Table 2. Summary of various approaches to management of depression.
Types of treatment | Mechanisms |
Lifestyle Modifications | Improving quality of sleep, exercise, healthy eating, meditation, stress management, avoiding alcohol/drug use |
Classes of Medications | SSRI-inhibit reuptake of 5HT by binding to SERT; SNRI-inhibit reuptake of both serotonin and NE by binding to SERT and NET and weakly inhibits dopamine reuptake; TCA-inhibit reuptake of both 5HT and NE by binding to SERT and NET, antihistamine & anticholinergic; MAOI inhibits the activity of monoamine oxidase, thus preventing the breakdown of monoamine neurotransmitters and increasing their availability; SDAMs- partial agonist at 5-HT1A and D2 receptors and an inhibitor at 5-HT2A and NE alpha type 1B and type 2C receptors, with similar potencies; Atypicals - dopamine reuptake inhibitor, 5HT receptor modulator, inhibits alpha two receptors |
Psychotherapy: CBT, Interpersonal and psychodynamic | It aids in the recognition and modification of negative thoughts and behaviours. |
ECT | A seizure is triggered by electrical stimulation when used a few times a week for a short time and eliminates depression symptoms for a prolonged time. |