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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Written by Pang Ji Cheng
Psychiatry and Psychology
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How is depression treated?

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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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 Du Rui Xia
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.)

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Symptoms of depression

Patients with symptoms of depression often experience a persistent low mood throughout most of the day, along with a loss or decrease in interests and pleasure. They commonly experience fatigue, an increase in feelings of exhaustion, and more. Additionally, these patients may have poor concentration, low self-esteem, decreased self-confidence, a sense of worthlessness, self-blame, and a bleak outlook on life with no perceived future, including suicidal thoughts. There are also significant changes in their sleeping and eating habits. Therefore, if these symptoms persist for more than two weeks and adversely impact the patient’s work, studies, lifestyle, or social abilities, it should be considered indicative of depression. Thus, once diagnosed, systematic and standardized treatment should be administered to prevent the worsening of the condition.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Where is the best place to massage for depression?

The massage points for depression vary according to different diagnostic types of the condition in Chinese medicine. For example, for patients with liver depression and spleen deficiency, massage can be given at Taichong, Fenglong, Zusanli, and Tiantu. For patients with liver depression and qi stagnation, points such as Baihui, Yintang, Shenmen, Neiguan, and Taichong can be massaged. In cases of heart and spleen deficiencies, the massage points include Shenmen, Xinshu, Pishu, Sanyinjiao, Zusanli, and Zhangmen. For patients with kidney deficiency and liver depression, key points are Taichong, Qimen, Neiguan, Danzhong, and Guanyuan. As for patients with heavy damp-heat in liver and gallbladder, massage points like Xingjian, Sanyinjiao, and Zhongji can be selected during massage.