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Depression Treatment

Depression icon
“If you know someone who’s depressed, please resolve never to ask them why. Depression isn’t a straightforward response to a bad situation; depression just is, like the weather."
Stephen Fry (1957 - ) - English actor, broadcaster, comedian, director, and writer, and living with Bipolar disorder

Anyone can get down from time to time with the usual ups and downs of life. However, if this becomes a persistent problem every day for two weeks or more then this may be a warning of clinical depression. 

Depression is not a sign of weakness. It can happen to the most determined of people. Many famous people, athletes, and celebrities have experienced depression.

Depression is the commonest mental illness affecting millions of people globally. It may be caused by genetic factors, childhood trauma, stressful life events or changes, bereavement or loss, alcohol or drug use, or physical health problems. 

Symptoms of depression can be physical, psychological, and social. Hence, its effective and timely treatment really needs to address all of these symptoms. 

 

Physical symptoms can include:

  • changes in eating or sleeping patterns;

  • lack of energy or loss of interest in sex, and

  • unexplained aches and pains.

 

Psychological symptoms can include:

  • constant low mood;

  • lack of enjoyment, and 

  • feelings of hopelessness and helplessness.

 

Social symptoms can include:

  • difficulties in work and home life;

  • losing interest in usual activities, and

  • avoiding social activities with friends.

 

Depression Facts

Depression can be mild, moderate, or severe depending on how many symptoms are present and how seriously it is impacting daily life. 

About 6% of the population meets the clinical criteria for depression or dysthymia (low-grade depression for more than 2 years) at any one time.

Overall prevalence appears to be rising with a lifetime prevalence of 10-20%.  

At least 50% will also have anxiety problems.​

Depression increases death from natural causes by 1.7 times, and from suicide by 19.7 times.

Alcohol and illicit substance misuse, e.g. cocaine, and heroin, can cause and worsen depression.

Safe and Effective Depression Treatment

For people suffering from moderate or severe depression, NICE recommends a combination of antidepressant medication and a high-intensity psychological intervention for effective treatment, long-term recovery, and relapse prevention.

Many of our patients have successfully recovered from depression after having psychotherapy such as CBT or Human Givens Therapy, social therapy, and antidepressant medication in moderate to severe cases. Without regular medication for 6 months in moderate or severe depression, 50% of patients will have a further episode within 2 years.

If you think you may be suffering from depression then talk to your GP or contact our team for specialist help and depression treatment.

Chisholm, D, Diehr, P, Knapp, M, Patrick, D, Treglia, M & Simon, G (2003). Depression status, medical comorbidity and resource costs. Longitudinal Investigation of Depression Outcomes (LIDO) study in primary care. The British Journal of Psychiatry, 183: 121-131.

Fombonne, E (1994). Increased rates of depression: update of epidemiological findings and analytical problems. Acta Psychiatrica Scandinavica, 90(3): 145-156.

Gelder, Harrison & Cowen (2006). Shorter Oxford Textbook of Psychiatry, 5th edition, Oxford University Press.Gelder, Lopez-Ibor & Andreasen (2000). New Oxford Textbook of Psychiatry, 1st edition, Oxford University Press.Keller, M B, Lavori P W, Mueller T I, Endicott J, Coryell W, Hirschfield R M A & Shea T (1992). Time to recovery, chronicity, and levels of psychopathology in major depression: a 5 year prospective follow-up of 431 subjects. Arch Gen Psychiatry,49(10): 809-816.

Kessler, R C, McGonagle, K A, Zhao S, Nelson, C B, Hughes, M, Eshkeman, S, Wittchen, H-U & Kendler, K S (1994). Lifetime and 12-month Prevalence of DSM-III-R Psychiatric Disorders in the United States Results from National Comorbidity Survey. Arch Gen Psychiatry, 51(1): 8-19.

https://www.nice.org.uk/guidance/cg90/chapter/Recommendations#step-1-recognition-assessment-and-initial-management

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