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:

  • Psychoeducation
  • 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

3. Pharmacotherapy

  • First Line: SSRIS, NaSSAs, NDRIs, SNRIs, NARIs, melatonin agonist, serotonin modulato
  • Second Line: Tricyclic antidepressants, MAOIs