Therapy And The Big Picture In Depression Treatment
One of the hallmarks of depression is feeling overwhelmed and having trouble focusing. Therapy helps you step back and see what might be contributing to your depression and how you can make changes. Here are some of the big picture themes that therapy can help with:
Relationships.Understanding the patterns of your relationships, building better relationships, and improving current relationships will help reduce isolation and build social support, important in preventing depression.
Setting healthy boundaries. If you are stressed and overwhelmed, and feel like you just cant say no, you are more at risk for depression. Setting healthy boundaries in relationships and at work can help relieve stress, and therapy can help you identify and validate the boundaries that are right for you.
Handling lifes problems. Talking with a trusted therapist can provide good feedback on more positive ways to handle lifes challenges and problems.
If Someone Has A More Serious Anxiety Problem Avoid Stigmatizing Them
What can we do for folks with more serious issues? People experiencing things like panic disorder, depression mixed with anxiety, post-traumatic stress, or obsessional thinking may fear that theyre literally going crazy. Helping them may feel beyond your ability.
You can still be supportive in many ways. When someone is experiencing significant anxiety, its helpful to reassure them that your overall perception of them hasnt changed. Theyre still the same person theyre just suffering a temporary problem situation that has become out of control. Theyre not broken and who they are hasnt changed. To the extent possible, you can help the person stay connected to positive aspects of their identity by participating in or encouraging their interests and hobbies.
Sometimes, individuals who have chronic anxiety problems arent interested in changing. For example, you might be friends with someone who has agoraphobia or an eating disorder, but their condition is long-term and stable. In these cases, you can be accepting of that person so that they dont feel isolated. Being matter-of-fact about their limitations without excessively shaming them or insisting they should pursue becoming normal is often the best strategy.
Do Not Be Content With Good Enough
Remission is defined as the near-complete absence of symptoms of the disorder and return to the patient’s premorbid level of functioning. Achieving remission provides the best protection against future relapses20 and requires regular re-evaluation and modification of therapy if indicated. In patients with only a partial response at six weeks of treatment, psychiatrists nearly always raise the dose of the antidepressant. Patients whose improvement plateaus at less than full recovery should continue to have their dose raised at three- or four-week intervals, unless tolerability concerns are present. Raising the dose can also be effective for patients who previously demonstrated good response but now report some loss of benefit.21 If an increase in dosage produces no additional benefit, it is usually best to augment the antidepressant with a second medication or psychotherapy. As a general rule, for partially responsive patients, an increase in dosage should be considered before augmenting with another medication.
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Individual Or Group Therapy
When you hear the word therapy you might automatically think of one-on-one sessions with a therapist. However, group therapy can be very useful in depression treatment as well. Both group and individual therapy sessions usually last about an hour. What are the benefits of each? In individual therapy, you are building a strong relationship with one person, and may feel more comfortable sharing some sensitive information with one person than with a group. You also get individualized attention.
In group therapy, listening to peers going through the same struggles can validate your experiences and help build self-esteem. Often group members are at different points in their depression, so you might get tips from both someone in the trenches and someone who has worked through a challenging problem. As well as offering inspiration and ideas, attending group therapy can also help increase your social activities and network.
When the going gets tough in therapy
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Whats The Difference Between Grief And Depression
Given that the primary symptom associated with depression is sadness, it can be easy to think of grief or bereavement as depression. But grief is a natural response to specific experiences, such as the end of a relationship or the death of a loved one. While you might feel regret or remorse, and you might withdraw from usual activities if you are experiencing grief, youre unlikely to feel the overwhelming sense of worthlessness, thoughts of self-harm or suicide, and other symptoms of depression. Another important difference is that in grief, painful feelings usually come in waves and are often mixed with positive memories.
American Family Physician
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Creating Calm: How To Get Rid Of Anxiety And Depression
Dark nights, desperate to fall asleep before you fall apart? Mornings without motivation, when you struggle to leave your bed? Overthinking every little thing whilst losing control of everything?
Many people dealing with depression and anxiety believe they will never feel better and that nothing and no one can help them. They want to know how to get rid of anxiety and depression but they feel trapped in a dark tunnel and they dont realise there are tools available to help them find their way towards the light. Sadly, many people with depression and anxiety disorders dont come forward to seek help and spend the majority of their lives suffering.
But anxiety, depression and their underlying causes are very treatable with medications, psychotherapy, and lifestyle changes.
Small Steps Big Impact
If a person feels sustained, intense, feelings of sadness or loss of interest in activities, they may have clinical depression. People also refer to this condition as major depressive disorder.
