First line therapy for depression

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What is the first line medication for depression?

What drugs are prescribed for depression? What are the best practices for depression? Following an extensive systematic review of treatments for major depression, the American College of Physicians (ACP) issued a recommendation to clinicians suggesting cognitive behavioral therapy ( CBT ) as a first-line treatment for major depressive disorder along with second-generation antidepressants. SSRIs are greatly preferred over the other classes of antidepressants for the treatment of children and adolescents , and they are also the first-line medications for late-onset depression.

Youth with moderate to severe depression could be candidates for pharmacologic treatment. In mild cases, psychotherapy may be considered first-line treatment. Electroconvulsive therapy ( ECT ) – This involves passing an electric current through the brain (while the person is under general anesthesia).

This in a seizure that causes chemical changes in the brain that can relieve severe depression.

Like tricyclics , these are not generally used first line, but can sometimes be helpful for more difficult to treat depressions. MAOIs include Marplan ( isocarboxazid ), Nardil ( phenelzine ) and Parnate ( tranylcypromine ). Selective serotonin reuptake inhibitors (SSRIs) — are the most commonly prescribed medication for depression today. Prozac ( fluoxetine ), Paxil ( paroxetine ), Zoloft ( sertraline ) Celexa ( citalopram ) and Luvox (fluvoxamine) are commonly prescribed brand names.

Medications and psychotherapy are effective for most people with depression. Your primary care doctor or psychiatrist can prescribe medications to relieve symptoms. However, many people with depression also benefit from seeing a psychiatrist, psychologist or other mental health professional.

Lithium and the anticonvulsants lamotrigine and valproate are mood stabilizers that are sometimes used off label as treatments for bipolar depression, although none of these has been established. Similarly, if drug treatment is indicated for GA and an adult chooses to take medication, the NICE guideline on GAD in adults recommends offering an SSRI with sertraline as the first‑line option because it is the most cost‑effective drug for this condition. Cognitive Behavioral Therapy : A First - line Treatment for Depression Cognitive Behavioral Therapy (CBT) is arguably one of the most recognized and widely used forms of psychotherapy. Based on identifying maladaptive patterns of thought and behavior and implementing strategies for change, CBT is a short-term, evidence-based approach.

With all things considere the guidelines suggest that selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), bupropion or mirtazapine are optimal initial treatment choices for the majority of patients. Although tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) are recognized as pharmacologic classes that may be used to treat depression , these classes are not considered first - line due to safety concerns and drug. Talk therapy involves discussing your problems and how you feel with a trained therapist. Psychotherapy should be first - line treatment for depression in young people, trial finds. Young people seeking support for depression should be offered psychotherapy as the first line of treatment, a clinical trial by researchers at Orygen, the National Centre of Excellence in Youth Mental Health, has found.

CBT Best First - Line Treatment for Major Depression in Youth?

Adding an antidepressant to cognitive behavioral therapy (CBT) appears to provide no additional benefit over CBT alone in reducing. TREATMENT FOR MAJOR DEPRESSION — For the initial treatment of major depression, we suggest a combination of antidepressant medication and psychotherapy. Well-designed studies have shown that combination treatment is more effective than either treatment on its own.

If pharmacologic treatment is use antipsychotics and antidepressants in combination with ECT should be considered if treatment is not effective (D recommendation). These medications are considered as effective as SSRIs, so they are also considered a first-line treatment for the treatment of anxiety disorders, but not for obsessive compulsive disorder ,where SSRI’s are the preferred first line treatment.