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.)

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Can postpartum depression be cured?

Postpartum depression is generally curable. Women may face physical and psychological stress after childbirth, and those who previously had mood issues may be more susceptible to postpartum depression. Once depression occurs, it is crucial to take care of the mother both physically and mentally. Besides ensuring that the mother gets enough sleep and avoids exhaustion, and maintaining a cheerful mood, psychological support from family members is extremely important. It is essential not to let the mother become overly impatient, to communicate with her frequently, and to encourage her to smile often, as these measures can significantly help alleviate depression.

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Does mild depression affect pregnancy?

"[Generally, mild depression does not affect the ability to become pregnant normally, but it is not recommended to take medication during pregnancy, as some medications can affect the normal development of the fetus, even impacting the baby's brain development. If mild depression can be managed through psychological adjustment, that is best; it's important not to use medication lightly. In daily life, family and friends should also provide psychological comfort to the pregnant woman, helping her to safely get through the pregnancy. However, if mild depression is not treated effectively and timely, it can impact the entire pregnancy.]"

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What is the best treatment for mild depression?

In clinical practice, the first choice of treatment for mild depression is generally psychotherapy, especially recommended cognitive behavioral therapy, psychodynamic therapy, and interpersonal therapy. In cognitive behavioral therapy, it is particularly important to help patients identify automatic thoughts, including teaching patients to recognize automatic thoughts, emotions, and behaviors. By correcting irrational cognitive patterns, such as catastrophizing, magnifying, and overgeneralization, a new cognitive system is reestablished to achieve effective treatment goals. Additionally, physical therapies like repetitive transcranial magnetic stimulation can also be chosen to alleviate symptoms of mild depression. However, for some patients with depression, pharmacotherapy can also be considered, particularly recommended are first-line serotonin reuptake inhibitors. It is crucial to follow the doctor's advice during the clinical treatment process and adhere to a systematic and standardized medication treatment throughout the illness.

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How is depression diagnosed?

The diagnosis of depression in clinical practice includes understanding the patient's clinical manifestations, conducting in-depth psychiatric examinations, scale measurements, and excluding auxiliary examinations related to depression. Clinically, it is important to fully understand the occurrence, development, progression, and treatment process of depression-related manifestations in patients. Additionally, psychiatric examinations focus on detailed assessments of the patients’ sensations, perceptions, consciousness, thinking, emotions, attention, memory, intelligence, and self-control, to further understand their overall psychological state. Scale measurements often involve self-assessment scales, depressive symptom self-rating scales or external assessment scales for comprehensive evaluation. Exclusion diagnostics primarily involve corresponding tests, such as thyroid examinations, to rule out physical diseases that may cause symptoms related to depression. After compiling all the information mentioned above, a definitive diagnosis of depression can be made.