How to self-rescue from depression

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on February 21, 2025
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Patients with depression can self-help through self-adjustment or seek help from a doctor. Clinically, the method of self-adjustment mainly involves exercise, which is also called behavioral activation training in psychology. Exercise can relax the muscles throughout the body. Additionally, exercise can stimulate the brain to release the "happiness element" endorphins, which have a significant improving effect on depression and anxiety. Other methods include venting and shifting attention. Venting typically involves expressing feelings through spoken or written words to others, especially close friends and family. By expressing these feelings, depressive emotions can also be articulated. Shifting attention, clinically, involves engaging in personal interests such as painting, fishing, or listening to music, which can increase pleasure and enhance motivation. Alternatively, seeking help from a doctor usually involves psychotherapy and medication, which often yield good results.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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How to diagnose mild depression?

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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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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Can mild depression cause fantasies?

In clinical settings regarding patients with mild depression, hallucinatory symptoms generally do not occur. It is commonly believed in clinical practice that patients with moderate to severe depression might experience hallucinations. However, according to the new mental illness diagnostic standard, IC11, it is considered that patients with mild depression may also exhibit symptoms of delusions and hallucinations. Therefore, the presence of hallucinations and delusions in patients should be assessed based on the severity of the condition. Typically, the occurrences of hallucinations and delusions indicate a higher severity of depression, generally moderate to severe. If diagnosed with psychotic depression, the clinical approach should involve the combined treatment using antidepressants and antipsychotic medications to address both the psychotic and depressive symptoms effectively.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Is depression considered a mental illness?

Depression is clinically classified as a mental illness, specifically a type of mood disorder. Its main clinical manifestations include low mood, slow thought processes, reduced volitional activity, fatigue, lack of interest, lack of pleasure, often accompanied by sleep disturbances, changes in weight, changes in sexual desire, and low self-esteem. Patients often feel fatigued and dissatisfied throughout the day, and their attention may decline. They may experience feelings of guilt, worthlessness, futility, and despair. It is not uncommon for patients to have thoughts or behaviors of self-harm or suicide. Thus, depression is a mental disorder that requires systematic antidepressant treatment once diagnosed. Effective treatment outcomes can often be achieved through a combination of medication, psychotherapy, and physiotherapy.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Can mild depression recur?

Patients with mild depression also have the possibility of relapse. Clinical research investigations have found that systematic antidepressant treatment can lead to clinical recovery in 85% of patients. However, even with persistent and standardized treatment, nearly one-fifth of patients still experience relapse. This signifies that some patients may have a relapse rate exceeding 70% if they cease treatment. For those who recover, there is still a one-fifth chance of relapse within six months, and nearly half might relapse within two years after the initial episode. Therefore, relapse is a significant challenge for depression patients. Thus, treatment should be systematic and standard, including pharmacotherapy. Additionally, psychotherapy plays a crucial role in treating depression by improving patients' irrational cognitive patterns and adjusting their cognitive reconstruction systems, ultimately achieving a healed state.