How to diagnose mild depression?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on November 26, 2024
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For the clinical examination of mild depression, it is first necessary to thoroughly understand the patient’s onset, development, evolution, and treatment of depression. Furthermore, detailed communication must be conducted with the patient concerning consciousness, sensations, perceptions, thinking, attention, emotional willpower, self-control, and other aspects. It is important to comprehend the patient's overall mental and psychological condition, then combine this with the results of corresponding scales or exclude other conditions through diagnostic auxiliary examinations to make a comprehensive judgment. Particularly, the content of the psychiatric examination for the patient is an important aspect in determining mild depression. By integrating the aforementioned information, it is often possible to clearly diagnose the symptoms of mild depression, which is very meaningful for the subsequent treatment.

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Is depression prone to recurrence?

Depression is a disease with a high incidence rate, so in clinical practice, the treatment of depression requires systematic standardization, adequate dosages, and full courses of treatment, and it is also a disease with a high cure rate. After standardized systemic treatment, a cure rate of over 85% can be achieved. However, nearly 50% of the patients may relapse one year after undergoing standardized treatment. Therefore, during the treatment process, not only pharmacotherapy is needed but also psychotherapy and self-adjustment methods. A comprehensive and systematic treatment can ultimately improve the cure rate of patients, reduce the recurrence rate, and effectively treat the disease.

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How long does postpartum depression last?

Postpartum depression can generally be cured within a year in 70% of women. In families where such cases occur, it is important to pay attention, communicate more with the patient, and provide sufficient care and guidance. Additionally, timely psychological and pharmacological treatments should be administered to boost the patient's confidence and self-worth. It is also necessary to use antidepressant medications under a doctor's guidance that do not enter the breast milk, meaning they do not affect breastfeeding.

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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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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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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.)