Do patients with mild depression need to be hospitalized?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on April 02, 2025
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Patients with mild depression can choose inpatient treatment or outpatient treatment. The main decision depends on the communication between the patient, their family, and medical professionals. Patients with mild depression have relatively mild depressive symptoms, so psychological therapy is primarily used, with pharmacotherapy and physical therapy serving as supplementary treatments. Psychological therapy mainly employs cognitive-behavioral therapy to improve the patient’s unreasonable beliefs and alleviate emotional stress. This includes identifying automatic thoughts, recognizing the irrationality of cognition, and employing reality testing, ultimately aiming to improve the patient's symptoms. Pharmacological treatment primarily uses serotonin reuptake inhibitors, and patients can adhere to a regular medication schedule at home during outpatient treatment periods. Physical therapy consists mainly of transcranial magnetic stimulation, which can be administered either as an outpatient or inpatient treatment. The final treatment choice should involve comprehensive communication with the patient's family and physicians to make an informed decision.

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Psychiatry and Psychology
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Causes of Depression

The causes of depression are often unclear and may be closely related to multiple factors such as biological, social, and psychological aspects. From a biological perspective, genetics is a primary factor, especially as indicated by family studies, which have found genetics to play a significant role. Genetic factors typically involve multiple gene loci. Furthermore, neurochemical factors like serotonin and norepinephrine are notably related. Beyond biological factors, psychological elements, particularly in individuals with certain depressive traits or personality characteristics, significantly increase the incidence of developing the condition. Social environmental factors are primarily associated with adverse major life events. After experiencing acute life events, individuals may become susceptible to depressive episodes. Hence, it is observed that depression in patients results from multifactorial influences rather than a single factor, culminating from a complex interplay of these elements.

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Where to seek treatment for postpartum depression?

Postpartum depression is a type of mental illness in puerperal women, so it is best for such women to see a psychiatrist, as psychological treatment for depression is very important. The key is to enhance the patient's self-confidence and raise their self-esteem. Additionally, it can provide individualized psychological counseling based on the patient’s personality traits, psychological state, and the causes of the condition, and it can eliminate the psychological factors causing the illness. Common clinical treatments include medication and psychological counseling.

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What department do you see for depression?

Depression can be treated clinically by visiting either a psychiatric or psychological department. The main clinical manifestation is a persistent low mood, characterized by an inability to feel joy, gloominess, and typically significant mood variations. Cognitive processes tend to slow down, resulting in sluggish thinking, slow reactions, reduced volitional activities, a passive and listless approach to life, and a lack of hope for the future. Additionally, cognitive impairments such as decreased attention, diminished abstract thinking, learning, and judgment abilities may occur. Some patients may also exhibit physical symptoms, including sleep disturbances, decreased appetite, weight loss, physical pain, and anxiety-related disorders.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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What medication is used for depression?

The medications commonly used for depression in clinical settings are selective serotonin reuptake inhibitors, primarily used to increase serotonin levels in the patient's brain to improve depressive symptoms. Representative drugs in clinical use include paroxetine, sertraline, fluoxetine, fluvoxamine, citalopram, and escitalopram. There are also medications that inhibit the reuptake of both serotonin and norepinephrine, such as venlafaxine and duloxetine. Additionally, there's a type of antidepressant that acts on norepinephrine and is specifically serotonergic, with mirtazapine being the main drug. These medications are considered modern antidepressants and have a relatively significant clinical efficacy. Of course, there are also traditional tricyclic and tetracyclic antidepressants, which are not recommended as first-line treatments in clinical settings due to their more adverse reactions. (Please follow a doctor's guidance regarding the use of specific medications.)

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Written by Pang Ji Cheng
Psychiatry and Psychology
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How long does it take for depression to get better?

The treatment of depression is generally divided into three stages: acute phase treatment, continuation phase treatment, and maintenance phase treatment. The complete recovery from depression depends on the individual characteristics of the patient. The acute phase treatment usually lasts one to three months, mainly focusing on controlling the symptoms related to depression. Additionally, during the continuation phase treatment, the medication period generally lasts four to nine months, and its main goal is to maintain the stability of the patient's condition and prevent relapse of the disease. As for the maintenance phase treatment, the duration of treatment is to be determined. Typically, the duration is one to two years after the first onset, three to five years after the second onset, and for patients who have had more than three episodes, it is recommended to maintain a low-dose medication treatment to prevent recurrence of the disease.