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23 Mar 2015
major depressive disorder treatments

Depression usually exist in phases, ie, they may be limited in time and sometimes sound from even with no treatment. A depressive episode ("Episode") takes about six to eight months if it is not treated.

The course of depression differs considerably from patient to patient. A depressive disorder can be completely cured in many people. In some patients, however, remains of depressive symptoms persist. Some depressive disorder also develop chronic, ie, periods of depression which might be regularly repeated, or these people have a dysthymic disorder in which the symptoms aren't as pronounced such as a classical depression, but constantly (over two years) remain.

In major depression there is a high probability that they do not remain an illness episode. Over fifty percent of patients develop disease following a first depressive episode to a different. The likelihood of developing again increases after two disease at 70 percent, and after the third episode even at Ninety percent.
Diagnostics

A detailed ("differential diagnostic") is essential conversation: In addition to the assessment of the current complaints is always a collection of all mental patient discomfort over its entire lifetime required. Furthermore, can the therapist living and family history and current stresses and problems portray.

The degree of depression is measured through the number, intensity superiority depressive symptoms. Clinical diagnostic interviews, z. B. CIDI (Composite International Diagnostic Interview) or DIPS (Diagnostic interview for psychiatric disorders), ask the diagnostic criteria in line with the classification of the World Health Organization from (ICD-10). Standardized questionnaires and external assessment scales assist to assess the severity of the illness. Here are the right choice PHQ-D (Patient Health Questionnaire depression), BDI (Beck Depression Inventory) or HDRS (Hamilton Depression Rating Scale). Ahead of initiation of therapy, careful and neurological examination to eliminate physical causes is effective, as such, for example, metabolic disorders (eg. As diabetes), or certain medications (antihypertensives, steroid hormones) might be physical causes of depressive symptoms.
Therapy major depression treatments without medication

Counsel for the treatment depend upon whether a depression occurs the first time or repeated and just how hard the patient's disease. Treatment should be based on the recommendations that are in the National Care Guideline "Unipolar Depression".

Its not all depression needs to be treated immediately with psychotherapy or medications:

 In mild depressive disorder, the patient may first seek guidance and advice, as he is better at working with depressed emotional states. However, this can be a differential diagnostic investigation, which excludes an intense course of the disease. If within a couple weeks without improvement, specific treatment needs to be agreed with the patient. In this instance, psychotherapy is preferable to a pharmaceutical Kobe plot.
 In moderate depressive disorders the patient psychotherapy or treatment with drugs should be offered as treatment alternatives.
 In severe and chronic major depression, a combination of psychotherapy and medicine is necessary.

When depression following psychotherapies are occupied with regards to effectiveness: behavioral therapy, psychodynamic psychotherapy, interpersonal psychotherapy, psychotherapy and systemic therapy. For drug treatment of depressive disorders different classes of antidepressants are particularly permitted.
Odds of recovery

The amount of a depressive illness could be significantly reduced by treatment - about 16 weeks. Effective treatments decrease the relapse rate significantly. A particular strength of psychotherapy could it be acts consistently and long run, particularly if it continues even after resolution of acute symptoms as maintenance therapy. The recurrence rate could be significantly reduced via a psychotherapeutic treatment. Patients having an increased risk of relapse, z. B. if depression just isn't completely subsides, a longer-term stabilizing psychotherapy is recommended. Antidepressants reduce the risk of relapse. You should also be taken after complete disappearance of depressive symptoms on. The amount of intake depends especially on the specific risk of relapse of patients.


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