Treating Depression

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More than twenty-five percent of American adults have received therapy for a mental health problem. If you're interested in seeking counseling of your own, you may have questions. Should you choose a psychologist or a psychiatrist?

Description:   There are many ways of treating depression, ranging from talk therapy to taking antidepressants like Prozac and Lexapro. Here are the various ways a psychiatrist may help you to treat the condition.

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Expert: Dr. Matthew Erdelyi Bio
Last Updated: 2012-04-16 05:21:05

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[x]   Transcript: Depression can be treated effectively with both therapy and antidepressants, but it is important to rule out organic causes, like viral infection, before commencing treatment. The first treatment step is an evaluation to determine the severity of the depression and to assess contributing factors like genetics and substance abuse. Depending on the outcome of this evaluation, psychotherapy, antidepressants, or a combination of the two may be prescribed as treatment. Because depression is often a neuro-chemical phenomenon, antidepressants can be extremely helpful to many patients. Antidepressants correct imbalances in the levels of neurotransmitters like serotonin and norepinephrine. Most antidepressants fall into one of three categories: selective serotonin reuptake inhibitors (SSRIs), tricyclics, or monoamine oxidase inhibitors (MAOIs). Prozac, Paxil, and Wellbutrin are the most commonly prescribed SSRIs, and typically have few side effects. Tricyclics and MAOIs have more side effects than SSRIs, but can be more effective for some patients. However, when someone is taking MAOIs they need to avoid eating cheese, tofu and drinking beer and certain wines. It can take time for antidepressants to become effective-sometimes up to 8 weeks - so it's important to continue taking medications for as long as they are prescribed. Antidepressants aren't habit-forming, but often need to be stopped gradually to give the body time to adjust. It's never a good idea to stop your medication or change the dosage without consulting your doctor. Herbal remedies like St. John's Wort have been used for centuries to treat depression. Research has shown antidepressants to be more effective than St. John's Wort, though it is still considered by some to be effective for treating mild depression. People who do have a mild form of depression may see significant improvement with just psychotherapy. But even when antidepressants are also used, integrating psychotherapy into the treatment can provide lasting benefits. When successful, psychotherapy can actually bring about physical changes in the brain - in other words, effective therapy has a healing power that is emotional, but also actually physical in nature. If you have depression, your doctor will often recommend that you add a regular exercise regiment to your lifestyle as well. Although exercise is not a cure for depression, its psychological and physical benefits can improve your symptoms. Small amounts of activity - just 10 to 15 minutes at a time - have been shown to improve mood. If you need a little push to get started, try scheduling a few sessions with a personal trainer. Depression can be a challenging illness to live with, but there are good treatment options available. If you think that you are suffering from depression, talk to a medical professional. If you are interested in learning more about this topic, check out other videos and sources on this subject.

[x]   Bio:

Dr. Matthew Erdelyi was born in Budapest, Hungary, lived in Venezuela for several years, and finally settled in the United States, where he earned his Bachelor's degree from Wooster College. He went on to obtain his Ph.D. in Psychology at Yale University, where he had the distinction of being a Woodrow Wilson scholar. He is currently a professor of Psychology at Brooklyn College, CUNY. He has pursued experimental and theoretical work on subliminal perception, the recovery of inaccessible memories, and psychodynamics. Along with many articles, he has published two books, Psychoanalysis: Freud's Cognitive Psychology and The Recovery of Unconscious Memories: Hypermnesia and Reminiscence. He has been a visiting scholar at various universities and was a Fellow at the Center for Advanced Study in the Behavioral Sciences at Stanford University.


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