However, there are small steps you can take to help you gain more agency in your life and improve your sense of well-being.
Read on to learn how to incorporate these strategies in a way that makes sense for you.
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Prevalence Of Anxiety And Depression In Men
On average, one in 8 men will have depression and one in 5 men will experience anxiety at some stage of their lives.
Men are less likely to experience anxiety and depression than women. They are also less likely to talk about it. This increases the risk of their anxiety or depression going unrecognised and untreated.
Untreated depression is a high risk factor for suicide. In Australia, there are about 3,000 suicides each year. Around 75% of people who take their lives are men, with an average of almost 7 men taking their lives every day.
Its important to remember that anxiety and depression are conditions, not weaknesses, and effective treatments are available.
and depression not only for you, but for your friends and family. Visit Beyond Blue to find out more about anxiety.
Make Specific And Appropriate Referrals To Psychotherapy
Just as there are specific medications, there are specific forms of psychotherapy. Patients with anxiety disorders in particular, benefit from cognitive behavioural therapy , in which they undergo exposure to their fears and gain mastery over them. There are several forms of effective psychotherapy for depression, including CBT and interpersonal therapy.1 Non-specific supportive therapy can help people in times of crisis or stress but is typically not efficacious for serious mental health disorders.12 Family therapy or behavioural marital therapy can be effective when dysfunction in families or couples is a primary driver of the patient’s depressive symptoms.13 Providers should be aware of local therapists who practice evidence-based forms of treatment.
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Knowing How Anxiety Works Can Help You To Better Support Loved Ones Without Inadvertently Making Their Anxiety Worse
When I first moved into my spouses house in 2001, she didnt want to include my name in our answering machine greeting. Because of our big age gap and same-sex relationship, she was justifiably anxious about how her parents would react to my having moved in so she kept it from them for several months. Though I felt a great deal of compassion for her and her situation, I was also frustrated that her anxiety was affecting meand I didnt like acting as though we had something to be ashamed of.
Scenarios like this are common when someone in your life is struggling with anxiety. Your loved one may feel so fearful that they avoid taking action, or act in ways that are inconsiderate or that increase your own anxiety. This might look like a boyfriend constantly putting off important tasks or discussions, a friend complaining about being lonely but refusing to date, or a boss always focusing on what could go wrong, making everyone miserable. Its difficult to witness anxiety in someone you know, and its even harder when their anxiety triggers yours.
But what can you do to help anxious people?
While its upsetting and frustrating to see these folks suffer, there are things you can do to help. Here are some of the strategies I recommend based on my book, The Anxiety Toolkit.
When Is My Anxiety Harmful
Identifying what sort of anxiety youre dealing with can be somewhat challenging because how ones body reacts to perceived danger can be entirely different compared to another person.
Its likely you heard anxiety as a blanket term for that general feeling of worry, nervousness, or unease. Its often a feeling in response to an upcoming event that has an uncertain outcome.
Every person deals with it at one time or another, because its part of our brains response to a perceived danger even if that danger isnt real.
That said, there are times anxiety can get serious and turn into anxiety attacks that initially feel manageable and then gradually build up over a few hours.
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Or Spend Time With Loved Ones
Depression can tempt you to isolate yourself and withdraw from people you love and trust, but face-to-face time can help wash away those tendencies.
If youre unable to spend time together in person, phone calls or video chats can also be helpful.
Try to remind yourself these people care about you. Resist the temptation to feel like youre a burden. You need the interaction and they likely do, too.
Research has shown that keeping a journal can be a beneficial add-on method for managing mental health conditions.
Writing down your thoughts can help you express what youre feeling more clearly. It can also help you keep track of what symptoms youre having each day and identify what causes them.
You can make a goal to write for a few minutes each day or week. Most importantly, what you want to write about is completely up to you.
When you do the same thing day after day, you use the same parts of your brain.
Research shows doing new things can feel rewarding improve your overall well-being and strengthen your social relationships.
To reap these benefits, consider trying a new sport, taking a creative class, or learning a new cooking technique.
What To Do About It
Some people do experience symptoms of depression in waves or intermittent episodes. This means you could experience days, even weeks, of relief and then notice your symptoms suddenly come back or intensify.
In other words, worsening depression is sometimes just the nature of depression but that doesnt mean its permanent, or that treatment wont help.
Professional support is the best way to improve symptoms of depression. If your symptoms fail to ease within a few days or continue to get worse, its best to talk to your therapist or doctor as soon as possible.
If youre already taking medication or working with a therapist, they can help you get guidance on next steps.
It never hurts to schedule an appointment as soon as you start to feel worse. You can always cancel later if you begin to feel better, but that way youll have the appointment if you need it and wont have to worry about availability.
