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Depression: Treatments
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The Clinical Research Unit for Anxiety and Depression (CRUfAD) is a facility joint owned by The University of New South Wales and St Vincent's Hospital (Sydney). The website is subdivided into three sections: a 'Self Help Clinic'; 'Support for Professionals'; and, 'Research'. It provides an online depression quiz and information about effective treatments.
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Depression is not a sign of weakness. It’s a real medical condition that can be treated. And it affects, on average, 34 million Americans. If you think you are depressed, talk to your doctor. This is important. Be sure to find out if medical treatment is right for you.
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Depression is more than a side effect of treatment, or even a response to a serious disease. For mild depression, alternative therapies and behavioral therapies may be enough. Estrogen therapy may help the women without breast cancer who take it. But if you have serious depression, menopausal hormone therapy may not help—it may even make things worse.
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Depression strikes one in four women and one in eight men sometime during their lifetimes. Yet two out of three of them don't get treatment. Are you one of them? You might be depressed if you feel:
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Depression can be reliably diagnosed in primary care. Antidepressant medications and brief, structured forms of psychotherapy are effective for 60-80 % of those affected and can be delivered in primary care. However, fewer than 25 % of those affected (in some countries fewer than 10 %) receive such treatments. Barriers to effective care include the lack of resources, lack of trained providers, and the social stigma associated with mental disorders including depression.
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The disorder is characterized by repeated episodes of depression as specified in depressive episode (mild, moderate, or severe), without any history of independent episodes of mood elevation and overactivity that fulfill the criteria of mania. However, the category should still be used if there is evidence of brief episodes of mild mood elevation and overactivity which fulfill the criteria of hypomania immediately after a depressive episode (sometimes apparently precipitated by treatment of a depression). The age of onset and the severity, duration, and frequency of the episodes of depression are all highly variable. In general, the first episode occurs later than in bipolar disorder, with a mean age of onset in the fifth decade. Individual episodes ... last between 3 and 12 months (median duration about 6 months) but recur less frequently. Recovery is usually complete between episodes, but a minority of patients may develop a persistent depression, mainly in old age (for which this category should still be used).
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