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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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 Pang Ji Cheng
Psychiatry and Psychology
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What is the depressive mood of depression like?

Patients with depression primarily exhibit symptoms of low mood. They often experience persistent sadness and pessimism. Patients might find it difficult to feel happy, appear gloomy, and are unable to experience joy, particularly in activities that they used to find interesting. In severe cases, they might feel hopeless, in despair, and have thoughts of death, leading to an overwhelming sense that each day is unbearably long. Furthermore, patients might feel that life isn't worth living and that their existence has no meaning, which can lead to thoughts or actions of suicide or self-harm. In this emotional state, their self-evaluation is also typically low; they might feel utterly worthless, viewing themselves as a burden on their family and a parasite in society. Thus, feelings of worthlessness, helplessness, despair, and self-blame are significantly more pronounced.

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Written by Du Rui Xia
Obstetrics
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How to relieve postpartum depression

When postpartum depression occurs, the family must provide comprehensive care. For example, it is important to ensure that the new mother gets enough sleep by having family members take care of the baby and handle daily tasks. It is recommended that the mother and baby sleep separately to allow the mother sufficient rest, which can also help alleviate depression. Additionally, choosing a room with plenty of sunlight and ventilating it by opening windows daily can also reduce the symptoms of postpartum depression. More importantly, family members need to communicate psychologically with the new mother, engage in more conversations, and avoid keeping their feelings bottled up.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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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Written by Pang Ji Cheng
Psychiatry and Psychology
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Can someone with mild depression go to work?

Patients with mild depression can go to work. Those with mild depression may exhibit lighter symptoms such as mood decline, fatigue, and decreased interest. Often, patients may have difficulty sleeping; however, their social functions or most other functions are generally unaffected, with only minor impacts on their work and social activities. If patients are functionally capable of handling their jobs, depressive symptoms can be improved through behavioral training. Therefore, in clinical practice, patients with mild depression are encouraged to continue working, which further activates their energy and motivation, enhancing their positivity and initiative, and improving treatment outcomes. Additionally, psychotherapy and pharmacotherapy can also achieve good therapeutic effects for patients with mild depression. Systematic and standard treatments should be continued to ultimately reach clinical recovery.