Severe depression, also known as clinical depression, is a critical mental illness. The primary and most crucial decision the psychologist or doctor must make is whether to hospitalize a patient for severe depression treatment. Clear indications for inpatient major depressive disorder treatment are:
- Risk of suicide or homicide
- Grossly reduced capacity to care for self in parts of food, shelter, and clothing
- The require for medical analysis procedures
A patient with mild to moderate depression can obtain depression treatment in the therapist’s or doctor’s office. The patient’s help system (family members, relatives, close friends) should be focused and involved in depression treatment every time possible.
Antidepressants for Severe Depression Treatment
Scientific studies have demostrated antidepressant treatment for Severe depression can dramatically decrease suicide and hospitalization rates. Unfortunately, only a few suicide victims acquire antidepressants in adequate doses, and/even worse/most obtain no clinical depression treatment whatsoever.
One of the most significant difficulties with antidepressant treatment is a lot of patients do not stay on their antidepressant medication long enough for it to be efficient. A recent analysis discovered only 25% of patients started on antidepressants by their family physician stayed on it longer than 30 days. Antidepressant treatment of major depressive disorder generally takes 2-4 weeks before any significant progress appears (and 2-6 months before maximum progress appears).
Psychotherapy for Severe Depression Treatment
Generally, psychiatrists consent severely depressed patients do best with a combination of antidepressant medications together with psychotherapy. Medications cure the symptoms of depression relatively quickly, while psychotherapy can support the patient deal with the sickness and ease some of the possible stresses that can induce or exacerbate the illness.
Psychotherapy for severe depression treatment is based on the principle human behavior is identified by one’s past experience (particularly in the child years), genetic endowment and present life activities. It identifies the important effects of the emotions, unconscious conflicts and drives on human behavior.
The National Institute of Mental Health (NIMH) analyzed interpersonal therapy for severe depression treatment as probably the most promising types of psychotherapy in severe depression treatment. Interpersonal therapy is a quick-term psychotherapy, generally consisting of 12-16 regular sessions. It was designed especially for the treatment of severe depression and concentrates on correcting existing social dysfunction. Unlike psychoanalytic psychotherapy, it does not address subconscious phenomena, for example defense mechanisms or internal conflicts. Instead, interpersonal therapy centers principally on the “here-and-now” elements that directly interfere with social interactions.
There may be some evidence in managed studies that interpersonal therapy as a single agent is effective in reducing symptoms in extremely depressed patients of mild to modest severity.
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