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Depression Treatment and Counselling – What to Expect?

Depression is a chronic disorder resulting in intense feelings of sadness, hopelessness and a decreased interest in previously enjoyed activities. Individuals with depression may find it difficult to function in their personal, social or occupational lives. Despite the seriousness of the disorder, there are several depression treatment options that can help the individual regain a life of normalcy.

Depression can be treated with psychotherapy and medication. Cadabams offers various types of psychotherapies and psychiatric support, that may be best suited for you or your loved one. With more than 28 years of experience, Cadabams' multispecialty team of psychologists, counsellors and therapists, the hospital offers world-class evidence-based, solution-oriented treatment for depression.

Talk to our professionals to draw up a treatment plan that works best for you.

Types of Depression

There are several categorizations of depressive disorders based on the nature of their symptoms and duration. All of these have been classified in the ICD and DSM which are clinically accepted worldwide.

  1. Major Depression - For major depression to be diagnosed, depression symptoms have to be present for at least 2 or more weeks. There is usually a distinct change in behaviour from previous functioning. The individual shows either or both symptoms of a depressed mood or loss of interest in previously enjoyed activities. Major Depression is also called clinical depression.
  2. Persistent Depressive Disorder - Persistent Depressive Disorder is a more chronic form of depression, also known as Dysthymia and high-functioning depression. In this disorder, depression symptoms last for at least 2 years. The individual may experience periods of Major Depression with intermittent symptoms ranging between mild, moderate and severe intensity. 

Unique Forms of depressions:

  1. Premenstrual Dysphoric Disorder - Premenstrual Dysphoric Disorder is a type of depression diagnosed in menstruating individuals. Depression symptoms can be observed only in the week prior to the menstrual cycle. The depression symptoms subside when the menstrual cycle ends.
  2. Psychotic Depression - Psychotic Depression presents major depression symptoms along with psychotic symptoms. These include hallucinations (hearing and seeing things or noises that are not really there), delusions (false beliefs that do not match reality), and paranoia (feelings of suspicion and mistrust).
  3. Seasonal Affective Disorder - Seasonal Affective Disorder is a type of depression that happens during specific seasons throughout the year, more commonly seen in winters. The intensifying of depression symptoms can be attributed to irregularities in neurotransmitters or changes in circadian rhythms, or the body's biological clock.
  4. Postpartum Depression - Postpartum Depression is a type of major depression that develops in the weeks following childbirth. This depression is linked to the hormonal, psychological and social changes that occur during and after childbirth. Postpartum depression usually reduces with appropriate depression counselling and therapy.
  5. Bipolar Disorder - Bipolar Disorder is characterized by mood episodes that range between manic, high energy episodes and depressive, low periods. 

Symptoms of Depression:

  • Persistent feelings of sadness, anxiousness, or feeling empty
  • Feelings of hopelessness or pessimism
  • Feelings of guilt, worthlessness or helplessness
  • Irritability or Restlessness
  • Loss of interest in hobbies or activities once found pleasurable, including sex
  • Feeling fatigued with a lack of energy
  • Difficulty in concentrating, remembering details and making decisions
  • Changes in sleep patterns. People with depression might experience insomnia, early morning wakefulness, or excessive sleeping
  • Changes in appetite - Depression may cause overeating or loss of appetite, leading to sudden changes in weight.
  • Thoughts of suicide, suicide attempts
  • Chronic pain, headaches, cramps, digestive problems that do not ease even with treatment

Causes of Depression

Depression is caused due to a variety of factors, including genetic, biological, environmental and psychological.

  1. Genetic Factors - Having a family history of depression can increase chances of the individual developing depression. Research has shown a two to threefold increase in risk to develop depression symptoms with a family history of the disorder.
  2. Social Factors - Interpersonal conflicts, adverse childhood experiences, environmental stresses can all contribute to the risk of developing depression.
  3. Psychological Factors - Personality traits have also found to be a contributing factor for depression. Individuals who engage in negative thought patterns may have a higher risk of having depression.
  4. Biological Factors - Any irregularities in the neurotransmitter systems or differences in brain structures can increase chances of depression in an individual.

Depression Diagnosis

To get started on depression counselling and treatment, it is first necessary to reach a diagnosis by getting specific details about the client's symptoms. Depression counselling services use several methods to understand the complete history of the client and then reach a conclusive diagnosis. Cadabams hospital uses psychometric assessments to diagnose depression by following a comprehensive procedure involving a multispecialty team providing a diagnosis while identifying individual differences for an individualised treatment plan.

  1. Case History Taking: Case history taking helps to understand clients' personal and family history. This gives mental health professionals better insight into the duration and intensity of symptoms experienced by the client, factors that may play a role in worsening or alleviating the symptoms as well as the thought and belief patterns of the client.
  2. Physical Exams: Physical exams are conducted with the assumption that mental disorders are linked to physical symptoms such as chronic pain. This also helps the mental health professionals get an understanding of the basic health of the individual.
  3. Psychometric Testing: Psychometric testing allows for a comprehensive evaluation of individuals' symptoms and thus, helps in diagnosis. These assessments can further guide depression counselling and treatment as well as the progress of the individual.

