There are effective treatments for moderate and severe depression. Health-care providers may offer psychological treatments (such as behavioural activation, cognitive behavioural therapy [CBT], and interpersonal psychotherapy [IPT]) or antidepressant medication (such as selective serotonin reuptake inhibitors [SSRIs] and tricyclic antidepressants [TCAs]). Health-care providers should keep in mind the possible adverse effects associated with antidepressant medication, the ability to deliver either intervention (in terms of expertise, and/or treatment availability), and individual preferences. Different psychological treatment formats for consideration include individual and/or group face-to-face psychological treatments delivered by professionals and supervised lay therapists.
If you are unsure where to go for help, ask your health provider or check out the NIMH Help for Mental Illnesses webpage at /findhelp . Another Federal health agency, the Substance Abuse and Mental Health Services Administration (SAMHSA), maintains an online Behavioral Health Treatment Services Locator at https:/// . You can also check online for mental health professionals; contact your community health center, local mental health association, or insurance plan to find a mental health professional. Hospital doctors can help in an emergency.
Depression is often accompanied by a variety of physical symptoms. One of the most powerful physical changes accompanying depression is impaired sleep. Usually this involves an inability to get enough sleep because the person has difficulty falling asleep, repeatedly wakes during the night, or awakens much too early. Sometimes the person sleeps too much or experiences fatigue so pervasive that they can never seem to get enough sleep. When the person does not awake feeling refreshed and rested, it becomes harder to face the day. Depressed people may lack energy and feel exhausted by everyday activities. They may have trouble focusing on tasks and staying alert. This is a particular problem for those who work long hours or alternating shifts.