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Depression therapy

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Depression therapy

  1. 1. Ravi Prapharsavat Psychology Depression Therapy Cognitive therapy for depression: Sigmund Freud in Mourning and Melancholia, suggest that depression can occur in response to imagery and perceived loss, and that self- critical aspects of the ego are responsible in part of depression. The cognitive therapist will focused on the individuals’ faulty social learning, lack of experiences that would allow adaptive learning to occur, or from family problems experiences, and traumatic events. By doing so, psychologist will be able to recognize that psychological problems, such as depression can develop from variety of life experience, depending on the individual. This will also help them to recognize the problem of the individual, and let them expand more on the topic. However, cognitive with depression have become increasing and as the result, it is the most effective ways t treat depression. Cognitive therapy of depression can help the individual in many ways. It is the most supportive counseling that help ease the pain of depression, because it address the feelings of the person’s thinking and that it helps when that person is talking about it. The second way that the cognitive therapy changes the negative idea by; helping the individual to recognize which life problems are critical, and which are minor. It also helps the individual to develop positive life goals, are a most positive self- assessment. The third way is to get them to gain coping skills and assisting them to solve relationship problems. Cognitive- behavioral therapy techniques are used together to help the individual maintaining their life style. Before, the behavior therapy did not pay attention to perception, evaluations or expectations, only the ones that can be observed and measures. However, today, the scientific research has found that perceptions, expectations, values, attitudes, personal evaluations of self and others, fears, desire are all human experiences that affect our behavior. Therefore, cognitive and behavioral experiences are intertwined, and must be studied, changed or eliminated, as helping them. There are many factors that affect cognitive depression; self- evaluation, identification of skill deficits, evaluation of life experiences, self- talk, automatic thoughts, irrational ideas and beliefs, over generalizing or catastrophizing, cognitive distortions, pessimistic thinking. Self evaluation is an ongoing process, by evaluation of managing life tasks and whether we are doing and acting as we should. For example, “I’m messed up. I’m not good at anything. It’s my fault.” Identification of skill deficit is an example of “I’m not good at telling people what I want from them. Therefore, it’s my fault that I didn’t get what I want.” This depression, the person assumes that he/ she cannot learn how to do what is necessary to achieve a better outcome. Evaluations of life experiences are when a person focuses on minor negative aspects of what was otherwise a positive life experience, for after vacation at the beach,
  2. 2. Ravi Prapharsavat Psychology the depressed person will remember the one day it rained, rather than the days of sunshine. Self talk is a way of describing all the things we say to ourselves all day long as we confront obstacles, make decision, and resolve problems. For example, in a social situation, the person always presumes the other person dislikes you. Irrational ideas and beliefs started when Albert Ellis says that it’s the core of most psychological problems. The beliefs include: unrealistic, incorrect, or maladaptive; for example, you make a small mistake on a project, and assume that you will be fired when the Electroconvulsive Therapy for Depression: Electroconvulsive therapy, or ECT, is the fastest and most effective way to relieve depression. It is usually used when treatment have failed, suicidal, severe depression. It is more expensive drugs, and serious treatment, therefore its reserved for more serious and unresponsive depression. The treatment is consists of a medically controlled seizure by passing an electrical current between two scalp electrodes. If the seizure is uncustomized, it would look like a typical epileptic convulsion lasting twenty seconds, causing the muscles of the body to contract rhythmically. To prepare for the treatment, patient will receive a short acting anesthetic in a vein so they are anesthetized throughout the procedure. They are also given drug to relax the muscles to prevent the hard muscle contractions that are related to epileptic seizures; they are also given oxygen. After the seizure, they are put in a recovery room. ECT causes mental confusion that is most marked during hour after treatment, therefore short observation is needed. ECT is given three days a week, because treatment required three or four weeks to complete. It is continued until depression is cure, and antidepressant medication will be started. ECT is a safe medical procedure, and given safely with variety of people of medical condition. There are also benefits with the medical illness such as heart attack or failures. However, the side effects of this therapy are usually not serious thought they can be bothersome. Headache and nausea on awakening from the treatment are common complaints, but it’s treatable. The effect is on the memory, because it is interfering with the storage. And the events of the treatment are forgotten. It is also possible for patient to make new memories and return to normal. Memory loss can be minimized by stimulating only one side of the head. The left side is usually dominant, so the right side causes less memory loss that stimulating both sides. It benefits balanced against the observation that stimulating on one side is sometimes less effective so that more treatments are needed to recover. ECT is effective, because 80% of patients recover or are much more improved. It is also effective in patients who have not responded to one or more trials of antidepressant. It is reserved for the usual circumstance when manic excitement and psychosis cannot be controlled with antipsychotic and mood stabilizing medication. In the past ECT is use usually to treat schizophrenia, but now they are use
