Depression: Common & Emerging Treatments
In the United States, adult depression tripled in the early months of the COVID-19 pandemic, and this elevated rate of depression has persisted and, in fact, worsened ever since. Among people with major depression, less than one-quarter are estimated to receive minimally adequate treatment and approximately one-third relapse within a year. The causes of depression are multi-faceted and complex, and the toll that depression places on an individual, familial, and societal level is enormous. More than ever, mental health clinicians must educate themselves about established best practices in the treatment of depression, along with exciting new developments in the field and potential adjuncts to their care, so that they can present these options to their clients.
This advanced beginner/intermediate level course is divided into five sections. The first section begins with a review of contemporary “third-wave” cognitive-behavioral and short-term psychodynamic therapies.
The second section provides a user-friendly introduction to antidepressants geared to non-prescribing mental health clinicians, including the neuroscience, main categories, withdrawal symptoms, side effects, limitations, and common questions associated with antidepressants. This is followed by an article highlighting recent debates about the relationship between depression and serotonin.
The third section introduces promising innovations in the treatment of depression, particularly for patients who are difficult to treat with traditional psychotherapy and/or antidepressant medication. These innovations include ketamine-assisted therapy, neurofeedback, and brain stimulation therapies.
The fourth section covers several useful adjuncts to the treatment of depression, including lifestyle factors and alternative treatments. This is followed by a thought-provoking commentary of the role of placebo effects in treatment of depression. The course ends with a very brief introduction of the potential role of apps in the future of mental-health treatment.
All content is available both in audio and text format.
Educational Objectives
- Compare the approaches to some of the more common contemporary psychotherapies for treatment of depression
- Discuss potential benefits and side effects of the most common antidepressant medications
- Compare and contrast newer innovative therapies targeting treatment of depression
- Describe adjunctive treatments for depression
- Discuss the role of the placebo effect in the treatment of depression
Syllabus
- Contemporary therapy approaches for depression
- Cognitive based approaches
- CBT
- ACT
- BAT
- DBT
- MBCT
- Short-term psychodynamic psychotherapy
- Cognitive based approaches
- Antidepressant medications
- Brief overview of neuroscience of depression
- Main categories of antidepressants
- Antidepressant withdrawal symptoms
- Black box warnings
- Common side effects
- Reasons some patients don’t get better on antidepressants
- Other considerations
- Challenging the serotonin deficit hypothesis
- Three promising emerging treatments
- Ketamine
- Neurofeedback
- Deep brain stimulation
- Useful adjuncts to treatment
- Diet
- Exercise
- Meditation
- Sleep
- Social support
- Animal/pet therapy
- Placebo effect in treatment of depression and anxiety
- Placebo effects vs placebo responses
- What is the drug effect
- Technology and mental health treatment
- Mental health apps
- Evaluating apps
