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Options for teens with treatment-resistant depression

March 28, 2016 0 Comments

Treatment-options-for-teens-with-treatment-resistant-depression

Major depression affects 10 to 15 percent of the population. Despite advances in the understanding and treatment of depression, only 60 to 70 percent of patients with depression respond to antidepressant therapy. Yet, hope is not lost for such individuals. It takes time to find the best-suited treatment.

“About 40 percent of adolescents with depression do not adequately respond to a first treatment course with an antidepressant medication, and clinicians have no solid guidelines on how to choose subsequent treatments for these patients,” stated Thomas R. Insel, M.D., director of the National Institute on Mental Health. “The results from TORDIA bring us closer to personalizing treatment for teens who have chronic and difficult-to-treat depression.”

Why does it happen?

People develop treatment-resistant depression for numerous reasons:

Switching up treatment

According to the Treatment of Resistant Depression in Adolescents (TORDIA) study, stretched over 24 weeks, adolescents with treatment-resistant depression can benefit greatly from switching medication or treatment combinations.

The study assessed 334 adolescents, aged 12 to 18 years, with moderate to severe depression, persistent despite treatment with an SSRI for at least 8 weeks.

At the 12th week, 159 responders were able to continue their assigned treatment, whereas the 175 nonresponders were arbitrarily allocated a different medication or therapy for further 12 weeks.

Outcomes showed:

A wide range of treatment options

Medication

It’s vital for patients to have sufficient medication for an appropriate amount of time. Most medications treatments last about six weeks, and a partial response to treatment may require up to 12 weeks of use.

If that doesn’t help, then it may be necessary to increase the dose, switching antidepressants, adding another type of antidepressant or medication, and/or getting a cytochrome P450 genotyping test to assess how your body metabolizes medication.

Psychotherapy

Mental health professionals are trained to help you talk about your fluctuating moods and behaviors. Therapy opens new avenues to handle stress and evade negativity that can set off depressive symptoms.

Psychotherapy for depression includes cognitive behavioral therapy, acceptance and commitment therapy, interpersonal psychotherapy, family or marital therapy and group therapy.

Support groups

Interacting with depressed individuals may help feelings of loneliness and isolation. There are numerous local support groups for people battling depression.

Electroconvulsive therapy (ECT)

ECT involves placing electrodes on a patient’s scalp, sending a particular current that initiates a controlled short seizure in the brain. ECT is administered with general anesthesia, and the voltage is carefully controlled. While the treatment can have negative side-effects, it also has a large body of evidence to support its efficacy, more than other invasive treatments.

Sovereign Health is a leading behavioral health treatment provider, devoted to the provision of evidence-based treatment for substance abuse disorders and mental illnesses. If you or a loved one is currently struggling to regain control of your life, help is just a phone call away.

About the author

Sana Ahmed is a staff writer for Sovereign Health Group. A journalist and social media savvy content developer with extensive research, print and on-air interview skills, Sana has previously worked as an editor for a business magazine and been an on-air news broadcaster. She writes to share the amazing developments from the mental health world and unsuccessfully attempts to diagnose her friends and family. For more information and other inquiries about this article, contact the author at news@sovhealth.com.   

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