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Core Elements of Depression Treatment:

1. Assessment and Safety

  • Clinical interview covering symptoms, history, and stressors and learning about your unique experience.
  • Screeners such as the PHQ-9 to set a baseline and track progress.
  • Ongoing safety planning when needed.

2. Psychoeducation

  • Explain how depression affects mood, energy, thinking, and behavior, and how withdrawal and negative thinking keep it going.

3. Cognitive Behavior Therapy

  • Track activities and mood.
  • Schedule small, meaningful activities tied to the your values.
  • Identify negative thoughts and beliefs, test them with thought records and behavioral experiments, and build more balanced perspectives.
  • Problem-solving, sleep and routine, and relationship and communication skills.

6. Psychiatric Support

  • I may suggest you coordinate with a prescriber when symptoms are moderate to severe.

7. Maintenance

  • Create a plan for ongoing management of symptoms.