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
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Can depression recur?

Relapse in patients with depression is a relatively common issue in clinical practice. Large-scale studies have found that even with systematic, standardized treatment with sufficient dosage and duration of antidepressant medications, still 15% of patients do not achieve clinical recovery. Even with persistent standardized treatment, the relapse rate remains at 20%. If treatment is discontinued, the relapse rate can rise to as high as 85%. For patients who have recovered, there is still a 20% chance of relapse within six months. 50% of patients relapse within two years after their first episode. Therefore, the relapse rate is higher in patients over the age of 45. Thus, depression is characterized by a high rate of relapse, yet it is also highly treatable. Therefore, during the course of pharmacological treatment, psychological and physical therapies should be concurrently employed as adjunctive treatments to improve cure rates and reduce the likelihood of relapse.

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What are the symptoms of postpartum depression?

In cases of postpartum depression, women primarily exhibit emotional excitability, as well as anxiety, feelings of helplessness, guilt, and concerns about being unable to support their child. Severe cases may involve fears of the child suffering in the world, leading to infanticidal actions, and even suicide. This condition generally occurs more frequently in women who have a history of mental illness. Following childbirth, due to physical discomfort, emotional instability, and factors such as sleep disturbances, these adverse reactions are likely to be exacerbated.

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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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Symptoms of depression

The symptoms of depression almost always include persistent low mood throughout most of the day, and patients generally lack interest or pleasure in all activities. Patients may exhibit psychomotor agitation or retardation, and experience fatigue, weakness, and feelings of inadequacy. They may feel that their lives are worthless and meaningless, have feelings of self-reproach or guilt, and suffer from poor concentration and indecisiveness. Recurrent thoughts or behaviors of suicide may occur, and some patients may even make specific plans for suicide. Therefore, these are the primary symptoms of depression. Some patients may present primarily with physical symptoms, such as dizziness, headaches, palpitations, frequent or urgent urination, and gastrointestinal discomfort. It is important to conduct relevant examinations to avoid misdiagnosis.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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What are the signs of mild depression?

Signs of mild depression may also include a gloomy mood, an inability to feel joy, a sorrowful facial expression, and often downturned corners of the mouth. The head may be tilted forward with a downward gaze, and there might be fewer changes in posture. Patients may experience sleep disturbances, commonly having trouble falling asleep, waking repeatedly at night, and still being in the sleep process when waking up in the morning. Appetite reduction may not be very noticeable. Mood variations occur during the day, often with a worse mood in the evening compared to the morning. There is no significant slowing down of movement, but the emotional state of the patient is often poor. Some patients may experience symptoms of autonomic nervous system dysfunction, such as dizziness, headaches, and bodily discomfort, which are indicative of mild depression.