Depression: to come out of the infernal cycle

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The depression can be called an efficient manner. Different therapeutic can be proposed today to the patient. But the most important stage belongs to him.

Tops the first step, only a hold in medical charge will allow you to come at the end of this illness. ts treatment consists of different alternatives adapted to every case: psychotherapies, antidepressants and electroconvulsivotherapie.

The treatments recognized propose the psychotherapies, the antidepressants and the treatments by shock treatment. They permit today to get good results, used in association or individually according to different factors as the importance and the type of the depression as well as tolerance vis secondary effects. In any case, your physician is the best person capable to prescribe you treatment best adapted to your case. Most of the time, an association between psychotherapy and antidepressants are used to come quickly at the end of the depression.

The psychotherapies

The psychotherapies are especially efficient at people suffering from light depressions. These therapies allow the patient to evoke one or several emotional aspects, the personal relations that drove it to a depressive episode. The importance of the domestic setting can drive the set of the near to be present at the time of the sessions of support. Recent studies have show that the approaches sociopsychologiques is as efficient as the treatment with antidepressants for the moderate depressions. Nevertheless, the doctor Bigot of the service psychiatry of the hospital precise Cochin that one "almost associates systematically psychotherapy and medicinal treatment. It is the most often about a support psychotherapy. For all other psychotherapies more structured (analytic, comportementales, etc.), they cannot be prescribed separately that if the depression is light and with a patient who keeps his capacities to think. In the sterner depressions, he becomes impossible to him to elaborate the psychological aspects and the medicinal treatment is then necessary."

The antidepressants

Different types of antidepressants exist, but all aim to correct biochemical unbalances. Thus, they have the tendency to increase the contributions of neurotransmitters to the brain. "The different categories of antidepressants are the antidepressant tricycliques, the specific inhibitors of recaptures sérotonine (ISRS), the inhibitors of monoamine-oxydase or IMAO and of new types of antidepressants. The action of these antidepressants takes about ten days in general. So no effect is noted, the psychiatrist will be able to increase the doses or will be able to change treatment in case of inefficiency at the end of six weeks. The treatment lasts four months on average to full dose, to which it is necessary to add two supplementary months with degressive doses before the total stop" declares the Dr Bigot.

One can also evoke the lithium that has a regulating action on the maniaco-depressive unrests and therefore the remained again with difficulty biologic action identified.

All these medicines include secondary effects, so it is imperative to communicate their apparition to your physician. This last will be able to change the doses or the medication, if the treatment proves to be too laborious.

The treatment by shock treatment

This type of treatment has been improved extensively and although it keeps a troubling reputation, it is not painful and permits to get rates of very important successes. The electroconvulsivotherapie is used mainly for the very stern, raving depressions as well as in case of contra-indications to the antidepressants. According to the Dr Bigot, "it is about a treatment very efficient of this type of depression. Notably at the aged people, account held of the frequent contra-indications to the antidepressants". His/her/its efficiency is a lot faster than the medicines. Considered like sure, this practice consists nevertheless of some secondary effects as light amnesias or confusions, that vary from a person to the other.

Once your physician will have defined the best therapy, he will agree to avoid the risks of relapse. Currently, close to 90% of the depressions can be treated. And more the hold in charge intervenes early, more the treatment is efficient. Don't hesitate then more, it is useless to suffer in silence.

2009-03-13