Treatment for depression
Treatments for depressive episodes typically offer good outcomes and in many instances, sufferers are able to return to pre-episode functioning levels. However, in some instances, the symptoms associated with depression will remain – despite treatment.
Generally, treatment objectives for depression include symptom relief, illness reduction, containment of the risk of self-harm and / or death. The ultimate goal of treatment is to recover and achieve the level of function prior to the episode.
The Steps: Treating Depression
The treatment for depression begins by slowly reducing and / or eliminating causal factors (such as sleeping patterns, lifestyle changes and addressing substance abuse). If this first step is not effective, treatment moves onto the next step. This includes:
1. Generic Psychosocial Interventions:
- Low intensity interventions
- Formal support groups
- Employment, housing
2. Psychological Therapy:
- Cognitive Behavioural Therapy (CBT)
- Interpersonal Therapy
- Acceptance and Commitment Therapy
- Mindfulness-based Cognitive Therapy
- First Line: SSRIS, NaSSAs, NDRIs, SNRIs, NARIs, melatonin agonist, serotonin modulato
- Second Line: Tricyclic antidepressants, MAOIs