Depression can have many different forms and affect people in many different ways. Some of these can include feeling sad or empty, higher irritability, and not caring about anything. For example, someone who was depressed would probably be more likely to quit on something than someone who was not depressed. It can even go as far as people taking their own life if not treated in time. Depression was not noticed as something serious a long time ago, But since then it has been given recognition as a significant mental disease. And with every disease, there need to be different ways of treating it. Every person that goes through depression handles it differently. Some examples of these treatments include various forms of psychotherapy, medication, physical exercise, and even herbal remedies. However, some may argue that medication is the best form of treating depression. They believe this treatment to be the best because of the success rate of the medicine. If the medication has a high success rate, then more people will be willing to use it. In addition, the medication also affects neurotransmitters in the body that affect mood and control depression. But not all people that acquire depression can cure it by using medication to heal it. Because of this people then turn to psychotherapy. Psychotherapy is the act of treating a mental disorder by using psychological means. An example of this is cognitive behavioral therapy. This form of therapy is used to change patterns of thinking or behavior that are behind people’s difficulties, so they change the way they feel (Martin, 2018 p.1). If people can address their issues and find a solution to them, then they can come to peace with themselves and help their depression. Psychotherapy is the best way to cure depression. This can be observed in the many different forms of psychotherapy and how it treats behavior, emotion, and the feeling if the person overall.
CBT or cognitive behavior therapy is used to cure all types of depression. It does this by changing your thought pattern so that you have more positive thoughts and less negative ones. The objective of the therapy is to focus on a person’s different ideas, beliefs, and attitudes (Martin, 2018, p.1). If an individual can control the various thoughts going through their head and keep a positive mindset, then they will be more willing to want to do something. For example, a depressed student may say “I don’t want to class because nothing matters.” If an individual believes in these negative thoughts, then it will have an effect on daily choices in that person’s life. If the individual never tries, then they won’t know if they can make a difference or not. With CBT people have a chance to change their thought process to make them believe they can do more than they think. In a study done by Siddique, Chung, Brown, and Miranda 2012, p.1, they wanted to see in research of how CBT compares to medication in depression scores. They had tested 267 low-income women over the course of a year. What they found was in 6 months’ time, medication was at 9.17 and CBT was at 10.73. And in 12 months’ time, medication was at 9.17 and CBT at 8.38. Just because something is better for a limited time does not mean it’s the best. Even though the medicine was doing better than CBT by 12 months, the therapy had become more efficient. The more time you spend on Cognitive behavior therapy, the more effective, it becomes over time.
Another form of psychotherapy that helps with depression is behavior activation therapy (Martell, p.1). The purpose of this therapy is to target behaviors that might maintain or worsen the depression. When an individual becomes depressed the likely hood of them developing some form of behavioral issues increases. Because one is in a state of mind where It is hard to think positive, they can be less likely to act how they would usually act. And as a result of this, it may become harder to get help to a person because they may not want to comply depending on how severe the depressed behavior becomes. However, If the individual goes to a behavioral therapist, they can receive benefits and start to fix whatever behavioral issues they have. Behavior therapy may not be the best form of psychotherapy, but it does help to eliminate the little things that may be stopping you from beating depression. In another study done by Farchione, Wilner, and Boswell, 2017, p.1 they administered BA therapy to a girl named Gina to see how it would affect her depressive disorder. They found that with the beginning overall depression severity and impairment scale (ODSIS) was 16. By week five it was 9, by week ten it was 4, and at the end of the treatment, it was 3. Not only that but the behavioral inhibition scale (BIS) had also decreased as well starting from 25 and by the termination of the treatment it had reached 19. With the help of a behavioral therapist, someone with depression could not only see a change in how they act but as well as how they feel when it came to curing the depression. So long as the individual seeks help, then they can change their behavior and help their depression. If one can change their behavior and how they feel, then they can improve their mindset and do more for themselves to help cure their depression.
` Another important form of psychotherapy is psychoanalytic therapy. This therapy focuses on exploring the individuals full set of emotions including ones that may be in the unconscious mind. That way if there are any underlying emotions one can find out if that emotion is the cause or partly the cause of their depression. The more an individual knows themselves, the better benefit they can have when it comes to addressing their own emotions. For example, a child may experience a lot of emotional pain from a close relative or family member. And as a result, that child may have resentment for that particular relative. But if the child can figure out where the pain is coming from, then they can find a way to address it. In a study conducted by Zimmermann, Loffler-Stastka, Huber, Klug, Alhabbo, and Benecke, 2014, p. 1 they had tested what makes psychoanalytic therapy and psychodynamic therapy so effective. What they wanted to find if it had to do with the number of sessions or the different features of the psychotherapies. So they conducted a quasi-experiment with 77 subjects, 24 being tested by CBT, 27 receiving psychoanalytic therapy, and 26 reviving psychodynamic therapy. What they found was that participants who received the psychoanalytic therapy had reported having fewer interpersonal problems, and treated themselves in a more affiliate way. In addition, they had also found that high doses of this type of therapy can help facilitate change in the individual’s depression. The longer the individual receives psychoanalytic therapy, the better the result is the for the individual’s depression. If the depressed individual can get in touch with all of their emotion’s, then they can make an effort to try and address the issues they have with themselves or with other people.
