Is there any Treatment for Depression? #Mental Health Study Series (2)

This is the most questions that is being asked whenever I met new people. The same question is always asked and I have to repeat every single thing, which is very tiring because I need to start from A-Z. Yes, there is treatment for depression BUT it'll take a very long process to be completely cured from it. As far from what I knew and the people I've made friends with online, getting better from depression or any mental illness is not easy. You required to have more patience than what it is. That's what they said. Most , of them suffered for many years, seek treatment and now they're okay, I wouldn't say cured completely because relapse do happen. 

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What are the Treatments?

Treatment comes in many different form. Medication, other medical options, brain stimulation, therapy and lifestyle changes, and that of course, it depends on individual. Not everyone could stick to the same treatment. Remember, everyone is different.. 

First treatment is, Medications. 

Anti-depressants is the most common medication that is given to individuals when it comes with an illnesses. It's not a medication that any doctor could give. For my case, I was given after my former psychologist said that my condition is worsen therefore I was officially supplied with one. Anti-depressants is a type of approved drug that is made for mental illness patients. They help to maintain our brain cells  and our mind. And it's because our mind work 24/7, therefore we need a drug to calm our mind and also our brain. The kind of calmness is not that addicted calmness like what drugs addict describes. It's more of being calm rather than being disruptive. Medications come in 8 different categories but most common categories is SSRIs, SNRIs and NDRIs. 


- SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIs) -

SSRIs medications helps to relieve the symptoms by blocking the absorptions which is also called as "reuptake" of serotonin by a particular brain nerve cells. Serotonin helps to regulate our mood. SSRIs medications include fluoxetine (Prozac), paroxetine (Paxil, Pexeva). sertralin (Zoloft), citalopram (Celexa) and escitalopram (Lexapro). 

- SEROTONIN AND NOREPINEPHRINE REUPTAKE INHIBITOR (SNRIs) -

SNRIs medications worked with a double type of actions which increasing the levels of serotonin and norepinephrine that inhibits the chemicals being absorbed back into brain cells. SNRIs medications include duloxetine (Cymbalta), venlafaxine (Effexor), desvenlafaxine (Pristiq, Khedezla) and levomilnacipran (Fetzima). 

- NOREPINEPHRINE-DOPAMINE REUPTAKE INHIBITORS (NDRIs) -

NDRIs medications help to increase the concentrations of mood regulators in the brain. NDRIs medications includes bupropion (Wellbutrin, Aplenzin and Forfivo XL) and mirtazapine (Remeron).

whilst the 5 categories is which made out of :

  • TCAs (which means Tricyclic Antidepressants).
  • MAOIs (which means Monoamine Oxidase Inhibitors).
  • Atypical Antidepressants.
  • Atypical Antipsychotics (which means Second-Generation Antipsychotics or SGAs for short).
  • Newly-Approved Antidepressants. 
There are also another different types of medical options which also includes : 

  • Lithium (mood stabilizer, it helps with patients with bipolar disorder which is also called as manic-depressive disorder).
  • Thyroid treatments (there's 2 different ways to treat depression. Most often used as augmentation for patients who responds insufficiently to anti-depressants).
  • MDMA (also known as "molly" or "ecstasy", is a psychoactive substances which is used for patients with PTSD).
  • Marijuana (out of 195 countries in the world, only 42 countries are allowed ; legal for consumptions, 14 countries allowed for the use of marijuana only if with permits).
  • Psychedelics (those who consumed are to be closely monitored).
Next is Brain Stimulation Therapy. BST treatments breaks down in 4 different categories. 

  • Electroconvulsive Therapy (which is also known as ECT, a treatment resistant depression and severe depression. ECT also involves in transmitting short electrical impulses into the brain, helping to balance the chemical cells).
  • Repetitive Transcranial Magnetic Stimulation (which is also known as rTMS, a brain stimulation which is similar to ECT but rTMS uses magnet instead of electrical current).
  • Vagus Nerve Stimulation (which is also known as VNS, treatment for patients with major depressive disorder and treatment resistant).
  • Deep Brain Stimulation (which is also known as DBS, a first approved treatment for patients with Parkinson's. It involves pulses of electricity from an implanted battery pack. It is also approved to treat patients with OCD but for patients with depression, it is remains experimental).
Next is treating Depression with Therapy. There's 3 common types which includes : 

- Cognitive Behavioral Therapy (which is also known as CBT, helps to assess and change negative thinking patterns associated with depressions. Patients with depression can learn coping strategies by recognizing negative thoughts. This is only a structured therapy that is often limited to only certain number of visits. 

- Psychodynamic Therapy which helps to encourage patients to look at negative behaviors and to recognize them and changes it. Therapist would work with patients and tries to tap the unconscious processes that have led to the problem itself and then help the patients to change it.

- Interpersonal Therapy which is also known as IPT. IPT look at personal relationships and encourages patients to make changes in life. The focus of this therapy is for patients to learn from the therapist on how to improve their problems and also evaluate patient interactions to improve how they relate to others. 

And lastly, Treating depression with Changes in Lifestyle. This is extremely hard especially because depression changes a lot in our lifestyle hences, we need to make some changes. 

  • Find meaning purpose in you life. Why? To have a strong purpose of life offers a buffer against inevitable setbacks and obstacles. Activities that connects with something greater such as pursuing a college degree, or mastering a challenging task. It not only provide a goal to work forward but it gives a good healthy and meaningful distraction. 
  • Cultivate social support. Why do we need social support? Personal connections with others such as friends, family members, neighbors etc provides reasons to get up in the morning. It helps for strong relationship and reduces isolation and loneliness. 
  • Develop coping skills to reduce stress. You need to identify the cause of your stress and avoiding those situations could help. Do something that provides you a distraction. Journalling? Knitting? Making slimes? Making your own jewelry? 
  • Get a sufficient amount of restorative sleep. Sleep helps to maintain the brain function. Maximum of 5-8 hours of sleep would be good enough. 
  • Make sure you move, everyday. Wake up in bed and have a minimal walk, be it going to the bathroom or the kitchen or the living room. A small activity can make a big impact. 
  • Eat clean. Diet that includes fresh foods, staying hydrated, cutting out sugary beverages, reduce caffeine and alcohol consumptions. If these is hard, try to cut down at least one and make it into a habit. 
  • Stay motivated. Even if the day is a very bad day, it's alright because we all do have bad days. Reward yourself with things you enjoy. 
Negative attitudes deplete the chemicals in the brain that creates contentment. It also damages the immune systems and upset the body hormonal changes. 

Even if today is a very bad day, remember, I thank you for pushing forward and surviving this very bad day. I'm proud of you for staying strong! Now go, go and reward yourself with something good. Trust me, it'll be worth it. You are beautiful, in and out. Remember, whoever you are, I send you lots of love and stay strong :)

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# All sources stated above is based on my own research, my own experiences and other's experiences (which I've personally approached and asked for their experiences). I'm in no means to take over as a professional therapist. I'm not professional. I'm mainly sharing my knowledge with you as so that mental health stigmas will stop. I do not gain any profits or medals or whatever shits in sharing what I knew. Please consult the professionals or seek help from the doctor if you do notice any changes in your behaviour or the people close to you, in terms of physical or mental. Please have a look at this for emergency hotline. 

For those staying overseas, please check at this list
For those staying in Singapore, please check at this list

Thank you, stay safe. 


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