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Living with Depression
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Depression
Treatments
Anti-depressant Medication and Therapy
continued
Depression, in all its varieties, is very
treatable. The tragic part about this illness is, by definition those afflicted
with it, either don't believe they are worthy of
treatment for depression
or they believe that no
depression
treatment will work for them. Both of these ideas are completely wrong, but
they are, in themselves, symptoms of the depression.
Physiologically, depression can be treated with
medications known as anti-depressants. These will raise
the levels of various
neurotransmitters, thus relieving some of the
depression symptoms. Also they
help give the person a bit more control over their emotions and thoughts, which
goes a long way to alleviating the illness altogether. Over the past few years,
a lot has been said about
anti-depressants. They're alternately vilified as
inducing--rather than alleviating--psychosis, and as absolute cure-alls. In
fact, they are neither. They do not "cause" people to become
psychotic or suicidal, as
some news stories on Prozac (probably the most famous anti-depressant) claim.
In cases like this, it's much more likely that the
anti-depressant medication just didn't work as well as
expected. And they are not cure-alls, since they are not "happy
pills" which suddenly provide a euphoric state. When they work, they
simply take the "edge" off of one's mood, and do not altogether
eliminate depression. Rather, they make depressed moments shorter, and less
frequent. It's best to think of these medications as helpers or guides, rather
than as cures.
Psychologically,
therapy is a great
help. There are several types of therapy available for depression. Different
types of therapy work differently on various patients. For the most part,
cognitive-behavioral therapy (CBT) and
interpersonal
therapy work best. Cognitive-behavioral therapy (CBT) helps the patient
examine his or her thought processes, allowing him or her to uncover erroneous
ideas, assumptions, and so forth. Interpersonal therapy helps the patient
explore other learned thoughts and behaviors that create problems and
contribute to depression. For example, therapists can help depressed
individuals understand and improve patterns of interacting with other people
that contribute to their depression. Both therapies involve raising
self-esteem, which is a great help. Often, a therapist will incorporate
components of both of these therapies in sessions with a patient, depending on
his or her needs at the time. (This is called an eclectic
approach--eclectic meaning simply that different techniques from different
therapies, are used.)
Most depression patients require both
anti-depressant
medication and therapy. Nearly all will benefit from at least a little
therapy, and many benefit from medication. It's a mistake, however, to rely
solely on anti-depressant medication to relieve depression. In the long run,
I've never known this to work. At some point, therapy is usually necessary, and
there are a number of patients who are helped only by therapy, without
need of medication at all.
Read more about
depression
treatments.
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