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How to treat depression?
1, drug therapy: drug therapy is mainly antidepressant treatment. Tricyclic antidepressants have a good effect, but they have been stopped because of their side effects. Common drugs such as amitriptyline and doxepin. Selective serotonin reuptake inhibitors, common drugs such as sertraline, fluvoxamine, fluoxetine, paroxetine, citalopram, and newly added escitalopram, are also called six golden flowers in clinic. Selective serotonin and norepinephrine reuptake inhibitors, such as duloxetine and venlafaxine, are more effective than single receptor drugs in the treatment of depression patients with physical symptoms. However, dual-receptor drugs have little effect on blood pressure of patients with hypertension, so they should be selected according to some conditions of patients in clinic. There are other types of drugs with mechanism of action, such as trazodone and mirtazapine, which are also commonly used to treat depression and anxiety.
2. Psychotherapy: Cognitive behavioral therapy is commonly used in psychotherapy. Some patients need family therapy and marriage therapy, and some teenagers need sand table therapy and group therapy.
3. Physical therapy: Patients with severe depression and poor drug treatment effect and obvious suicidal tendency often use MECT as adjuvant therapy. Transcranial magnetic stimulation has a very good effect on improving depressive symptoms and improving sleep. Biofeedback therapy can improve patients' anxiety symptoms and let patients learn to adjust themselves.
4. Life guidance: Patients will also be advised to make some rehabilitation suggestions frequently, such as reasonable diet, reasonable sleep and regular sunbathing. Studies have proved that depression is related to the reduction of sunshine, and sunbathing is used to treat depression abroad. Let patients exercise more.
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