Treatment and Prevention
Most types of depression respond to either an antidepressant medication
or psychotherapy. Sometimes people with depression are unaware that medications
can help them, or they are at first hesitant to take antidepressant medications
to manage their condition. However there are many different medications available
today to help treat depression. You and your doctor can work together to decide
what medication is best for you.
Medications used to treat depression begin to work after 2 to 4 weeks of treatment,
although improvements in some symptoms may be seen within the first few weeks.
In some situations, more than one medication will need to be tried until the
most appropriate one is found for an individual. All medications, including
antidepressants, can have side effects. Your doctor and pharmacist should explain
common side effects to you and help you to manage them should they occur.
Herbals: Studies have shown that St. John's Wort is not effective for
people with clinical (major) depression. Although people with mild symptoms
may receive some benefit from it, you should talk to your doctor and pharmacist
before taking any herbals or over-the-counter medications. Keep in mind that
some herbal medications may interact with prescription or over-the-counter medications.
Psychotherapy can be an important part of managing depression. Psychiatrists,
psychologists, and some family doctors are trained to help people recognize
and overcome the kind of thinking that causes depression. Support groups, friends,
and family can also help.
Other treatments:
In more severe cases, electroconvulsive therapy (ECT) is used but is generally
reserved for those who do not respond to medications.
Light therapy (or "phototherapy," which involves controlled exposure
to artificial sunlight) can help some people overcome symptoms associated with
seasonal affective disorder.
Physical activity and sports can improve depression by helping to relieve anxiety,
increase appetite, aid sleep, and improve mood and self-esteem. Exercise also
increases the body's production of endorphins, a natural mood-elevating hormone.
An active lifestyle, supportive family and friends, and a positive outlook can
go a long way in coping with depression.