Most of the studies with children used therapies originally developed with adults, which may have reduced the effectiveness. The study was not able to compare the different types of therapy to each other. 35 (95% CI, 0.15-0.55), and second largest in the oldest group, g =. The effects were smallest for young children (<13 years), g =. It found that the best results were for young adults, with an average effect size of g=.98 ( 95% CI, 0.79-1.16). It summarizes results from 366 trials included 36,702 patients. A meta-analysis examined the effectiveness of psychotherapy for depression across ages from younger than 13 years to older than 75 years. Psychotherapy is the treatment of choice in people under 18. With more chronic forms of depression, the most effective treatment is often considered to be a combination of medication and psychotherapy. There are a number of different psychotherapies for depression which are provided to individuals or groups by psychotherapists, psychiatrists, psychologists, clinical social workers, counselors or psychiatric nurses. The possibility of depression, substance misuse or other mental health problems in the parents should be considered and, if present and if it may help the child, the parent should be treated in parallel with the child. Psychotherapy is the treatment of choice in those under the age of 18, with medication offered only in conjunction with the former and generally not as a first line agent. ( e.g., sham acupuncture) Given an accurate diagnosis of major depressive disorder, in general the type of treatment (psychotherapy and/or antidepressants, alternate or other treatments, or active intervention) is "less important than getting depressed patients involved in an active therapeutic program." Combining psychotherapy and antidepressants may provide a "slight advantage", but antidepressants alone or psychotherapy alone are not significantly different from other treatments, like "active intervention controls". Though psychiatric medication is the most frequently prescribed therapy for major depression, psychotherapy may be effective, either alone or in combination with medication. Physical causes are ruled out with a clinical assessment of depression that measures vitamins, minerals, electrolytes, and hormones.
Management of depression is the treatment of depression that may involve a number of different therapies: medications, behavior therapy, psychotherapy, and medical devices.ĭepression is a symptom of some physical diseases a side effect of some drugs and medical treatments and a symptom of some mood disorders such as major depressive disorder or dysthymia.
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