The treatment of depression, usually, it is done with remedies antidepressants, such as Fluoxetine or Paroxetine, for example, as well as sessions of psychotherapy with a psychologist. Also it is very important to complement treatment with alternative therapies and natural, such as leisure activities, walking outdoors, read, or do meditation, with the goal of increasing the well-being and sense of pleasure.
Any doctor can guide the treatment for depression, both by SUS or private, however, it is recommended that there be a follow up with the psychiatrist who is the medical specialist who can better evaluate your symptoms and indicate the best alternative. Therefore, in the presence of signs and symptoms that indicate sadness, persistent or lack of pleasure for everyday activities, it is very important to talk with the doctor. Check out the major symptoms that may indicate depression.
There is no exact time set for the treatment of depression, so some people get better in a few months, while others need to treat for years, for situations such as cause, severity and intensity of symptoms, as well as the possibility and willingness of the person to follow the treatment correctly have a lot of influence on each case.
When the remedies are indicated
The remedies antidepressants, such as Fluoxetine, Sertraline, Amitriptyline, Nortriptyline, Paroxetine or Citalopram, for example, are indicated for almost all cases of depression, especially mild cases, or severe. They are important because they help replenish important neurotransmitters in the brain that are missing in depression, such as Serotonin and Norepinephrine, which improve mood and well-being.
As there are several types of medications, the best for each case is indicated by the doctor according to the reactions they may cause. The effect of the medicine comes up after about 3 months of use, that should be every day and preferably at the same time, so that the effect is satisfactory.
The treatment time can also vary from person to person, ranging from around 6 months up to several years, as the improvement of depression happens in a very individual way. Understand more about antidepressants most commonly used and how to take.
Psychological treatment for depression
Psychotherapy helps to lessen the emotional difficulties, encouraging self-knowledge and the resolution of internal conflicts of the person. Only psychotherapy can be sufficient to treat cases of mild depression, but is also essential, even when it is a severe depression or the person is already using drugs, it helps to reorganize thoughts, feelings and sensations of joy.
Psychotherapy should be done by a psychologist or psychotherapist who evaluates the best type of approach to the needs of the person. For example, cognitive-behavioral therapy, or CBT, is one of the types of psychotherapy used to reduce the crises of anxiety or control the compulsive behavior or obsessive, which are common in OCD.
In spite of the use of medicines and psychotherapy are the main forms of depression treatment, other alternatives that can be indicated are:
1. Natural treatment
The natural treatment for depression helps to supplement the medical treatment, but not the one it replaces, including:
- Eat foods rich in omega 3: salmon, tuna, sardines, chia seeds or walnuts because the omega-3 acts in the brain, helping fight depression;
- Eat foods rich in vitamin B and D:such as chicken, turkey or egg, because it helps to eliminate mental and physical exhaustion;
- Drink tea of St. John’s wort or tea of white willow bark throughout the day:help calming down, increasing the feeling of well-being;
- Drink the juice of grape, apple and passion fruit: helps to calm, to combat the mental and physical exhaustion and depression. See how to make this juice: natural Solution for depression.
In addition to these tips, it is important that the patient do regular physical activity such as Pilates, hiking moderate, or swimming, because the exercise also stimulates the pleasure and well-being.
2. Alternative treatment
Alternative therapies such as acupuncture, yoga, Reiki and meditation are excellent forms of the auxiliary in the treatment of depression, they are able to provide relaxation and well-being, and may be helpful to combat the symptoms of depression.
In addition, leisure activities such as reading, painting, dancing or listening to music are recommended to relieve stress and anxiety.
3. Interactive program deprexis
An interactive program that can be accessed on phone, tablet or computer, and which is approved by ANVISA, it is also a treatment option against depression. This program consists of a self analysis of the symptoms presented and works in the following way:
- The person register and have access to, and then questions arise as to how you are feeling,
- Interactively, the person responds by choosing an option, and
- The program responds by offering solutions for everyday problems.
The interactive session in this application lasts approximately 30 minutes, and should be held up to 2 times per week.
To have access to the information of this program on depression, and be able to assess your symptoms and participate in their care, you should purchase the program and add the number of CRM from your doctor.
The online program Deprexis costs around 1 thousand reais and lasts 90 days, but does not exclude the need to take their medications and do psychotherapy, but this is a good help to complement the treatment of the depressive state.
This type of treatment is only indicated for very severe cases of depression, in which there was no improvement with other available treatments, and it consists in the realization of eletrochoques brain in a controlled and painless, which facilitate the reorganisation of brain activity.
In addition to electroconvulsive therapy, other modern therapies, such as transcranial magnetic stimulation and deep brain stimulation, are promising ways of treating depression difficult to improve.
Signs of improvement
The signs of improvement of depression usually arise, about 1 month after initiation of treatment and include the least like crying, greater optimism and greater willingness to perform the day to day activities, for example. However, the patient should not stop taking the medicine until the indication of the doctor, if you feel better, because the treatment should last at least a few months to 1 year or there may even be a worsening of the framework.
Signs of worsening
The signs of worsening of depression include an increased urge to cry, the sadness and lack of interest in life, for example, and arise, usually when the patient stops taking the medicines, without indication of the doctor because it already feels better, or in severe cases in which it is necessary to adjust the treatment.
It is important to remember that the desire or the planning of suicide are signs of serious depression, and indicate the need for hospitalization for medical monitoring over the next.