INTRODUCTION TO MAJOR DEPRESSIVE DISORDER TREATMENTS
Depression usually happen in phases, ie, they are limited in time and sometimes sound from even without treatment. A depressive episode ("Episode") takes typically six to eight months when not treated.
The course of depression differs considerably from person to person. A depressive disorder can be completely cured in many people. In some patients, however, remains of depressive symptoms persist. Some depressive disorder also develop chronic, ie, periods of depression which are regularly repeated, or they have a dysthymic disorder in which the symptoms are not as pronounced as with a classical depression, but constantly (over 2 yrs) remain.
In major depression there is a high probability they do not remain an illness episode. Over half of patients develop disease after having a first depressive episode to an alternative. The likelihood of developing again increases after two disease at 70 percent, and after the third episode even at 90 percent.
Diagnostics
major depressive disorder treatments
A detailed ("differential diagnostic") is essential conversation: Beyond the assessment of the current complaints is usually a collection of all mental patient discomfort over its entire lifetime required. Furthermore, can the therapist living and genealogy and current stresses and problems portray.
The degree of depression is measured with the number, intensity superiority depressive symptoms. Clinical diagnostic interviews, z. B. CIDI (Composite International Diagnostic Interview) or DIPS (Diagnostic interview for psychiatric disorders), ask the diagnostic criteria according to the classification of the World Health Organization from (ICD-10). Standardized questionnaires and external assessment scales assist to assess the severity of the sickness. Here are the right choice PHQ-D (Patient Health Questionnaire depression), BDI (Beck Depression Inventory) or HDRS (Hamilton Depression Rating Scale). Just before initiation of therapy, careful and neurological examination to get rid of physical causes is useful, as such, for example, metabolic disorders (eg. As diabetes), or certain medications (antihypertensives, steroid hormones) might be physical causes of depressive symptoms.
major depression treatments without medicationTherapy
major depression treatments without medication
The advice for the treatment depend upon whether a depression occurs initially or repeated and exactly how hard the patient's disease. Treatment ought to be based on the recommendations which might be in the National Care Guideline "Unipolar Depression".
Not every depression needs to be treated immediately with psychotherapy or medications:
In mild despression symptoms, the patient may first seek guidance and advice, as he is better at coping with depressed emotional states. However, it is a differential diagnostic investigation, which excludes a severe course of the disease. If within a fortnight without improvement, specific treatment needs to be agreed with the patient. In this case, psychotherapy is preferable to a pharmaceutical Kobe plot.
In moderate depressive disorder the patient psychotherapy or treatment with drugs ought to be offered as treatment alternatives.
In severe and chronic depressive disorders, a combination of psychotherapy and medicine is necessary.
When depression following psychotherapies are occupied in terms of effectiveness: behavioral therapy, psychodynamic psychotherapy, interpersonal psychotherapy, psychotherapy and systemic therapy. For medications of depressive disorders different classes of antidepressants are particularly permitted.
Chances of recovery
The duration of a depressive illness may be significantly reduced by treatment - around 16 weeks. Effective treatments slow up the relapse rate significantly. A particular strength of psychotherapy is it acts consistently and long run, particularly if it continues even though resolution of acute symptoms as maintenance therapy. The recurrence rate might be significantly reduced through a psychotherapeutic treatment. Patients with the increased risk of relapse, z. B. if depression isn't completely subsides, a longer-term stabilizing psychotherapy is mandatory. Antidepressants reduce the risk of relapse. Its also wise to be taken after complete disappearance of depressive symptoms on. The amount of intake depends specifically on the specific risk of relapse of patients.