Another psychotherapy similar to psychoanalytic therapy is brief psychodynamic therapy. The objective of this therapy is to make one aware of the past or present conflict in relationships so that they can find a way to solve them. Even though this may not be the best form of treatment, it still presents excellent ideas that can help with an individual’s depression. For example, someone may have strong anger towards someone and not know why. But with the help of this therapy, it can help one recognize what issues they have and maybe find a solution for them. Once an individual can see any underlying issues they have, then they can take the right steps toward actual recovery. This is to say that the more one knows about their past problems, the better they can be at handling them as well as helping with their depression. In a study done by Driessen, Van, Peen, Don Cuijpers, Twisk, and Dekker, 2017, p. 1 they wanted to test how effective psychodynamic therapy is compared to CBT. They did this by examining 341 Dutch males and had them go through 16 sessions of either CBT or psychodynamic therapy. They found that in their first study that psychodynamic treatment could be as effective as CBT. In addition, they had also established that 45-60 percent of patients showed a change in most outcome measures. Under the quality of life section, short-term psychodynamic supportive psychotherapy (SPSP) had increased. At week 0 it was .43, then at week 10, it was .55, after that, it was .60 and so on. As time went on the treatment became more efficient. Not to mention the fact that it had also been compared to be as effective as CBT. So long as the individual continues to go to this type of therapy for an extended amount of time they can slowly cure their depression. More clearly seen in the data as the quality of life scale had increased showing signs of improvement in the person’s life.
Finally, being one of the more common psychotherapies, interpersonal therapy focuses on different types of relationship skills. Furthermore, (Herkov, 2016, p. 1) explains that interpersonal treatment seeks to achieve the improvement of communication and how people relate to others. This therapy tends to be more common considering how many people develop communication issues because of depression. Additionally, interpersonal therapy goes on to attempt to address relationship issues, attachment issues, grief and much more. For this reason, interpersonal therapy is beneficial when it comes to curing depression. Because of the full range of things that addressed, interpersonal therapy has a better chance of making a difference in one’s depression. Moreover, because depression may already be an issue in the individual’s life; fixing broken relationships and relationship skills will have a positive impact on the individual’s life. If a person can start to fix things little by little, then they may begin to show progress in curing their depression. In a study where 116 clients tested with IPT, Barkham, Shapiro, Hardy, and Rees 1999, p.1 they had found that “IPT intervention showed a significant reduction in depressive symptoms on completion of the 12-week intervention”. Furthermore, the data explains that at the start of the intervention on the Beck depression inventory scale (BDI) had been 34.85 for the intervention participants and 32.45 for the control group. However, at the end of the intervention, the BDI scores for the intervention participants were 17.85 and 12.90 for the control group. In conclusion, interpersonal therapy is an excellent way to address depression in general. It uses many different types of strategies when it comes to figuring out various interpersonal issues.
Psychotherapy has many different ways of solving depression. For example, CBT wouldn’t go about solving depression the same as IPT. And because psychotherapy has some many different approaches it makes it much more useful for server and long-term depression. In addition, participants of usually receive psychotherapy end up treating their depression. This results from a continuation of whichever therapy. If the depressed individual continually uses therapy, eventually the depression will go away. Another critical point is that psychotherapy focuses curing things that may be causing pain and or affecting one’s emotional state and behavior. And as a result of that individuals can find ways to heal other issues that may be contributing to their depression. Because of the many things that psychotherapy can do it makes it the best form of treatment for depression.
Barkham M, Shapiro D.A., Hardy G.E., Rees A. (1999). Psychotherapy in two-plus-one sessions: outcomes of a randomized controlled trial of cognitive-behavioral and psychodynamic-interpersonal therapy for sub syndromal depression. Journal of consulting and clinical psychology. 67, 201-211, http://dx.doi.org/10.1037/0022-006X.67.2.201
Driessen E, Don J.F., Cuijpers P, Van L.H., Peen J, Twisk W.R.J., Dekker M.J.J. (2017). cognitive-behavioral versus psychodynamic therapy for major depression: secondary outcomes of a randomized clinical trial. Journal of consulting and clinical psychology, 85, 653-663, http://dx.doi.org/10.1037/ccp0000207
Farchione T, Wilner J, Boswell J. (2017). Behavioral activation strategies for major depression in trans diagnostic cognitive-behavioral therapy: an evidence-based case study. Psychotherapy, 54, 225-230. http://dx.doi.org/10.1037/pst0000121
Martell C, (n.d). Behavioral activation therapy, Christopher Martell: behavioral activation therapy. http://www.christophermartell.com/ba.php.
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Siddique J, Chung J, Brown H, Miranda J. (2012). Comparative effectiveness of medication versus cognitive-behavioral therapy in a randomized controlled trial of low-income young minority women with depression. Journal of consulting and clinical psychology, 80, 995-1006, http://dx.doi.org/10.1037/a0030452
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