Average (0 Rates)
Sign in to rate!
Click here to see the meta data of this asset.

Depression: Treatment

Key points

  • Consider client preference, symptom severity, onset triggers and previous treatment outcomes when choosing treatment options.
  • For mild and moderate cases of depression, evidence-based psychotherapy is as effective as medication.
  • Consider recommending that your client increase exercise and other activity, in addition to undergoing psychosocical treatment and psychopharmacology.

Mild and moderate symptoms

Initial treatments for people with mild or moderate symptoms of depression include:

  • psychoeducation
  • supported self-management
  • print and multimedia support materials
  • support from a health care professional (face-to-face or telephone)
  • exercise and activity
  • light therapy (exposure to bright light using a fluorescent light box) for seasonal affective disorder (recurrent winter depressive episodes).

No response to low-intensity treatments

Treatment options for people whose depression does not ease with low-intensity treatments should consider:

  • client preference
  • length of the episode and whether the symptoms are increasing in severity
  • history of depression episodes
  • co-occurring physical health problems.

Psychotherapy options

  • cognitive-behavioural therapy (CBT): 12–16 weekly sessions
  • interpersonal therapy: 14–16 weekly sessions
  • problem-solving therapy: 4–6 weekly sessions

Watch a mock CBT scenario with a physician and a mother who is depressed.

Watch a mock problem-solving therapy session.


Antidepressant medications

When discussing the choice of antidepressant with clients, cover:

  • probability and nature of side-effects
  • client's history, including the person's experience of efficacy and tolerability of any antidepressant medication
  • potential interactions with other medications
  • potential effects on co-occurring illnesses.

Download the client handout Understanding Psychiatric Medications: Antidepressants.

The newer antidepressants (selective serotonin reuptake inhibitors [SSRIs], bupropion, mirtazapine and venlafaxine) are first-line medications that offer improved tolerability and safety than tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs).

Maintenance treatment

The goal of maintenance treatment is prevention of relapse and recurrence.

  • Most people who take antidepressants should continue to take them for at least four to six months after they achieve remission.
  • People with risk factors (chronic, recurrent, severe or difficult-to-treat depressive episodes) should continue on antidepressants for at least two years. Some people will require treatment for the rest of lives.

Stopping medications

When stopping medications, gradually taper doses (e.g., at least one week for each dose reduction) whenever possible. Caution clients about, and monitor for, discontinuation symptoms (which are usually mild and transient).

No response to treatment

When the person does not respond to treatment, consider these options:

  • Check the diagnosis. Look for bipolar disorder, co-occurring physical or mental health problems or addiction issues.
  • Reassess management of side-effects.
  • Add psychotherapy.
  • Switch to another antidepressant.
  • Add an augmenting agent (e.g., lithium, a typical antipsychotic agent).
  • Combine with another antidepressant in a different class. Watch for drug-drug interactions and/or increased side-effects.

Evidence summary

Kennedy, S.H., Lam, R.W., Parikh, S.V., Patten, S.B. & Ravindran, A.V. (2009). Canadian Network for Mood and Anxiety Treatments (CANMAT) Clinical Guidelines for the Management of Major Depressive Disorder in AdultsJournal of Affective Disorders, 117(Suppl. 1). S44–53.

Lam, R.W. (2011). In D. Goldbloom & J. Davine (Eds.), Psychiatry in Primary Care: A Concise Canadian Pocket Guide (pp. 13–26). Toronto, ON: Centre for Addiction and Mental Health.

National Institute for Health and Care Excellence. (2009). Depression in Adults: The Treatment and Management of Depression in Adults (Clinical Guideline 90). London, UK: Author.

Sign in to comment!
Many many thanks for such impressive article if you were the windows 10 user then just from our website learn that where is my documents folder desktop windows 10 operating system which you will get it online in few steps.
Posted on 15/01/19 2:55 AM.
Treatment and configuration of the disorders is done for the fulfillment of the goals for the humans. The visits of the https://www.australian-writings.org are heavily engrossed for the candidates. The concept of the disorder is opened for the concerned and affected souls.
Posted on 21/01/19 8:57 AM.
Hey thanks for such informative article if you were the windows 10 user then from our website switching users windows 10 get the tutorial that helps you to related problem windows 10.
Posted on 27/01/19 4:08 AM.
nice to have this free Nintendo Eshop Code generator,which generates free gems,coins etc
thanks for sharing
<a href="https://c-s-f.org/">wii u eshop codes</a>
Posted on 20/02/19 12:51 AM.
good one
most informative post
Posted on 20/02/19 12:53 AM.
Posted on 11/03/19 5:19 AM.
<a href="https://www.wikipedia.org/">great</a>
Posted on 15/03/19 1:41 PM.
Posted on 24/04/19 10:15 AM.
Posted on 24/04/19 10:16 AM.
Posted on 24/04/19 10:18 AM.
I simply checked all the key focuses which cause dietary problems in children, children, and grown-ups. I have further dive into children rest issue over an exhaustive article. It sounds codess-reunion.org to peruse the investigation about various disarranges here.
Posted on 27/04/19 1:07 PM.
<a href="https://upserslogin.club/">upsers.com</a>
Posted on 02/05/19 11:35 AM.
Very useful information particularly the last part, I care for such info a lot. I was seeking this certain info for a long time. Thank you and good luck.
run 3
Posted on 27/05/19 3:16 AM.
The Chinese buffet near me now is excellent for as it is cooked <a href="https://chinesebuffetnearmenow.net/chinese-takeout-near-me-foods/">chinese takeout near me foods</a> upgrade the medical advantages,
for example, long life, recuperating forces, and therapeutic esteem.
It requires decent learning and experience to set up the Oriental food.
Posted on 05/07/19 7:16 AM.
Depression is a disease of fear that more and more people have cloud backup
Posted on 09/07/19 10:32 PM.
Consider cheap hotels near me with kitchens client preference, symptom severity, onset triggers and previous treatment outcomes when choosing treatment options.
Posted on 10/07/19 5:49 AM.
Posted on 30/07/19 1:29 AM.
Your article content is being very much interested, I am very impressed with your post. I hope to receive more great posts. atari breakout
Posted on 18/09/19 3:34 AM.
Great posts! I am actually getting ready to across this information, is very helpful my friend. vex 4
Posted on 26/09/19 4:23 AM.
Posted on 16/10/19 6:31 AM.