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Progressive Depression Treatment People with persistent depressive disorder (PDD) frequently experience overlap symptoms of anxiety. This can include feeling anxious as well as restless and overwhelmed. The use of medication can help ease depression symptoms. Psychological treatments (also known as talking therapies) can help you change your thinking patterns and increase the way you deal with stress. People suffering from PDD typically benefit from a combination of medication and therapy. Medication The use of medications could be a major component of your treatment plan to treat progressive depression. They can be used on their own or in combination with psychotherapy. Antidepressants can alleviate symptoms and make it easier for you to engage in therapy. Certain antidepressants work by affecting the brain chemical called serotonin. These medications can be particularly beneficial for those suffering from depression that is known as major depressive disorder. People who have suffered from depression for a brief period or for a long period of time are covered. SSRIs (selective serotonin reuptake inhibitors) are the most commonly used type of antidepressant. Examples include citalopram (Celexa) and Escitalopram (Lexapro) and the fluoxetine (Prozac) and sertraline (Zoloft). Doctors also prescribe other types of antidepressants, including SNRIs (serotonin-norepinephrine reuptake inhibitors) like duloxetine (Cymbalta), venlafaxine (Effexor XR), desvenlafaxine (Pristiq) and vilazodone (Viibryd). They may also recommend an older class of antidepressants called MAOIs (monoamine oxide inhibitors). They are not as common however they can be beneficial for those suffering from abnormal depressive disorders. If you're not feeling better after taking antidepressants, your doctor might suggest a change in dosage or try an alternative medication. There are other options to treat depression, such as electroconvulsive therapy (ECT) or transcranial magnetic stimulation (TMS). In ECT, electrodes are placed on your head and electrical impulses are passed through your brain to alter the neurotransmitters' function within your brain that affect mood. TMS is a non-invasive procedure which uses a treatment coil on your scalp to send periodic electrical energy pulses to brain cells involved in the process of regulating mood. Alternative therapies like meditation, yoga, and tai-chi help to ease depression symptoms and encourage relaxation. Acupuncture is another option but it's essential to find a licensed professional who understands how depression works and what can be done to treat. Avoid drinking and recreational drug use. They can mask your depression symptoms for a short time but they're not helpful in the long term. Depression and other mental disorders may be caused by medical conditions such as thyroid problems, heart disease or stroke. They can be caused by certain medications, such as corticosteroids and antipsychotics. It's important to stick with your treatment plan. Depression may recur when you stop taking your medication or skip your therapy sessions. You may also experience withdrawal symptoms if suddenly you stop taking antidepressants. It is also essential to make sure that any herbal or natural supplements you are taking don't interfere with your medications. St. John's Wort, for instance, can interfere with prescription medications. Inform your therapist about the medications you're taking. Certain herbs can cause side negative effects, so always consult with your therapist prior to trying the herbs. It's also a good idea to get enough sleep and exercise, which will boost your mood. www.iampsychiatry.com There are a variety of talk therapies (psychological treatment) that can aid you in overcoming depression. Cognitive behavioral therapy and interpersonal counseling as well as psychoanalytic counseling are all options. In some instances there is a mix of these that is used. Therapy can be extremely effective and assist you overcome the causes of depression, such as stress at work, family or relationship problems, or addictions. Learning new skills and obtaining the right type therapy can help you avoid a relapse in the future. You can locate the therapist by word of mouth, your primary care doctor or an organization of national mental health that can make referrals. Some community centers, senior groups and faith-based organizations have therapy providers who are licensed and credentialed. They often offer a sliding scale for payments. Your Therapist will listen to your concerns and ask questions. Your therapist and you determine a specific treatment plan. Some psychotherapies are very practical, helping you change negative behaviors or thinking patterns that make depression worse. Some psychotherapies are more introspective and focus on your past relationships and experiences to assist you in understanding the impact they played in your depression. Relaxation techniques are taught by therapists and have been found to decrease depression symptoms. Some therapists also utilize acupuncture for treating depression. If you have depression that is caused by medical conditions, like thyroid disease or vitamin deficiency it is essential to treat it before the depression can be cured. Certain kinds of medications can interfere with some forms of psychotherapy, therefore it is important to talk with your doctor about the medication you are taking. If you are suffering from depression that is severe Your therapist might suggest electroconvulsive therapy (ECT). This is a hospital procedure that is performed under general anesthesia. In ECT treatment, electrodes are put on your head and an electrical surge is transmitted through your brain, causing a seizure. ECT is used only when other treatments don't work. In some cases, the combination of psychotherapy and medication can provide the most complete relief. This is especially relevant for those with an ongoing history of depression or are at risk of developing it. Relapsed depression can lead to suicide. It is important to seek help if you have thoughts of self-harming or even killing yourself. If you have suicidal thoughts you should call the National Suicide Prevention Lifeline at 1-800-273-8255 or consult an experienced therapist right away. The sooner you seek help, the faster you will feel better. Exercise A large body of research has shown that exercise can be effective in reducing depression. Contrary to medications, which can have side effects exercising is safe and easily used by most people. Exercise is also cheaper than antidepressant medications and can be combined with counselling and psychotherapy. It is important to keep in mind that exercise does not work as quickly as antidepressants, and it takes longer to get results. It is also not as effective for everyone. It should not be ignored. Regular exercise releases natural, feel-good hormones, increases the availability of serotonin, and stimulates growth of new brain connections and cells. It can also improve your sleep and self-esteem. It is also easy to incorporate into your daily routine. It is in a matter of taking an hour of walking every day, or joining a gym. In order to get the most benefit from exercise, it is important to maintain a consistent routine and work up to a higher level of intensity over time. A number of studies have proven that resistance training (RET) significantly reduces symptoms of depression in people suffering from MDD. The overall quality of the research is low-moderate. Many trials were not large and had methodological flaws that could have influenced the results. Many trials also had inconsistent results. This meta-analysis included seven randomized controlled trials that compared RET with either second-generation antidepressants or no treatment. The estimated pooled effect size was -0.08 (95 percent confidence interval: -0.11 to 0.01) and the heterogeneity was moderate. This suggests that RET has a moderately-sized, statistically significant treatment impact. Some strategies have been suggested to increase exercise compliance and minimize dropout rates for those suffering from mental health issues. Vancampfort et al. (52) suggest that autonomous motivation plays a key role in RET and suggest modifying the prescription of RET to ensure that it meets individual preferences, abilities and prior experiences. Additionally, they suggest using supervision and social support by experts in exercise to increase the chances of adherence. You may be suffering from depression due to hormonal imbalances or nutritional deficiencies. It is crucial to work with your physician to determine the root causes of your depression and to determine the best treatment for you. Don't be afraid of trying different methods and don't settle for a treatment that isn't 100% effective or has unacceptably adverse side effects. It is crucial to find an option for treating depression that you can tolerate and that will prevent it from recurring.