  3. 3. Ravi Prapharsavat Psychology antipsychotic medication. However, it is very effective in catatonia, because it deals with abnormality on immobility; and it responsive to ECT that patients often improve noticeably after a single treatment. Psychopharmacological treatment for Major Depressive Disorder: Major depression is severely ill depressed patient received little or no antidepressant therapy. This therapy is for major depression and can dramatically reduce suicidal rates and hospitalization rates; however some does not receive it at all. The general guidelines for physicians are required when they are prescribing antidepressant drugs. They need to understand that it can be a risks to takers due to overdose, and that sometimes they do not recognized the symptom of improved depression, and that they still take it. This can also cause them to have side effects; and that doctors are held responsible. However, by only taking the drugs, the patient will recover within two to four months, but without therapy it will come back. The antidepressant therapy is required due to stress is a major role in depression, and that by therapy it will help relive it. However, in the middle of anti depressant therapy, one SSRI antidepressant can be abruptly stopped, and another SSRI antidepressant can be gradually started after one or two days of no antidepressant. In this way, the time a severely depressed patient is off, medication can be minimized during a switch in SSRI antidepressants. The strategy for initial antidepressant therapy is varied due to how severely depress the patient is. The indications of this strategy are that seventy percent of depressant (sever or moderate) respond to antidepressant therapy. The contradiction is that not to use in patients with known hyper intensity to the drugs; don’t use combination with other depressants. Suicidal depressed patients often overdose with their antidepressant. The drugs that are good choice for the patient’s use, because of their low incidence of side- effects and their low lethality if taken in to an overdose. Anxiety and depression are used by Fluvoxamine (reducing anxiety in mixed- anxiety- depression). Both fluoxetine and paroxetene (dramatically benefit from the addition therapy). If the patient does not improve the does will be higher, due to stronger stimulating hyperactivity in the brain. However, there are many different choices if the drugs do not work: alternating to other drugs, increasing dose, combinations, stop the pharmacotherapy and proceeding only with psychotherapy. Alternative Depression Therapy: Depression self help is way to eliminate depression by the person, including psychotherapy, mindfulness practice, yoga, exercise, sunlight. Depression is a state of contraction, experiences as apathy, fear, sadness etc. This depends on what we think, and how quickly we evolve towards the joyful, self realized, creative the human kind are. The methods that are explain above when applied, helps you
  4. 4. Ravi Prapharsavat Psychology to be more positive and peaceful, therefore, taking the person away from depression. Meditation (greater self- awareness) and concentration medication (focused awareness on particular mental images). Holistic treatment for depression encompasses a vast number of treatment modalities. Complimentary medicine is quickly respect in the medical world, however, mainstream institutions are often far behind the curve regarding the acceptance of alternative or holistic treatments for depression. It deals with body (physical interventions and also may include energy work). Mind working with the emotions and thought process or intellect, spirit (treating the spiritual dimension/ accessing the wisdom of the essential self or soul. Art therapy has a good healing power. It is believe that its art, and this they are no judgments, because it’s who you are and what you think. Therefore, it’s fully you, and that it’s the mind’s judgment and analysis has no place in the spontaneous expression of the heart and soul. By doing this, you can evaluate yourself, and know how you feel. Anxiety is feeling of nervousness, worry, or fear that is generated from within. Although mainstream psychology has yet to fully recognize the potency of energy, there is some evidence, and thousand of case histories that demonstrates it’s superiority over other treatment. Anxiety responds well to energy psychology techniques, EFT usually helps with anxiety. Effective adolescent depression treatment can make the difference between life and death a teenager need in help. Since the world is changing, and most child experience changing of socio- economic atmosphere, and pressure, the changes that kids falling into stress is very high. Therefore, it increases the leading cause of death, and that adolescent depression treatment can help the family to find the lost connection. Compare and contrast cognitive, electrovulsive, and psychopharmacological treatment for major depressive disorder The similarity in the three therapies deals with helping the individual to become better, by the techniques that minimize the risks. However, the difference in techniques and risks are concern more with how the patient might take it. The period of time, that it takes for the person to be back to normal also depends on the therapy. The electroconvulsive, tends to be more risk taking, due to the electrocute shot, but after, the patient is under control. The psychopharmacological treatment helps the patient by taking drugs, but however it can become dangerous due to overdosing. Lastly, the cognitive therapy is the most un- harmful therapy, due to the psychologist talking to the person, and helps them to express
  5. 5. Ravi Prapharsavat Psychology themselves. Therefore, the psychologist has to gain a lot of trust to the other patient, so the doctor can help cure them.
  6. 6. Ravi Prapharsavat Psychology themselves. Therefore, the psychologist has to gain a lot of trust to the other patient, so the doctor can help cure them.

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