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An Integrated Approach to Treat Depression
Depression, anxiety, phobias, and mental health are featured almost daily in the media, and it seems that depression is quickly becoming one of society’s biggest problems. These illnesses are increasingly affecting people living in today’s world, and research has led to estimates that at least 17 percent of the adult population have had or will have episodes of depression clinically severe enough to require treatment. A National Institute of Mental Health Special Report on Depressive Disorders in 1973 found that depression accounts for 75 percent of all psychiatric hospitalizations and that 15 percent of all adults between the ages of 18 and 74 may experience major depressive symptoms in any given year. Current studies show that the adult population’s lifetime risk of depression can be as high as 30 percent.
Along with the increased incidence of depression, the use of prescription drugs to treat the condition has increased, but recent reports have questioned whether they are effective or simply cause more problems for the patient. Thus, there is a growing interest in finding a new approach to treat these diseases. After training in clinical psychology and psychotherapy, I am able to implement many accepted practices. However, the more I worked with individuals and groups, I found that by integrating the Eastern-inspired approaches I learned in India, I was able to achieve much more effective and lasting results in less time.
In psychiatry, depression is called a mood disorder. Mood disorders have been known to people since ancient times; The Old Testament describes King Saul as suffering from severe periods of depression. However, the term covers a wide spectrum of emotions, from deep depression to boundless enthusiasm and mania, so understanding the behavior of depressed individuals can be very challenging.
All people experience different emotions and they are usually a healthy part of life and feeling the appropriate emotions has a positive effect on our well-being. However, there are two main types of emotions; First, affective feelings, that is, a short-term emotional reaction to an event, and second, mood, which is a lasting and dominant emotional reaction that colors the whole psychic life.
More than 90% of depressed people experience prolonged sadness, depression or feelings of apathy. However, to classify someone as having a major depressive episode, doctors look for five or more of the following symptoms that have been present in the previous two weeks. There should also be a noticeable change in previous activity, where at least one of the symptoms is either depressed mood or loss of interest or pleasure.
1. Depressed mood most of the day.
2. Significantly decreased interest or pleasure in all or nearly all activities for most of the day.
3. Significant weight loss when not losing weight, or weight gain, e.g. more than 5% weight change per month. Or a decrease or increase in appetite almost every day.
4. Insomnia (sleeplessness) or hypersomnia (excessive sleep) almost daily.
5. Psychomotor acceleration or deceleration almost every day.
6. Fatigue or loss of energy almost every day
7. Feelings of worthlessness or excessive or inappropriate guilt
8. Impaired ability to think or concentrate or indecisiveness
9. Recurrent thoughts about death
No single random factor has been identified that leads people to become depressed. Research points to many factors that appear to contribute to its development, including genetics, biochemical changes, and personality theories. Several research papers have reported findings suggesting that relatives of patients with major depression have a higher prevalence of depression than people in the general population. Other research has focused on the biochemical correlates of depression and investigated the role of chemicals in the brain that transmit nerve impulses from one neuron to another. Although several theories related to depression have been developed about personality types.
My experience as a doctor has made me see each client as an individual whose needs require individual attention. Humans are complex creatures whose health and well-being depend on balance in all aspects of their lives, from physical health to behavior, energy and even the environment.
Treatment of depression
Traditional Western medicine usually treats depression with drugs, e.g. tricyclic, heterocyclic antidepressants and new SSRT drugs. The most commonly used psychological therapies in the treatment of depression are individual psychotherapy, group psychotherapy and cognitive behavioral therapy. Eastern psychotherapy combines Eastern methods such as meditation, yoga, pranic or energy healing, mantra and sound therapy with elements of traditional psychotherapy developed in the West. When treating depression and other mental health problems, it is vital to look for causative factors and investigate issues using Ayurvedic principles and recognition of the spiritual component. Sometimes it may also be appropriate to study the astrological chart of the person being treated to gain a better understanding of the effects on the individual, and gemstone therapy, commonly accepted in many parts of Asia, may be recommended.
The treatment of conditions such as depression, addiction and anxiety is undoubtedly enhanced by the use of complementary techniques. The value of seeking the help of professionals who have worked with both approaches is that they can choose the right treatment for each individual. Orthodox techniques are often effective in treating the symptoms, but Eastern practices may be more helpful for the underlying causes. A therapist who understands each individual’s individual needs is better able to offer them an empowering approach to their illness. For some, the focus may be on traditional Western methods, but for others, accelerated and positive results can be achieved by combining the best of East and West in an integrated treatment program.
With an integrated approach to depression, most people can benefit in 3 or 4 sessions, sometimes even less, depending on the nature of the illness. With any therapeutic approach, it is important to ensure that clients do not become dependent on treatment or receive only a temporary respite because the underlying causes have not been addressed.
Miss K, a 35-year-old woman, did not respond to conventional treatment. The holistic approach included energy and environmental assessments as well as his medical background. He had a five-year history of depression that had been particularly severe during the previous six months. He was on anti-depressants and had several counseling sessions that he didn’t like.
An energetic level assessment revealed some blockages in the heart and solar plexus chakras. The home environment was dark and gloomy, and black and gray were his main colors; there was no energy flow.
She was recommended to try a combination of energy therapies including Reiki and music/mantra therapy along with some suggestions for changing the home environment. He also used herbal medicine (St. John’s wort), massage and acupuncture and began six sessions of cognitive behavioral therapy. His program lasted six months, but he responded very well and has been free of depression for over a year, reporting that he is generally well, taking an active interest in his life and personal development.
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