Tumblelog by Soup.io
Newer posts are loading.
You are at the newest post.
Click here to check if anything new just came in.

March 23 2015


Depression usually occur in phases, ie, they are limited in time and quite often sound from even without treatment. A depressive episode ("Episode") takes an average of six to eight months if it is not treated. major depressive disorder treatments

The course of a depressive disorder differs considerably from patient to patient. A depressive disorder can be completely cured generally in most 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 certainly not as pronounced as in a classical depression, but constantly (over 2 yrs) remain. major depression treatments without medication

In despression symptoms there is a high probability that they do not remain an illness episode. Over fifty percent of patients develop disease after having a first depressive episode to a new. The likelihood of developing again increases after two disease at 70 percent, and after the third episode even at 90 %.

A detailed ("differential diagnostic") is essential conversation: Beyond the assessment of the current complaints is obviously a collection of all mental patient discomfort over its entire lifetime required. Furthermore, can the therapist living and ancestors and family history and current stresses and problems portray.

The seriousness of depression is measured with the number, intensity and excellence of depressive symptoms. Clinical diagnostic interviews, z. B. CIDI (Composite International Diagnostic Interview) or DIPS (Diagnostic interview for psychiatric disorders), ask the diagnostic criteria based on the classification of the World Health Organization from (ICD-10). Standardized questionnaires and external assessment scales help assess the severity of the illness. Here are the right choice PHQ-D (Patient Health Questionnaire depression), BDI (Beck Depression Inventory) or HDRS (Hamilton Depression Rating Scale). Before initiation of therapy, careful and neurological examination to eliminate physical causes is useful, as such, for example, metabolic disorders (eg. As diabetes), or certain medications (antihypertensives, steroid hormones) could be physical causes of depressive symptoms.

Counsel for the treatment rely on whether a depression occurs for the first time or repeated and just how hard the patient's disease. Treatment must be based on the recommendations which are in the National Care Guideline "Unipolar Depression".

Its not all depression needs to be treated immediately with psychotherapy or medications:

 In mild despression symptoms, the patient may first seek advice and guidance, as he is better at working with depressed emotional states. However, this is the differential diagnostic investigation, which excludes a serious course of the disease. If within a couple weeks without improvement, specific treatment needs to be agreed with the patient. In this case, psychotherapy is preferable to a pharmaceutical Kobe plot.
 In moderate despression symptoms the patient psychotherapy or treatment with drugs ought to be offered as treatment alternatives.
 In severe and chronic major depression, 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 use of a depressive illness can be significantly reduced by treatment - about 16 weeks. Effective treatments lessen the relapse rate significantly. A specific strength of psychotherapy could it be acts consistently and long run, particularly if it continues despite resolution of acute symptoms as maintenance therapy. The recurrence rate could be significantly reduced via a psychotherapeutic treatment. Patients having an increased risk of relapse, z. B. if depression just isn't completely subsides, a longer-term stabilizing psychotherapy is suggested. Antidepressants reduce the risk of relapse. You should also be taken after complete disappearance of depressive symptoms on. The use of intake depends especially on the specific probability of relapse of patients.

Don't be the product, buy the product!