Depression in the elderly Part 5: Depression treatment

Depression treatment

Depression is a disease that can be cured. The most important treatment for depression is to follow your doctor’s treatment plan to eventually improve your symptoms. Patients must take all medications prescribed by a doctor. Change your lifestyle and cooperate with a psychotherapist to treat. Many people with depression suffer from prolonged depression. Due to the lack of proper examination and treatment from a doctor.

Currently, there are three main treatments for depression, depending on the doctor’s judgment of the patient’s right approach. And may use more than one combination of treatments.

Psychotherapy
Psychotherapy is most effective for patients with mild to moderate depression, and the cause and symptoms of the patient will be a factor for therapists to choose from different therapies.

Cognitive Behavioral Therapy (CBT)
It will help the patient to change negative thoughts for the better. By looking at the surrounding things positively and realistically. It may also help the patient become aware of what is causing him or her depression and then change their behavior to stop being sad.

Antidepressants
It helps in balancing brain chemicals that regulate mood and stress. In patients with relatively severe symptoms, The doctor may combine antidepressants with talk therapy. The use of antidepressants should be known as follows:

  • There are many types of antidepressants to choose from. Patients may need to try a drug replacement. To find the drug that will have the best results and have the least side effects on yourself. Usually doctors start with prescribing SSRIs, which are safer and have fewer side effects than other antidepressants. Antidepressants from SSRIs include Fluoxetine, Paroxetine, Sertraline, Citalopram, and Escitalopram.
  • The use of drugs should be followed strictly by the doctor’s orders. It may take 3-4 weeks to see results and you should not stop the medication once your symptoms improve.
  • The drug may have side effects that increase the suicidal ideation or risk of suicide in the first few weeks of treatment, especially in younger patients. People close to you must take care of the patient closely.
  • Other common side effects of antidepressant use include nausea, vomiting, insomnia, and a decrease in sex drive.

Interpersonal Therapy: IPT
It focuses on treating the patient’s relationship with others or relationship problems that may cause depression, such as problematic communication or dealing with the loss of a close person, etc.

Helping to cope with stressful experiences in life (Problem-Solving Therapy: PST)
It is a therapy that is often effective in elderly people with depression. Make patients see problems and solutions that are truthful.

Brain Stimulation Therapies
When a depressed person does not respond to other treatments or is in severe depression that hurts yourself or others, Unable to heal by waiting until antidepressants take effect. Brain and nerve stimulation therapy is the safest and most effective treatment available and is not dangerous as many people understand, including:

Electric shock treatment (Electroconvulsive Therapy: ECT)
This treatment is performed by general anesthesia and using an electric current through the patient’s brain. It is believed that this electric current affects the function and production of neurotransmitters in the brain. Help patients with severe depression that other treatments cannot immediately relieve. However, electric shock therapy can cause side effects such as tolerable levels of headache or some may experience temporary memory loss.

Magnetic stimulation of the brain (Transcranial Magnetic Stimulation: TMS)
It is another new method. Using a coil of electromagnetic waves on the patient’s head. They send weak electromagnetic energy to stimulate the nerve cells that control normal and sad mood.

Counseling
It is a therapy that helps the patient reflect on the problems in the life that they face and find new solutions to deal with those problems with a consultant to support solutions But not being told to do or bossy to do.

In addition to the medical treatment above, Patients can practice how to cope with depression by themselves:

  • Always manage time planning orderly things to do each day can help you feel better.
  • Do not separate yourself from society. Try to participate in various activities with family and friends or join a group of people with depression to meet and share experiences with people who are also facing depression.
  • Write notes to drain or release negative emotions.
  • Know how to relax and manage stress May turn to meditation, exercise or yoga.
  • Try to reduce the conditions or prohibitions Don’t force to do things when you’re depressed.
  • Don’t make important decisions if you’re facing an emotional downturn. May make thinking not good enough.

The people around the patient are very important in helping the patient overcome depression. People close to it should help influence the patient to seek diagnosis and treatment. It may help to make appointments and see a doctor with the patient. Caring for someone with depression can be difficult and requires patience. It requires understanding, care, encouragement, and is always there to talk and listen to the patient.

It may also be invited to do activities to encourage more comfort. For example, going outside, going for a walk on the patient’s own accord and do not ignore it if the patient is talking about the death or not wanting to live. You should immediately notify your doctor or psychotherapist.

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