
Webmd.com
1. Get in a routine...setting a gentle daily schedule can help you get back on track...
2. Exercise...regular exercise seems to encourage the brain to rewire itself in positive ways, cook says...
3. Get enough sleep...
4. Take on responsibilities...
5. Challenge negative thoughts...
6. Check with your doctor before using supplements...
Learn More...Healthline.com
1. St. johns wort...taking st. johns wort has been linked with increasing the amount of serotonin in the body...
2. Omega-3 fatty acids...its ideal to get a higher ratio of dha to epa, which are both types of omega-3 fatty acids...
3. Saffron...
4. SAM-e...
5. Folate...
6. Zinc...
Learn More...Top10homeremedies.com
1. St. johns wort...it has chemical constituents like hypericin and hyperforin that work like antidepressants...
2. Cardamom...help detoxify the body and rejuvenate the cells...
3. Nutmeg...helps stimulate your brain, eliminate fatigue and stress...
4. Saffron...
5. Cashews...
6. Fish Oil...
7. Apples...
Learn More...What is the goal of acute phase treatment for major depression?
The goal of acute phase treatment is to induce remission. For patients with severe major depression, evidence supports either pharmacotherapy alone, or the combination of pharmacotherapy and psychotherapy. There is insufficient evidence that psychotherapy alone is effective for severe depression.
What are the two phases of the treatment of depression?
The treatment of depression consists of two phases: acute and maintenance. Table 1 summarizes the duration, objectives, and activities of each phase. There is increasing recognition of the importance of achieving full remission of symptoms and returning to baseline psychosocial function.
What is acute depression?
Acute depression: treatment and nursing strategies for this affective disorder Depression is a major affective disorder characterized by feelings of loss, worthlessness, fatigue, and a general decrease in interest in the usual activities of daily living.
What is the acute phase of treatment for bipolar disorder?
In the acute phase of treatment, if after 4 – 8 weeks there is not a moderate improvement in baseline symptoms in the acute phase, then a reassessment of the diagnosis, medication regimen and / or psychotherapy, adherence, substance or alcohol use is in order.

What is acute treatment of depression?
Acute Phase Treatment: Mild to Moderate. For patients with mild to moderate major depression, the initial treatment modalities may include pharmacotherapy alone, psychotherapy alone, or the combination of medical management and psychotherapy.
What is the acute treatment phase?
The acute phase involves stabilization of acute symptoms and usually lasts 2 to 3 months. The purpose of the continuation phase is to prevent a relapse, and involves continuing medication for an additional 3 or 4 months.
What is the best form of treatment for depression?
Many experts agree that a combination of antidepressant medication and psychotherapy is the best treatment for severe clinical depression.
What are the three treatments for depression?
There are many types of therapy available. Three of the more common methods used in depression treatment include cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. Often, a blended approach is used.
What is the acute stage?
Acute: Early onset of symptoms, the maturation phase has not begun. They are generally in the inflammatory or fibroblastic stage of healing, maybe early maturation.
What are the three stages of depression?
Getting to Know the Stages of DepressionStage 1: Origin. Depression can have countless origins, depending on the individual situation. ... Stage 2: Establishment. ... Stage 3: Lack of Interest in Activities You Once Loved. ... Stage 4: Lack of Interest or Abandonment of Obligatory Activities.
What is the latest treatment for depression?
On March 5, 2019, the Food and Drug Administration (FDA) approved the first new medication for major depression in decades. The drug is a nasal spray called esketamine, derived from ketamine—an anesthetic that has made waves for its surprising antidepressant effect.
Is depression cured completely?
There's no cure for depression, but there are lots of effective treatments. People can recover from depression and live long and healthy lives.
Is depression a treatable condition?
Depression is among the most treatable of mental disorders. Between 80% and 90% percent of people with depression eventually respond well to treatment. Almost all patients gain some relief from their symptoms.
How long does depression treatment?
Severe depression can last 6 months or longer. Depending on the severity of your symptoms, your healthcare provider may recommend a combination of therapies to help treat your depression.
What is the first line of treatment for depression?
If the depressive episodes have a seasonal pattern (recurrent autumn/winter onset with spring/summer remission), light therapy is the first-line treatment. Antidepressants, including SSRIs (e.g., fluoxetine, sertraline) and moclobemide, are also effective.
How can primary care physicians optimize their treatment of patients with depression?
