"The interaction of tyramine with MAOIs can bring on a hypertensive crisis, a sharp increase in blood pressure that can lead to a stroke."

 

Psychotherapies 

"ECT often is effective in cases where antidepressant medications do not provide sufficient relief of symptoms."

"For some men, dosage reductions or acquired tolerance to the medication reduce sexual dysfunction symptoms."

Psychotherapies

Psychotherapies


Several forms of psychotherapy, including some short term (10 20 weeks) therapies, can help people with depressive disorders. Two of the short term psychotherapies that research has shown to be effective for depression are cognitive behavioral therapy (CBT) and interpersonal therapy (IPT). Cognitive behavioral therapists help patients change the negative thinking and behavior patterns that contribute to, or result from, depression. Through verbal exchange with the therapist, as well as homework assignments between therapy sessions, CBT helps patients understand their depression and resolve problems related to it. Interpersonal therapists help patients work through disturbed personal relationships that may be contributing to or worsening their depression. Psychotherapy is offered by a variety of licensed mental health providers, including psychiatrists, psychologists, social workers, and mental health counselors.

For many depressed patients, especially those with moderate to severe depression, a combination of antidepressant medication and psychotherapy is the preferred approach to treatment. Some psychiatrists offer both types of intervention. Alternatively, two mental health professionals may collaborate in the treatment of a person with depression; for example, a psychiatrist or other physician, such as a family doctor, may prescribe medication while a nonmedical therapist provides ongoing psychotherapy.

Electroconvulsive Therapy


Electroconvulsive therapy (ECT) is another treatment option that may be particularly useful for individuals whose depression is severe or life threatening, or who cannot take antidepressant medication. ECT often is effective in cases where antidepressant medications do not provide sufficient relief of symptoms. The exact mechanisms by which ECT exerts its therapeutic effect are not yet known.

In recent years, ECT has much improved. Before treatment, which is done under brief anesthesia, patients are given a muscle relaxant. Electrodes are placed at precise locations on the head to deliver electrical impulses. The stimulation causes a brief (about 30 seconds) generalized seizure within the brain, which is necessary for therapeutic efficacy. The person receiving ECT does not consciously experience the electrical stimulus.

A typical course of ECT entails six to 12 treatments, administered at a rate of three times per week, on either an inpatient or outpatient basis. To sustain the response to ECT, continuation treatment, often in the form of antidepressant and/or mood stabilizer medication, must be instituted. Some individuals may require maintenance ECT (M ECT), which is delivered on an outpatient basis at a rate usually of one treatment weekly, tapered off to bi weekly to monthly for up to one year.

The most common side effects of ECT are confusion and memory loss for events surrounding the period of ECT treatment. The confusion and disorientation experienced upon awakening after ECT typically clear within an hour. More persistent memory problems are variable and can be minimized with the use of modern treatment techniques, such as application of both stimulus electrodes to the right side of the head (unilateral ECT). A recent study showed no adverse cognitive effects of M ECT after one year.

Since normal depression can improve over time and without therapy, a brief period of medication may not be of benefit.

Minor depression is a common disorder that may impair a person's functioning and quality of life and is a serious risk factor for major depression.

depression therapy must be based on spiritual knowledge
Depression can definitely destroy your life. In our modern rat race society more and more people suffer from it. Every sixth person suffering from severe depression commits suicide. I have read a lot of information about depression and related subjects. What really struck me was how helpless we are, when it comes to mental disorder and disease
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Other Depression Article Snippets:

Antidepressant Medication Side Effects

"Discontinuation of medications, as appropriate, should be done gradually over a period of 6 weeks or longer."

Men And Depression

"Cognitive/behavioral therapists help patients change the negative styles of thinking and behaving often associated with depression."

Antidepressant Medications

"We still do not know if depression is truly less common among men, or if men are just less likely than women to recognize, acknowledge, and seek help for depression."

Diagnostic Evaluation And Treatment

"Antianxiety drugs or sedatives are not antidepressants but they are sometimes prescribed along with antidepressants; however, they are not effective when taken alone for a depressive disorder."