Depression: Ongoing care

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Depression: Ongoing care

Key points

People who have experienced a major depressive episode are at risk of further episodes.
Relapse prevention plans address risk factors and document coping strategies.
Returning to work or school is an important component of an ongoing care plan.

Relapse prevention

People who have experienced a major depressive episode are at risk of more episodes. They can use periods of wellness to engage in relapse prevention. Depression, like conditions such as diabetes, requires careful monitoring. Catching the early warnings of a possible relapse can help to prevent a full depressive episode.

Work with the client to develop a relapse prevention plan to maintain psychological wellness. The plan should outline how the client will:

recognize and attend to early warning signs of a possible episode
identify potential triggers
cope with stressful situations
make lifestyle changes
create a regular routine.

Employment

People with depression may not need to take time off work.
Engaging in work can have various benefits for people with depression. It provides regular social interaction, routine and a sense of accomplishment.
Working can also present risks for people with depression. It can increase the potential for workplace accidents and conflict with other employees, as well as reduced productivity. Clients and clinicians need to discuss a work plan that balances the benefits and risks.
Clients can use cognitive techniques and self-management to manage work-related stress.