Depression Treatment treatment plan for depression managing depression

Do I have depression or am I just sad?

Depression can present different symptoms, depending on the person. But for most people, depressive disorder changes how they function day-to-day, and typically for more than two weeks. Common symptoms include:

• Changes in sleep
• Changes in appetite
• Lack of concentration
• Loss of energy
• Lack of interest in activities
• Hopelessness or guilty thoughts
• Changes in movement (less activity or agitation)
• Physical aches and pains
• Suicidal thoughts

Why do I have depression? 

Depression does not have a single cause. It can be triggered by a life crisis, physical illness or something else—but it can also occur spontaneously. Scientists believe several factors can contribute to depression:

• Trauma. When people experience trauma at an early age, it can cause long-term changes in how their brains respond to fear and stress. These changes may lead to depression.
• Genetics. Mood disorders, such as depression, tend to run in families.
• Life circumstances. Marital status, relationship changes, financial standing and where a person lives influence whether a person develops depression.
• Brain changes. Imaging studies have shown that the frontal lobe of the brain becomes less active when a person is depressed. Depression is also associated with changes in how the pituitary gland and hypothalamus respond to hormone stimulation.
• Other medical conditions. People who have a history of sleep disturbances, medical illness, chronic pain, anxiety and attention-deficit hyperactivity disorder (ADHD) are more likely to develop depression. Some medical syndromes (like hypothyroidism) can mimic depressive disorder. Some medications can also cause symptoms of depression.
• Drug and alcohol misuse. 21% of adults with a substance use disorder also experienced a major depressive episode in 2018. Co-occurring disorders require coordinated treatment for both conditions, as alcohol can worsen depressive symptoms.

How can I overcome depression?

Although depressive disorder can be a devastating illness, it often responds to treatment. The key is to get a specific evaluation and depression treatment plan. Safety planning is important for individuals who have suicidal thoughts. After an assessment rules out medical and other possible causes, a patient-centered treatment plan for depression can include any or a combination of the following:

• Psychotherapy including cognitive behavioral therapy, family-focused therapy and interpersonal therapy.
• Medications including antidepressants, mood stabilizers and antipsychotic medications.
• Exercise can help with prevention and mild-to-moderate symptoms.
• Alternative approaches including acupuncture, meditation, faith and nutrition can be part of a comprehensive treatment plan.

Do I have to take medication?

Everyone is different. Some clients benefit from therapy alone and never need to take any medication for managing depression. Others benefit from therapy and medication for some time.

How long before I start to feel better?

Treatment for depression depends on the individuals needs. Most clients see a significant difference after 8-10 sessions. We offer competitive rates and also accept  Aetna, Cigna, AvMed and United Health Care Insurance plans.

What will therapy look like for me?

Therapy is an interactive processes between a person and a qualified mental health professional. The purpose of therapy is to explore feelings, behaviors and thoughts to increase problem solving skills or achieve higher levels of functioning. Psychotherapy is a gift to oneself and strives to increase a sense of well-being. Psychotherapists apply a variety of methods based on communication, discussion and exploration, all of which have the intention to improve the mental health of a client. Therapy may bridge the gap between where you are and where you want to be. Together you and your therapist can find strength in your experiences and use that to live a more fulfilling life in a safe, open-minded, and nonjudgmental space.