TABLE 3: .
General treatment guidelines15,19,34
|
Stages of Treatment |
Severity of Depression |
Treatment Recommendations |
| 1 | Mild to moderate | Cognitive behavioral therapy |
| Interpersonal psychotherapy-adolescents | ||
| Acceptance and commitment therapy | ||
| Mindfulness-based cognitive therapy | ||
| Family interventions | ||
| Moderate to severe | First-line | |
| Selective serotonin reuptake inhibitors | ||
| Serotonin norepinephrine reuptake inhibitors | ||
| Norepinephrine dopamine reuptake inhibitor | ||
| Noradrenaline and specific serotonergic antidepressant | ||
| Second-line | ||
| Tricyclic antidepressants | ||
| Monoamine oxidase inhibitors | ||
| 2 | Combination therapy (medication + therapy) | |
| Increase antidepressant dose | ||
| Augment antidepressant with lithium ± antipsychotic | ||
| Antidepressant combination | ||
| Repetitive transcranial magnetic stimulation | ||
| 3 | Electroconvulsive therapy |