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Identify And Learn To Manage Your Triggers
You can identify triggers on your own or with a therapist. Sometimes they can be obvious, like caffeine, drinking alcohol, or smoking. Other times they can be less obvious.
Long-term problems, such as financial or work-related situations, may take some time to figure out is it a due date, a person, or the situation? This may take some extra support, through therapy or with friends.
When you do figure out your trigger, you should try to limit your exposure if you can. If you cant limit it like if its due to a stressful work environment that you cant currently change using other coping techniques may help.
Treatment For Anxiety And Depression In Men
Your doctor is a good source of information and can discuss with you whether what youre experiencing may be anxiety or depression. They can also refer you to a psychologist or psychiatrist. Any of these health professionals can help you with an action plan, whether or not you are diagnosed with anxiety, depression or both.
Anxiety and depression are like any other conditions there are ways to treat and manage them.
Lifestyle changes, such as spending time with supportive friends and family, regular exercise, getting enough sleep, maintaining a healthy diet and cutting down on alcohol and other drugs are all worthwhile changes that can help to reduce anxiety and depression symptoms.
Psychological treatments, including cognitive behaviour therapy, are effective in treating anxiety and depression and are often recommended first, particularly for mild to moderate anxiety and depression. Your doctor may refer you to see a psychologist or other counsellor for this type of treatment.
For some people, antidepressant medication might also be an option. Antidepressants can be effective for both anxiety and depression. They usually take at least 2 weeks before they start to help, and it may also take some time for your doctor to find the medication and dose that is most effective for you.
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Make Time For Rest And Relaxation
Mental health conditions like depression and anxiety can affect your energy and motivation, which often only adds to feelings of guilt and worry.
Remember, though: Depression and anxiety are health conditions. If you had the flu, youd need time to rest, right? Mental health symptoms require recovery time, too.
Instead of fixating on the things you think you should be doing, honor your needs by taking time for activities that soothe and relax you. Maybe this includes things like:
- watching a comforting movie or TV show
- re-reading a favorite book
How To Help Someone With Anxiety
All of us worry and get scared from time to time. But those with anxiety may feel consumed by fears of things that might seem irrational to others. It can be hard to relate to these concerns, and as a result, many people dont know how to best help someone with anxiety. People are often dismissive of people experiencing anxiety, says Joseph McGuire, Ph.D., a pediatric psychologist with Johns Hopkins Medicine. With other medical illnesses, you may be able to see physical symptoms. But with anxiety, you dont necessarily see what the person is dealing with. So its important to be sensitive to what the person with anxiety is going through, even if it doesnt make sense to you. Its distressing to watch a loved one experience panic attacks and face anxiety every day, but there are things you can do to help. It starts with recognizing the signs of excessive worry and understanding the best ways to support your loved one.
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Move In Any Way That Feels Good
We know that physical activity is really good for mental health. It can help prevent anxiety and depression, manage symptoms, and manage your overall mood and stress levels. For co-morbid depression and anxiety, a recent study suggests that exercise is most effective when combined with medication.
The ideal dose of exercise is 30 45 minutes, 3 5 times per week, at moderate or high intensity. But dont let this ideal get in the way of being active. Even for people who arent experiencing mental health conditions, building an exercise habit takes time and effort.
Set small, achievable goals to begin. Choose any form of movement that feels good. Even 5 minutes a day, or dancing to a single Lady Gaga song, is a commendable place to start.
Start A Walking Program
Walking just 30 minutes a day can significantly reduce your risk for major chronic diseases, including anxiety and depression. Read these tips to get started.
Use the following ideas to start your own walking program.
- Wear the pedometer for a few days and see how many steps you average.
- Set a daily goal and work up to it. A good goal is to increase your average daily steps gradually so that you get used to the increased distance. Recommendations vary on how fast to increase steps. Anywhere from 500-2,000 steps a week is reasonable.
- Record your daily steps in a log or notebook.
There are many ways to increase your daily steps:
- Choose a more distant parking place
- Take the stairs
- Walk over to a friend’s dorm room or a colleague’s office instead of using the phone or e-mail
- Walk with a friend each day
Find ways to walk even during the winter months or other inclement weather.
- Walking in the malls
- Local school track or fitness center
- 3-5min “walk breaks” during study time/work/etc
If you experience pain or discomfort, check with your primary care provider.
Remember, it takes about six months to “lock-in” a new behavior. Think of your walking program as a permanent change in your behavior. If you maintain your walking program for a minimum of six months, you are much more likely to maintain this change long-term.
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