Description: Ok a pop-quiz! Name 5 treatment options for people diagnosed with clinical depression and then rank order them in terms of effectiveness. For a few extra points explain the mechanism by which your top three treatment actually effect symptoms of depression. Given the number of people who deal with depression and related issues each year it is not inconceivable that you may have these questions come up conversationally during your week to week activities. How did you do? Read the article linked below for an overview without a lot of data on these questions.
Source: What is the best way to treat depression? David Levine, Health Care/Patient Advice, US News.
Date: April 25, 2017
Photo Credit: Getty Images
So I hope it is clear that there no definitive answer to the questions that opening this post above. The best advice you can give people who ask about depression and treatments (especially if they may need some assistance) is to suggest that they (or help them to) connect with a medical/clinical professional with experience in treating and managing depression or who can make a referral to someone else with those skills. Did the treatment effectiveness findings surprise you? The bottom line is that anti-depressant medications are not the definitive or necessarily even a part of an effective treatment/movement strategy. What is best for each individual will vary with each individual and choices should be informed and made with support. Finally, note that no studies or data was or were directly discussed in the linked article, things we need to actually develop positions and suggestions (see the Read Further section for a few suggestions).
Questions for Discussion:
- Strictly speaking is depression “treatable”?
- What would you suggest someone talking with you about their depression issues and symptoms try as a first treatment? What would you need to know about the person to make a specific suggestion?
- What is the best way for people to proceed and obtain appropriate assistance in gearing up to deal with their feels of hopelessness and depression??
References (Read Further):
Linde, K., Rücker, G., Schneider, A., & Kriston, L. (2016). Questionable assumptions hampered interpretation of a network meta-analysis of primary care depression treatments. Journal of clinical epidemiology, 71, 86-96. https://www.researchgate.net/profile/Levente_Kriston/publication/283455407_Questionable_assumptions_hampered_interpretation_of_a_network_meta-analysis_of_primary_care_depression_treatments/links/56c71e4208ae03b93ddfbfc5.pdf
Simon, G., Ciechanowski, P., Roy-Byrne, P. P., & Solomon, D. (2016). Unipolar major depression in adults: Choosing initial treatment. http://www.uptodate.com/contents/unipolar-major-depression-in-adults-choosing-initial-treatment
Negt, P., Brakemeier, E. L., Michalak, J., Winter, L., Bleich, S., & Kahl, K. G. (2016). The treatment of chronic depression with cognitive behavioral analysis system of psychotherapy: a systematic review and meta‐analysis of randomized‐controlled clinical trials. Brain and behavior, 6(8). http://onlinelibrary.wiley.com/doi/10.1002/brb3.486/full
Cuijpers, P. (2016). Are all psychotherapies equally effective in the treatment of adult depression? The lack of statistical power of comparative outcome studies. Evidence Based Mental Health, ebmental-2016.