How is depression treated?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on November 27, 2024
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Depression treatment in clinical settings includes self-adjustment, psychotherapy, medication, and physical therapy. Patients with mild depression can base their treatment on self-adjustment, which includes exercising, distracting attention, talking to others, etc. Psychotherapy, especially cognitive behavioral therapy, is recommended as the first choice of treatment. It helps patients identify automatic thoughts and reconstruct the cognitive irrationality system among other methods. Furthermore, patients with moderate to severe depression are primarily treated with medication, particularly with serotonin reuptake inhibitors such as paroxetine, sertraline, and fluoxetine, which are commonly used in clinical settings. Additionally, physical therapy mainly involves non-convulsive electroshock and transcranial magnetic stimulation as major treatment methods. (Specific medications should be used under the guidance of a physician.)

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Written by Pang Ji Cheng
Psychiatry and Psychology
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What to do about insomnia caused by mild depression?

Patients with mild depression who experience insomnia symptoms can partly manage this through self-adjustment. For example, they can improve insomnia through exercise, especially two hours before bedtime, with medium intensity exercises to expend excess energy and ultimately achieve comprehensive muscle relaxation, leading to good sleeping habits. Additionally, in the treatment of mild depression, sedative antidepressants such as paroxetine, fluvoxamine, mirtazapine, and trazodone can be used, sometimes including tricyclic antidepressants like amitriptyline, which have been very satisfactory in their effects. Therefore, clinically, for insomnia in mild depression, both pharmacological treatment and self-adjustment methods can be adopted.

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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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Is depression contagious?

Depression is not contagious, but there is a certain genetic predisposition to it. Clinically, depression is closely related to genetic, environmental, physiological, and psychological factors. For families with a history of depression, their offspring are 4-8 times more likely to suffer from depression than the general population. However, this does not mean depression is a hereditary disease. Interaction with individuals suffering from depression may influence others negatively, including feelings of sadness, self-blame, or despair. Nevertheless, depression cannot be transmitted to others. Through systematic and standardized treatment, particularly with the use of new antidepressant medications, depression can be effectively managed.

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Written by Du Rui Xia
Obstetrics
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Can postpartum depression breastfeed?

When postpartum depression occurs, it is possible to continue breastfeeding. If the depression is mild and no medication is taken, continuing breastfeeding will not affect the baby's growth and development. However, depression often leads to low spirits, frequent crying, and a reluctance to care for the child, which can affect milk secretion and lead to a reduction in milk supply that may not meet the baby's growth needs. In such cases, it may be necessary to add supplementary food or formula. If postpartum depression is severe and involves medication, these medications may enter the baby's body through the breast milk, which can affect the baby's health. Therefore, if postpartum depression occurs and medication is taken, breastfeeding should be stopped. (Note: The answer is for reference only. Medication should be administered under the guidance of a professional physician, and blind medication should be avoided.)

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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.