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But what treatment?
diagnosis of depression is made on the basis of one’s stated emotional state
and observable behaviour. We ask how one is feeling and if sleep, eating or
self-care has been disrupted. Without digging deeper, the diagnosis won’t
determine the basis for the depression.
person may be biologically predisposed to depression wherein one would likely
feel this way, even in the absence of external issues or the depression may be
situationally determined the result of a loss or other tragic events. In other
words depression may be predominantly biologically determined or a psychological
response to an untoward external occurrence.
biological or situational, there is also the impact of depression upon one’s
relationships. The issue is, what is the impact of one’s depression upon
others and they in turn upon the affected individual? How might the influence of
others be helpful or antagonistic to the severity of the affected person’s
depression and/or recovery?
to determine a reasonable course of treatment for depression, assessment must be
based upon a bio-psycho-social model.
a family history of depression, it may be safe to conclude there are biological
factors at play in your depression. Given the presence of biological
determinants, then medication comes to the fore as a more reasonable treatment
strategy for consideration.
the absence of a family history of depression, yet the presence of distressing
life events, then it could be reasonable to conclude that the depression relates
to one’s response to this real life issue and the matter is more psychological
than biological. If this is the case, then counselling to address the issue of
distress may be a more appropriate choice for treatment over that of medication.
course, life can throw a curve ball and there can be both strong biological as
well as psychological factors at play. If this is the case then a combination of
treatments are worthy of consideration and would include medication as well as
counselling. Think of this as “that and” rather than “either or”.
Further, given the interplay of one’s relationships, particularly spousal and
family, can also figure significantly in recovery, then couple and/or family
therapy may be indicated.
of treatment, medicinal, psychological, marital or family therapy, education is
also vital. Persons must be educated with regard to the treatment options and
treatment implications to make informed choices such they can best manage their
is not just for the affected person, but also for those around the affected
person who might otherwise not know how best to provide support.
can be remarkably debilitating and most people suffer in silence. Truth is, for
successful treatment, depression is best considered multi-facetted and to get
the most appropriate treatment, a bio-psycho-social model of assessment and
treatment is the best course of action.
you are suffering from depression contact both your physician and mental health
Direnfeld, MSW, RSW
Direnfeld, MSW, RSW
Call Gary for your next conference and for expert opinion on family matters. Services include counselling, mediation, assessment, assessment critiques and workshops.
For information on Direnfeld's book, Raising Kids Without Raising Cane, click here.
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