Treatment of Depression

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on December 18, 2024
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The treatment of depression in clinical settings primarily utilizes pharmacotherapy, psychotherapy, and physical therapy.

Pharmacotherapy, as the first-line treatment for depression, mainly relies on selective serotonin reuptake inhibitors such as paroxetine, fluoxetine, sertraline, escitalopram, venlafaxine, and duloxetine. Adequate dosages and treatment duration with a systematic approach are essential when using pharmacotherapy.

Secondly, psychotherapy. The main psychotherapeutic approaches include cognitive-behavioral therapy, psychoanalytic therapy, and interpersonal therapy, which aim to improve the patient's irrational cognitions and rebuild their cognitive framework.

Thirdly, physical therapy. In clinical practice, physical therapy mainly encompasses electroconvulsive therapy and transcranial magnetic stimulation, both of which can yield significant therapeutic outcomes.

(Specific medications should be used under the guidance of a physician.)

Other Voices

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Written by Pang Ji Cheng
Psychiatry and Psychology
52sec home-news-image

Will depression get better?

Patients with depression can achieve clinical recovery. Large-scale survey studies have found that about 85% of patients can reach clinical recovery as long as they undergo systematic and standardized treatment. At the same time, systematic and standardized psychotherapy and physical therapy should also be conducted. This can uphold the recurrence rate or relapse rate of the patients. Studies have found that about 20% relapse within six months after the initial treatment, and the relapse rate reaches 50% within two years. For older patients, their relapse rate may be even higher. Therefore, depression is a highly curable disease, but also a highly recurrent disease. Systematic, standardized, and scientifically reasonable treatment is still a very important means to achieve good recovery rates and reduce relapses in depression.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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How to explain mild depression

During the guidance process for patients with mild depression, cognitive behavioral therapy can be used. Cognitively speaking, the patient's low mood is caused by negative cognitions about themselves, the world, and the future, which we call the cognitive triad. They feel incompetent, worthless, and disliked in regards to themselves. They perceive the world as incapable or negative. Regarding the future, they feel unable to succeed and see themselves as failures, among other expressions. Therefore, the patient exhibits irrational and distorted cognitions. By observing these irrational cognitive patterns, we guide the patient to look for evidence, seek alternative explanations, make predictions, judgments, and responses, and resolve internal conflicts of thoughts through reality check methods, ultimately alleviating low moods. Additionally, behavioral methods, such as organizing a good life schedule and engaging in interesting activities, can also be used to enhance the patient's sense of pleasure and control, thereby improving their mood and ultimately achieving therapeutic effects.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Does depression cause dizziness?

Patients with depression can experience symptoms of dizziness. Depression is primarily characterized by low mood, slow thinking, and reduced volition. Patients may also have physical discomfort, especially in middle-aged and elderly patients with depression, whose main complaints are often physical discomforts when seeking medical advice such as dizziness, headache, palpitations, fatigue, weakness, gastrointestinal discomfort, frequent urination, urgency, and fluctuating body temperatures. Therefore, symptoms like dizziness can also occur in patients with depression. The main treatment involves the use of antidepressant drugs for systematic and standardized treatment, particularly the use of second-generation antidepressants, such as serotonin reuptake inhibitors, which are effective. (The above drugs should be used under the guidance of a doctor.)

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How to treat postpartum depression?

When postpartum depression occurs, it is first important to pay attention to women's mental health. Treatment can be approached psychologically, and additionally, medication and physical therapy may be options. Psychological therapy includes supportive psychological treatments, music therapy, and cognitive behavioral adjustments. The main purpose of psychological therapy, especially during acute depressive episodes, is to alleviate symptoms of depression to improve social issues. It is important that family members and husbands provide sufficient psychological support and ensure that the new mother feels secure. Additionally, diet should be considered; consuming foods rich in protein and vitamins can strengthen a woman's body and resistance, and regulate her physical condition. In severe cases, under the guidance of a doctor, medication can also be used for treatment.

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Written by Yue Hua
Obstetrics and Gynecology
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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.