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What is the Most Effective Depression Treatment? The best treatment for depression differs from individual to individual. Talk with your health care provider about the best treatment options for you. You might need to try several antidepressants before you find one that works. You may also need to combine antidepressants with psychotherapy or medication that is used to treat a physical or mental disorder like an antipsychotic mood stabilizer, anti-anxiety medication or thyroid hormone. I Am Psychiatry For people with mild to moderate depression, medication is often an effective treatment for depression. Antidepressants alter the levels of certain brain chemicals that play a role in mood. They can also reduce the frequency of depression symptoms. But, it's crucial to take these medications according to the dosage recommended by your doctor. If you don't, they won't be effective. Doctors suggest starting with a selective Serotonin Reuptake Inhibitor (SSRI), such as fluoxetine, escitalopram or citalopram, paroxetine, sertraline, Zoloft or vilazodone. These medications have been proven to be more efficient than placebo in a variety of clinical trials. They can have serious side effects, which is why it's crucial to talk with your doctor before you start or stop using one of these drugs. You might have to test several antidepressants until you find the one that is most effective for you. You may also need to combine psychotherapy and antidepressants or other treatments. Electroconvulsive Therapy (ECT) could be a viable option for people suffering from an extreme form of depression or a life-threatening illness. This procedure uses electrical impulses to cause controlled seizures in the brain. It is able to quickly relieve depression and is most effective for people who haven't had success with other treatments. The results of a new study suggest that a specific type of ECT called high-frequency ECT (HFECT) could be as effective as or superior to conventional ECT in treating depression that is refractory. Researchers compared HFECT with conventional ECT on 23 patients who had a history of treatment resistant depression. All patients had tried other treatment options for depression like psychotherapy and physical exercise. The study revealed that HFECT significantly improved the symptoms of depression and produced less side effects than ECT. Light therapy is a different option for treating seasonal affective disorder. This involves sitting in front of a bright light for about 30 minutes every day. You can opt for the light box or lamp at home. You can also obtain light therapy through some health insurance plans as well as employee assistance programs and churches. Exercise, healthy eating and adequate sleep are all recommended. It is also crucial to avoid alcohol and recreational drugs because they can cause depression and make it more difficult to receive treatment. Psychotherapy Depression can sap your energy and make it difficult to perform the everyday tasks. But the good news is that if you seek help the chances of recovery are good. A combination of professional psychotherapy and medication can help those suffering from depression. In therapy, therapists listen without judgment to help you explore your emotions and concerns in a supportive atmosphere. They also teach you coping skills and help you recognize your own self-awareness to promote mental health. There are many different types of psychotherapy available for people suffering from depression. Cognitive therapy is a kind that helps you recognize negative thinking patterns and develop healthy strategies for dealing with difficult emotions. Behavioral therapy can help you change negative patterns of behavior by helping you develop effective problem-solving skills, reduce stress and improve interpersonal relationships. Other therapies, like the dialectical behavior therapy or acceptance and commitment therapy, are frequently used to address the root causes that cause depression, such as self-injury and suicidal phobias. Psychotherapy is also a useful option for those suffering from recurring depression that has not responded to medication or for those who are unable to take antidepressants due to allergies or health issues. In some cases doctors might recommend alternative or complementary therapies for depression. This may include transcranial magnet stimulation (TMS) A method that utilizes a coil on the scalp to transmit magnetic pulses which impact the neurotransmitters' function. Psychotherapy can help family members and friends who are struggling with depression to deal with it. Families or couples who live with someone who is suffering from depression may be advised to go through family therapy. It can reduce tension and stress between family members and provide them with the ways to support their loved family members in a healthy way. A trained therapist can also guide them on how to help their loved family members overcome depression. Exercise Exercise is a cheap and safe method to treat depression and anxiety. It changes levels of chemicals in the brain it improves balance and flexibility, increases energy and reduces stress. It can also improve your sleep and boost your self-esteem. Before beginning a new exercise routine or increasing your intensity, it's important to consult with your doctor. In large-scale epidemiological studies active men and women develop depression at lower rates than sedentary people. It's more difficult to determine whether exercise can treat depression that already exists. It is important to research it the same way as any other drug. Randomly assigning people suffering from depression to exercise or to the control group, and then tracking their progress. The largest study on physical activity as a treatment option for depression so far suggests that it works at a minimum as well as standard medications and psychotherapy. The study gathered data from 41 trials that included 265 participants. The study revealed that almost all types of exercise can reduce symptoms of depression. However some are more efficient than others. The most efficient exercises included jogging or walking yoga, strength training and yoga. The benefits increased as the intensity of the exercise increased, suggesting that even light exercise can be beneficial. Researchers believe there are many reasons why exercise relieves depression. Exercise helps to increase blood flow and oxygen in the brain. Another reason is that it boosts certain chemicals, like serotonin and dopamine. Other factors are the social support that comes from group exercise and the psychological motivation that motivates people to exercise. People often cut back or restrict their activities when they're depressed, but doctors suggest returning to those activities as soon as possible. Engaging in them can help you regain pleasure and enjoyment which is essential to beating depression. Engaging in activities you love can give life meaning and meaning. If you're not sure where to begin, check out your local gym or group fitness class. Consult your physician if you have a disability or injury. For more information and interactive resources, Black Dog Institute has a guide for depression and exercise and Beyond Blue offers a template to help you plan your exercise. Alternative or complementary therapies Mental health issues can be treated with many alternative or 'natural therapies'. These include herbal remedies and massage. These treatments are not research-based and could cause adverse negative effects. These treatments can also interact with other drugs. It is recommended to only use these treatments with the permission of a doctor or therapist. There isn't much research about the effectiveness of these therapies and they are not recommended by the Cancer Council. Some have been marketed as 'cancer cures' but they're not established and could cause harm or distress to some people, particularly if they are trying to replace medical treatment. The most effective depression treatment typically includes psychotherapy and medication. Psychotherapy is the term used to describe speaking about your feelings and thoughts with an experienced professional, like psychiatrist or psychologist. Some psychotherapy treatments are more suited for depression than others. But, they all aid in understanding your condition and find new ways to cope. They include: CBT aims to change negative thinking patterns and pessimistic evaluations that can make depression worse. Psychotherapy for interpersonal relationships is a kind of psychotherapy that is focused on your relationships and how you interact with them. Family and couples therapy can help you improve communication in your relationships. Different types of therapy are available in the form of computer programs and online sessions. These sessions are typically less expensive than in-person sessions, and could be beneficial to some. Some aren't appropriate for all, and a few aren't covered by insurance. Ask your therapist whether they have experience with these kinds of programs and request a recommendation that might be suitable for you. During your conversation with your doctor the doctor will review all the medications you take such as herbal supplements and over-the-counter medicines, to determine the impact they have on your depression. They will also assess your physical health to determine whether you suffer from any medical conditions that are sometimes associated with depression. For instance, thyroid disease or chronic back pain. They will also look to determine if there is another mental disorder that may be contributing to depression, such as bipolar disorder or personality disorders.