Assessment of Depression
There are many easily accessible screening tools for depression. Some of the best are simple questionnaires that patients can fill in themselves. Doctors use operationally defined criteria such as those in ICD-10
.Depression is usually diagnosed by a doctor or psychiatrist
after a review of the patient`s symptoms and a general health assessment. Occasionally physical reasons can be found such as metabolic, hormonal or infective causes. Commonly symptoms occur with no clear medical illness. For patients where a physical cause is suspected, or where the condition does not respond to treatment, blood tests, urine and saliva tests and occasionally brain imaging are necessary.
Depression Treatment Depression treatment
can be divided into three broad areas: biological treatments, psychological treatments, and social or lifestyle interventions. Treatment for depression is also divided into short term treatment, or acute phase treatment, and long term treatment, also known as continuation and then maintenance treatment. Following a recovery from depression is a period in which patients have a high risk of relapse. They often require ongoing treatment to sustain their recovery.Biological treatment
refers mainly to psychiatric medication such as antidepressant therapy
. The names of the most common antidepressants are probably familiar, but there is a wide range of medications with antidepressant effects. They differ significantly in their side effect profile and tolerability. This means there is a lot of choice those seeking treatment. In fact, research studies like STAR*D demonstrated the importance of finding the right antidepressant medication for each person.Psychological treatment
includes familiar approaches such as counseling and psychotherapy as well as new evidence-based therapies such as cognitive behavioral therapy and interpersonal therapy. Most psychodynamic psychotherapy is based upon the work of famous 19th century and early 20th century figures such as Freud, Jung, and Adler. The counselling movement is strongly linked to the work of Carl Rogers and his model of client-centred counseling. Cognitive therapy grew out of behavioural therapy from the 1960s and the cognitive revolution that followed. Many recently-developed psychological treatments such as Acceptance and Commitment Therapy and Mindfulness Based Cognitive Therapy have included and integrated ideas of acceptance and mindfulness.Social or lifestyle intervention
refers to strategies such as exercise programs, breathing exercises, meditation, healthy eating, addressing lifestyle factors such as alcohol use, and social issues such as employment problems, carer stress, and financial debt.