Depression: Treatment Options
Depression is one of the most treatable psychiatric disorders. More
than 80% of depressed people improve with treatment. Before beginning
treatment it is important to get a thorough evaluation to rule out
potential causes of depression (i.e., illnesses, medications, alcohol) and
to check for the presence of other psychiatric disorders.
The most common types of treatment are psychotherapy and antidepressant
medication; often, both are used together. Other treatments include
electroconvulsive therapy (ECT) and light therapy.
There are more than a dozen medications that are effective for treating
depression. Unfortunately, medications tend not to work immediately.
Antidepressant medications generally take three to six weeks to become
fully effective. If one medication does not work, that does not mean that
another medication will not work. Often it is necessary to combine
medications to achieve maximum therapeutic effect.
The two psychotherapies that have been the most extensively studied for
their effectiveness in treating depression are cognitive-behavioral
therapy and interpersonal therapy. In cognitive-behavioral therapy the
focus is on current behaviors, thoughts and beliefs. In interpersonal
therapy the focus is on current relationships.
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