoid alcohol and illicit drugs. It may seem that alcohol or drugs relieve symptoms of depression, but in the long run tend to make symptoms worse and make it harder to treat depression.
Get plenty of sleep. Sleeping well is very important when you are depressed. If you have trouble sleeping, ask your doctor about what can be done.
No comments:
Post a Comment