Completion
of a course of cognitive-behavioral therapy (CBT) is crucial
to the successful treatment of depression. In cognitive-behavioral
therapy, the goals are not only to reduce your symptoms but
to keep those symptoms from returning.
There
are several different types of medications used for depression.
Medications for depression are especially helpful in increasing
motivation, energy, appetite, concentration, and the ability
to gain distance from negative thoughts--especially for
the severely depressed. Your physician or a psychiatrist can
suggest the medication that would work best for you. One drawback
to a medication-only approach to treating depression is that
when the medication is stopped, symptoms most often return.
For this reason, it is best that if you do take medication
for depression, you also get therapy.
Because
there are varying degrees of depression, the severely depressed
individual may wish to consider a number of treatments in
combination. For people who do not respond positively to therapy
and medication, and whose depression is severe and unrelenting,
electro-convulsive therapy (ECT) is an alternative treatment.
Physicians should review the costs and benefits of ECT, which
is far more effective than it was 20 years ago. However, many
patients who undergo ECT report memory losses that they find
distressing.
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