Using these methods of diagnosis, the mental health professional reaches a diagnosis while referencing the mental disorder manuals such as the DSM or ICD. Due to the detailed categorizations of depression symptoms in diagnostic manuals, it is also possible to understand the type of depression and build a treatment plan accordingly.

Depression Treatment:

Depression treatment is usually a combination of psychotherapy and medication. The course of depression counselling depends on the diagnosis and specific needs of the client. The duration of the course of depression counselling also depends on the severity of depression symptoms. Clients can seek the help of psychologists or any other mental health professional for psychotherapy.

Depression medication is prescribed by psychiatrists. For severe depression, where there is a possibility of harming oneself or others, it is recommended for the individual to stay at a rehabilitation centre. At Cadabams, we provide different treatment including Outpatient and inpatient treatment plans and community and home care plans, and online counselling using the right balance of psychotherapy and medication that you need and want . 

  1. Psychotherapy - Psychotherapy is a type of talk therapy that helps people deal with mental illnesses, emotional difficulties and other corresponding issues. This form of depression counselling helps to manage or reduce depression symptoms to improve a person's daily functioning. The most common form of psychotherapy for depression counselling is Cognitive Behavioural Therapy (CBT). CBT involves identifying negative thought patterns and reframing them into healthy coping strategies. Other types include one-to-one counselling, interpersonal therapy, REBT, DBT etc. Interpersonal therapy focuses on relationships in the individual’s life and identifying problem areas to manage. Dialectical Behaviour Therapy (DBT) is a type of CBT that focuses on mindfulness, acceptance and distress tolerance along with CBT techniques. For those who do not seem to be responding to treatment, methods such as Electroconvulsive Therapy (ECT) and Repetitive Transcranial Magnetic Stimulation (rTMS) are used. 



Cadabams offers a variety of depression counselling options based on a client's individual needs. Depression counselling can help in the following ways:

  1. Identifying negative beliefs and behaviours, and replacing them with healthy and positive ones
  2. Exploring interpersonal relationships and conflicts and learning to develop positive interactions with others
  3. Identifying root issues that have led to depression
  4. Regaining a sense of satisfaction and control in life, which helps to ease depression symptoms like hopelessness and anger
  5. Learning to set realistic goals to enhance emotional and psychological wellbeing
  6. Adjusting to and managing everyday stressors
  7. Finding better and healthier ways to solve problems

2. Medication - Psychiatrists can prescribe antidepressants to a client along with psychotherapy. There are many types of antidepressants so it is important to consult your psychiatrist to understand what course would work best for you. Antidepressants are also known to have several side effects, so it would be advisable to consult your psychiatrist and change medications accordingly until you find the right one for you. Different types of antidepressants and dosages might be required to get the required effects. Stopping the treatment suddenly can cause the worsening of depression symptoms and missing several doses can bring about withdrawal signs. Though antidepressants are not considered addictive, they are known to cause physical dependence.

Overcoming Depression - Depression Recovery with Different Plans

Overcoming depression can be extremely difficult as depression is a disease that changes the way people interact, behave and function, causing major changes in their relationships and putting their well-being at risk. But with our holistic depression treatment plan, we acknowledge, address and help treat all aspects and symptoms of depression. Our multispeciality team of experts - psychiatrists, psychologists, physicians, family therapists therapists, and counsellors - work together with the individual with depression and their loved ones to battle depression.

We work tirelessly to develop a customised depression treatment plan that includes the right balance of depression counselling and therapy, medication and support that you/your loved one needs for a long-term recovery from depression. We provide a wide range of treatment options to best suit your needs - including Outpatient and inpatient treatment plans, community and home care plans crisis management and online counselling for depression.

Crisis Management 

Depression may require emergency healthcare. We work in close contact with all stakeholders involved in the case of an emergency. Our specialised crisis intervention team is trained to de-escalate tension and extend all necessary support for you and your loved one’s safety. Our emergency helpline number +919741476476 works 24/7 to help you with crisis management. 

Your long-term recovery is our priority. With our comprehensive depression counselling, we are involved in every step of the way. We offer personalised Post-Diagnostic Support for depression to familiarise the patient and the family with depression and depression counselling. Guaranteeing a healthy support system for caregivers and providing caregiver therapy is of prime importance to us.

Our treatment does not end with discharge. Our community mental health care plans for depression help you with long-term recovery. Through our Post-treatment Care services and Home Mental Care, we ensure that you continue on the road to recovery. 

Understanding Depression: Hear from our Experts

What is Depression 



Treatment for Depression



rTMS for Depression 



Why Cadabams?

Depression, even in more severe cases, can be treated effectively with the help of proper treatment plans. Cadabams offers individuals with holistic, individualised treatment plans after understanding biological, psychological and social factors that may be contributing to the disorder. We offer multi-specialty healthcare for individuals with depression that include home and community healthcare, caregiver support as well as post treatment care.

