Treating Depression
by Dr. Isaac Schumann
Health care providers can take care of depressed people. A physician, for one,
has also training in treating psychiatric disorders. The same goes with
the physician assistant and the nurse practitioner. If the case is
severe, these health care providers will automatically refer the
patient to mental health specialists.
The mental health specialists are composed of the following:
psychiatrist, psychologist, a psychiatric nurse specialist and even a
social worker.
The psychiatrist offers treatment and diagnosis for mental and
psychiatric patients. A psychologist, on the other hand, is trained for
counseling, psychological examination and psychotherapy. The social
worker knows counseling to a certain degree, whereas a registered nurse
who has taken masterals in psychiatric nursing can help out the
patient.
Before the diagnosis can be made, the health care providers or mental
health specialists will ask the patient on the following: symptoms,
overall health and medical and mental history of the family. A physical
exam will be carried out as well as some lab tests.
Depression, being an illness, requires tremendous emotional support
from the family. A family member must accompany the patient on doctor
visits to give the latter a boost.
During the course of the visit, the doctor will figure out if the case
is severe, mild or moderate. Depression is severe if the person
experiences all the symptoms and if it keeps him from doing all his
daily activities. Moderate, if the person has a lot of the symptoms
that it hampers his activities. It can be categorized mild if the
person has some of the depression symptoms and if he needs more push to
do all the things he needs to do.
No one must underestimate depression. It is a real illness, and
therefore the patient needs all the help and attention he can get.
As said earlier, you are not alone in this problem. Fortunately,
depression, of all psychiatric illnesses, proves to be one of the most
treatable. With proper care, more than 80 percent of those suffering
from major depression experience significant improvement. Even those
suffering from severe depression can helped. Here are some treatments
for depression problems:
Psychotherapy There are many types and methods of therapeutic
approaches used for treating depression. The most common types are
behavioral therapy, cognitive behavioral therapy, rational emotive
therapy, and interpersonal therapy. Approaches also include
psychodynamic and family approaches. Both the individual as well as
group modalities have been used commonly, but these depend on the
severity of one's depression, the financial resources of the person,
and resources that are available locally.
Arguably the most prominent therapy in treating depression, the
cognitive behavioral therapy is commonly used for handling the
condition. There has been extensive research and medical studies that
conducted to check or assess the safety as well as the effectiveness in
treating depression using this type of therapy.
Considered the father of cognitive behavioral therapy, many written
studies and books support this type of therapy. Cognitive behavioral
therapy uses simple techniques that focus primarily on the patient's
negative thought patterns. These negative thought patterns are also
known as cognitive distortions. A person suffering from depression may
from time to time use these cognitive distortions, igniting the
condition.
The therapy starts with the establishment of a supportive and warm
environment for one suffering from depression. Making the patient learn
about how his or her depression problem may be a result of thinking in
cognitive distortions is generally the next step. The types of faulty
logic and thinking are also discussed in this step (such as "everything
or nothing logic," "blame mis-attribution," "overgeneralization," among
others) and the person being treated is encouraged to start taking
notes of the thoughts he or she has been having as they happen
throughout his or her day. This is conducted for the person to
understand and realize how often and common this kind of thoughts are
occuring.
In this type of therapy, the emphasis is mainly placed on realizing the
thoughts as well as the behaviors that are associated with the
depression problem rather than on the emotions themselves. The
rationale for this emphasis is that is strongly believed that by
altering one's thoughts and consequently, behaviors, his or her
emotions will most likely change as well. Because of this type of
therapy, cognitive-behavioral therapy is often short-term (generally
lasts up to a dozen sessions or two only) and best suits people that
are experiencing some kind of distress that is related to the
depression they are having. Individuals that are able to handle a
problem using a perspective that is unique and therefore are most
likely cognitively-oriented could also do well under this approach.
Interpersonal therapy, on the other hand, is also a therapy on a
short-term basis used for treating depression. In this type of
treatment, the focus usually lies on the social relationships of the
patient and determine ways in improving these relationships. It is
strongly believed that in order to improve the overall well-being of a
person (or the patient in the case); he or she needs to have a stable
and good social support.
When a person's relationships become unhealthy, the person would most
likely suffer from this problem. This therapy approach then seeks to
enrich one's skills in social relationships, expression of his or her
emotions, assertiveness, and communication skills. This type of
approach is usually done individually but sometimes can be used also in
a setting for group therapy.
Many individual approaches would place importance more on the patient's
active personal involvement in recovering from depression. Persons
being treated under an individual approach are usually enticed and
encouraged to finish homework assignments between sessions. If the
person is not capable yet to join in therapy sessions actively, then
his or her therapist could be the one to first provide the patient an
environment that supports him or her until the medication starts to
help improve his or her state of feelings and mind.
Psychodynamic or psychoanalytic approaches in treating depression
currently do not have much research to recommend their use. Although
there are some therapists that might use psychodynamic theory in
helping conceptualize a patient's personality, there are some issues
raised on how this could prove to be an effective and efficient
depression treatment.
Couples or family therapy could also be considered if the depression of
the patient directly affects family relationships. These types of
therapy focus on the interpersonal relationships among family members.
In addition, these approaches seek to ensure good communication in the
family. The roles of the family members in a patient's depression could
be examined. Education about the depression problem in general might
also be used as part of the family therapy.
Medication The Food and Drug Administration (FDA) has approved numerous
medications for treating depression. These drugs have been sorted into
classes; each medication has a unique chemical structure which acts on
various chemicals present in the brain.
It is necessary to remember that all medications approved by the DFA to
treat depression are effective and recommended - they just do not work
the same effect for everybody.
You might want to closely work with the doctor in determining which
drug is the best for your condition. Sometimes, conditions may involve
having more than just one medication; some work with a mixture of
medications. This is important: Do not change your medication or
discontinue your dosage without asking your doctor.
About the
Author
Dr. Isaac Schumann brings to you a life time of experience in the mental health field
http://www.depressionhelpguides.com
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