Your Checkup: What You Wish Your Doctor Explained

The Depression Treatment Triangle: Medications, Therapy, and Behavioral Activation

Ed Delesky, MD and Nicole Aruffo, RN Season 1 Episode 52
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Depression requires a comprehensive treatment approach addressing biological, psychological, and social dimensions for true healing. We explore the three essential components of effective depression management: medication, therapy, and behavioral activation.

• Depression categorized as mild, moderate, or severe, with treatment options varying accordingly
• PHQ-9 questionnaire serves as both diagnostic tool and progress tracker
• SSRIs (like Lexapro, Prozac, and Zoloft) serve as first-line medications with fewer side effects
• Antidepressants typically require six weeks at therapeutic dose to determine effectiveness
• Psychotherapy, especially cognitive behavioral therapy, proven equally effective as medication
• Combined medication and therapy approach provides superior outcomes to either alone
• Psychology Today website offers accessible therapist-finding tool
• Exercise (30-60 minutes, 3x weekly) prescribed as essential treatment component
• Behavioral activation through resuming enjoyable activities crucial for recovery
• Recovery is possible with comprehensive treatment even when motivation is low

Visit psychologytoday.com to find therapists in your area based on specialty, insurance coverage, session format, and more.


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Production and Content: Edward Delesky, MD & Nicole Aruffo, RN
Artwork: Olivia Pawlowski

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