By applying basic principles for treatment, primary care physicians can optimize their treatment of patients with depression. Psychoeducation and a strong therapeutic alliance play major roles in enhancing adherence to treatment.
What is the cause of depression?
Depression is a medical disorder with serious consequences. The cause of depression is multifactorial , including biological/genetic factors (chemical imbalance in the brain), psychological experiences, and social and economic stressors. Effective treatment is available with medications and/or psychotherapies.
What is MDD in health care?
A+ A-. Introduction. Major depressive disorder (MDD) is a common problem in the primary health care setting. The recognition of depression requires a high index of suspicion, as depression can masquerade as many different problems.
What are the goals of treatment?
The goals of treatment are to achieve remission of symptoms, improve quality of life, and prevent relapse/recurrence.
Do antidepressants have clinically significant differences?
Most systematic reviews have not shown any clinically significant differences in efficacy among antidepressants, but there are some clinical factors that are important to consider when choosing a medication. Previous response to treatment. Previous response to an antidepressant highly predicts future response.
Does family history help with antidepressants?
Family history. Contrary to popular belief, there is no evidence that response of a family member to an antidepressant predicts a patient’s response to that medication. However, information about treatment in the family can help strengthen the therapeutic alliance.
What is the treatment for depression?
Depression may be treated with antidepressant psychotropic medications (tricyclics and MAO inhibitors), lithium carbonate (for bipolar disorder), electroconvulsive therapy, and a variety of psychotherapies. Careful monitoring of the drugs via blood level values must be ongoing.
What are the subclassifications of depression?
According to the DSM III, the major subclassifications related to depression are major depression and bipolar disorder. An integrated causation theory is useful in describing the etiology of this disorder. Generally, signs and symptoms involve changes in affect, cognition, behavior, and physical functioning.
What is depression in the US?
Depression is a major affective disorder characterized by feelings of loss, worthlessness, fatigue, and a general decrease in interest in the usual activities of daily living. This complex disorder is the most common mental health problem in the United States, more common in women, adults over 60 ye ….
What is the acute phase of bipolar treatment?
Acute Phase of Bipolar Treatment. Medications used in treating an acute manic episode and acute depression associated with bipolar disorder.
How long does it take for an antidepressant to work?
Antidepressants usually take several weeks to show effects. Although the first antidepressant tried will work for the majority of patients, it is common for patients to go through 2 or 3 trials of antidepressants before finding one that is fully effective and doesn't cause troublesome side effects.
What is the first line of medication for manic episodes?
The first-line drugs for treating a manic episode during the acute phase are lithium and valproate. In choosing between these 2 medications, your doctor will consider your treatment history (whether either of these medicines has worked well for you in the past), the subtype of bipolar disorder you have (e.g., whether you have rapidcycling bipolar disorder), your current mood state (euphoric or mixed mania), and the particular side effects that you are most concerned about.
How long does it take for mood stabilizers to work?
It can take a few weeks for a good response to occur with mood stabilizers. However, it is often helpful to combine mood stabilizers with other medications that provide immediate, short-term relief from the insomnia, anxiety, and agitation that often occur during a manic episode.
Can you take antidepressants with bipolar?
It is dangerous to give antidepressants alone in bipolar disorder, because they can trigger an increase in cycling or cause the person's mood to "overshoot" and switch from depression to hypomania or mania. For this reason, antidepressants are always given in combination with a mood stabilizer in bipolar disorder.
Can you take a sedative for a long time?
However, some individuals need to continue taking a sedative for a longer period to control certain symptoms such as insomnia or anxiety. Longer-term treatment with an antipsychotic is sometimes needed to prevent relapse.
Does lithium help with depression?
If depression persists despite use of an antidepressant with a mood stabilizer, adding lithium (if not already in use) or changing the mood stabilizer might help. Lamotrigine, in particular, may be helpful in depression.
What does acute mean in depression?
Acute means “short-term,” but it can also mean “severe.”. In a depression context, it usually refers to feelings of depression that last for a couple of weeks that usually has an identifiable emotional cause and may or may not have an identifiable physical cause. Source: rawpixel.com.
What is a depressive episode?
If you’ve heard the term “depressive episode” before reading this article, it was probably in the context of bipolar disorder. People who have bipolar disorder – previously called “manic-depressive disorder” or “manic depression” – experience mood shifts between depression and “mania” or “manic episodes.”
