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.