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 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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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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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 Pang Ji Cheng
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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Obstetrics
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Does postpartum depression require medication?

When suffering from postpartum depression, it can be treated with medication. This treatment method can help control negative emotions in new mothers. It can also alleviate some physical discomfort, reducing the damage caused by depression during treatment. However, breastfeeding should be suspended if medication is being taken. In addition to medication, psychological treatment is also necessary. Adjusting one's mental state is very important, as most cases of postpartum depression are caused by an unhealthy psychological foundation. (The use of medication should be conducted under the guidance of a professional doctor.)