Treatment of depression:
First, the goal of treatment
Treatment of depressive episodes should achieve three goals:
1, the key to improve the clinical cure rate and minimize the disability rate and suicide rate is to completely eliminate clinical symptoms;
2. Improve the quality of life and restore social functions;
3. Prevent recurrence.
Second, the principle of treatment
1, individualized treatment;
2. The dosage should be gradually increased, and the minimum effective dosage should be used as far as possible to minimize adverse reactions and improve medication compliance;
3. Sufficient and complete course of treatment;
4. Try to use a single drug as much as possible. If the curative effect is not good, you can consider switching treatment, synergistic treatment or combined treatment, but you need to pay attention to drug interaction;
5. Inform before treatment;
6. During the treatment, closely observe the changes of illness and adverse reactions and handle them in time;
7, can be combined with psychotherapy to increase the curative effect;
8. Actively treat other physical diseases, substance dependence and anxiety related to depression.
Third, medication.
Drug therapy is the main treatment for moderate or above depressive episodes.
At present, the main clinical first-line antidepressants are selective serotonin reuptake inhibitors (SSRI, representing drugs fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram and escitalopram);
Serotonin and norepinephrine reuptake inhibitors (SNRI, representing drugs venlafaxine and duloxetine), norepinephrine and specific serotonin antidepressants (NaSSA, representing drugs mirtazapine), etc.
Traditional tricyclic and tetracyclic antidepressants and monoamine oxidase inhibitors have been significantly reduced in application because of their large adverse reactions.
Fourth, psychotherapy.
For depressive patients with obvious psychosocial factors, psychotherapy is often combined with medication. Commonly used psychotherapy methods include supportive psychotherapy, cognitive behavioral therapy, interpersonal therapy, marriage and family therapy, psychodynamic therapy and so on. Among them, the effect of cognitive behavioral therapy on depression has been recognized.
Five, physical therapy
In recent years, a new physical therapy-repetitive transcranial magnetic stimulation (rTMS) therapy has emerged, which is mainly suitable for mild to moderate depressive episodes.
Extended data:
Self-treatment of depression:
The National Institute of Mental Health of the United States proposed several self-treatment measures for patients with depression:
1, don't set some difficult goals for yourself, know your illness correctly, don't hold too many positions, and don't do everything.
Do what you can, don't "bravado", lest you can't finish your work and lose heart.
Contact and associate with people as much as possible, not alone.
Try to do some light physical exercise and watch movies and TV. You can participate in social activities, such as visiting and visiting. But not too much.
5, don't worry about your illness, treatment takes time.
6. Patients should not make major decisions, such as changing jobs, getting married or getting divorced, before consulting people who know their actual situation very well.
7. Write down your feelings, analyze the negative performance, and then try to get rid of it.
People's Network-Will Depression See a Psychological Counselor? Citizen: If the charge is high, the effect will be average.
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People's Network-With depression, don't be afraid to see a doctor.