What is premenstrual depression?
Premenstrual depression and premenstrual dysphoric disorder is a great example of acute depression that recurs as the result of an ongoing event. This condition experienced by some women leads to depressive episodes lasting anywhere from a few days to almost three weeks every month. It is caused by changing hormones during the menstrual cycle.
Why is depression considered chronic?
Because some kinds of depression are caused by imbalanced brain chemicals, these conditions are usually chronic. While some of the things that you can do to combat acute depression (we’ll get there in a moment) can help with chronic depression, most treatments for these conditions involve prescriptions.
What is chronic vs acute?
Before we bring in depression at all, let’s make sure that we understand the terms “chronic” and “acute.”. Chronic means “ongoing” or “live long.”. In a depression context, it refers to a lasting feeling of depression that may or may not have an identifiable emotional cause but may have an identifiable physical cause.
What causes chronic depression?
Chronic depression is usually caused by imbalances of brain chemicals called neurotransmitters.
Why do older people have depression?
Age: Elderly people are more likely to develop types of depression due to isolation, health conditions, and more. Chronic health conditions: Conditions such as heart disease, diabetes, cancer, and chronic pain all increase your risk of certain types of depression and other mental illness.
What is persistent depressive disorder?
Persistent Depression: Persistent depressive disorder can also be called to dysthymia or chronic depression. Persistent depression is a depression that lasts for two or more years. Several people with a longer time persistent depression may feel, over time, that the condition is part of their normal living.
How long does it take for depression to manifest?
When these feelings or some other basic symptoms of depression consistently occur for two weeks or more at several intervals within a year, it's diagnosed as a major depressive disorder. In its worst form, depression leads to suicidal thoughts, and some people even go on to develop psychosis.
What is the name of the disorder that is characterized by depressive episodes of low moods?
Manic depression or bipolar disorder is characterized by depressive episodes of low moods (one of the symptoms of major depression). Manic depression as one of the types of depression may affect your mental health through symptoms such as moderate or high-irritable or euphoric moods.
How many people are affected by depression?
According to the World Health Organization (WHO), an estimation of more than 264 million people of all ages was confirmed to be suffering from depression worldwide. Also, the Anxiety and Depression Association of Americashowed that there are 322 million people in the world living with depression.
What are the two most common types of depression?
Out of these listed types of depression, two of them are considered to be the most common types of mood disorders. These two common types of depression include: Major Depression: Major depressive disorder basically refers to a type of depression characterized by depression symptoms that may last for most of the day.
Why is seasonal depression called seasonal affective disorder?
It is called seasonal depression because it is associated with the seasons. Naturally, the seasonal affective disorder starts in the months of winter and goes away during summer and spring. Seasonal depression has symptoms such as dissociation, increased sleep, and weight gain.
How does depression start?
Depressions can start in many ways. Sometimes, it can start with feelings of sadness after the death of a loved one. Sometimes health conditions can be the first problem that leads to depression. Other times, the stress of day to day living can also put someone at an increased risk of depression.

Acute Phase Treatment: Mild to Moderate
- For patients with mild to moderate major depression, the initial treatment modalities may include pharmacotherapy alone, psychotherapy alone, or the combination of medical management and psychotherapy. Antidepressant medications can be used as initial treatment modality by patient…
Continuation Phase Treatment
- Patients who have been treated with antidepressant medications in the acute phase should be maintained with this regimen to prevent relapse. This “continuation phase” should last for 16 – 20 weeks after remission. “Psychiatric management” should continue in this phase. The American Psychiatric Association recommends the medication doses used in the acute phase be maintain…
Maintenance Phase Treatment
- Between 50 – 85% of patients with a single major depressive episode will have another episode. Maintenance phase treatment is designed to prevent recurrence. Issues to consider in using maintenance phase treatment are severity of episodes (e.g., suicidal ideation or attempts, psychotic symptoms, functional impairment); risk of recurrence (e.g., residual symptoms betwe…
Discontinuation of Active Treatment
- The factors to discontinue treatment are based on the same considerations in deciding on using maintenance phase therapy: frequency and severity of recurrent episodes, dysthymic symptoms between episodes, the presence of other psychiatric disorders, the presence of chronic general medical disorders, or patient preference. If maintenance pharmacotherapy is discontinued, it is r…