FAQ

What is depression?

Depression is a treatable psychological disorder, characterised by feelings of intense sadness, hopelessness and a loss of interest in previously enjoyed activities. Depression is also characterised by changes in sleeping and eating patterns, loss of energy, reduced self esteem, and even suicidal thoughts. Depression can cause significant dysfunction in daily life. Cadabams Hospital offers holistic treatment for depression with different therapy and treatment options with a multispecialty team of psychologists, counsellors and therapists.

Can depression cause death?

One of the symptoms of severe depression is suicidal thoughts, or suicidality. It is important to understand that suicide is not something that should be stigmatised. It is a genuine healthcare problem and anyone who experiences suicidal thoughts should be prompted to seek immediate help. 24/7 helplines across the country work to help individuals who feel suicidal. Psychological counselling and therapy can also help to manage severe depression.

How to help someone with depression?

The most important part of helping someone with depression is to listen, and to be kind and empathetic. Do not judge the person who is expressing themselves and try not to offer advice unless the person explicitly asks for it. In case they seem likely to harm themselves, inform loved ones and prompt them to seek immediate professional help. Cadabams Hospitals also offers Caregiver Support for closed ones of individuals suffering from mental disorders. 

How to overcome depression?

There are several treatment options available to overcome depression. This includes different kinds of psychotherapy and depression medication. The first step to overcoming depression is accepting that there is a problem to be solved and seeking help to overcome these problems. Seeking support from loved ones goes a long way in managing depression. Along with therapy, it is also necessary to make certain lifestyle changes that might help in managing depression symptoms. Cadabams offers therapeutic support as well as post-treatment care, which ensures that the individual receives support even after they have finished their regular course of treatment.

Is depression a disease?

Since biological and genetic components play a role in the development of depression, it can be classified as a disorder. Depression is a classified psychological disorder in diagnostic manuals.  The DSM and ICD have a listed diagnostic criteria that helps mental health professionals identify symptoms and diagnose individuals who seek help. There are also psychometric tests available that can help measure an individual’s symptomology and diagnose depression accordingly. 

What is postpartum depression?

Postpartum depression, more popularly known as “pregnancy blues” is a serious mental health disorder that occurs in individuals who have experienced childbirth. Symptoms of PPD include difficulty in bonding with the child, insomnia, changes in appetite, irritability, severe mood swings, exhaustion etc. PPD is NOT a sign of a bad parent. While around 50% of new mothers experience pregnancy blues, around 15% of them experience more severe symptoms. PPD is easily treatable with therapy, though in more severe cases, hospitalisation may be required.

Can a child get depression?

Yes, a child can be diagnosed with depression, though it often goes undiagnosed. Many children exhibit symptoms of acting out or showing aggression. They may be socially withdrawn, inactive, irritable, express themselves through vocal outbursts, reduced interest in school activities etc. Unstable home environments, traumatic experiences, genetics and brain structure may contribute to depression in childhood. 

How is depression different from sadness?

While sadness is a primary emotion experienced by most individuals, depression is more severe and causes severe dysfunctions in daily life. Sadness can be a healthy emotion if channeled effectively and is normally short-lived. Depression on the other hand, is more chronic, and may require psychotherapy and medication to treat. Left untreated, depression can worsen over time.

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Depression Treatment and Counselling – What to Expect?

  • Persistent sad, anxious, or "empty" feelings
  • Feelings of hopelessness or pessimism
  • Feelings of guilt, worthlessness, or helplessness
  • Irritability, restlessness
  • Loss of interest in activities or hobbies once pleasurable, including sex
  • Fatigue and decreased energy
  • Difficulty concentrating, remembering details, and making decisions
  • Insomnia, early-morning wakefulness, or excessive sleeping
  • Overeating, or appetite loss
  • Thoughts of suicide, suicide attempts
  • Aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment

doctors | Depression Treatment and Counselling – What to Expect?

Dr B. R. Madhukar

Dr Madhukar BR
MBBS, DPM (NIMHANS), DPM (IRELAND), DPM (UK)

Medical Director & Consultant Psychiatrist

Dr. Vijayalakshmi Kashi

Dr Vijayalakshmi Kashi
MBBS, DPM

Consultant Psychiatrist

Dr. Priya Raghavan

Dr Priya Raghavan
MBBS, MRCP (UK), CCT

Consultant Psychiatrist

Dr. Vishal Kasal

Dr Vishal Kasal
MBBS (Psychiatry), M.D.(Psychiatry)

Consultant Psychiatrist

Dr Arun Kumar

Dr Arun Kumar

Psychiatry

Dr. ANITHA B

Dr Anitha Bharathan
M.Sc (Psychology), M.Phil Psychology, Phd in Psycho-oncology 

Consultant Clinical Psychologist

Services and Facilities

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There’s no magic bullet or single treatment that works for everyone. Everyone’s needs are different, so it’s important that you find a program that is right for you. Alcohol addiction treatment program should be customized to your unique problems and situation.

doctors talk | Depression Treatment and Counselling – What to Expect?