Health: Depression and Psychotherapy

Psychotherapy dispense with the use of drugs or the use of other remedies. Here the psychotherapist acts by a conversation on the psyche of the patient. Since the patient himself plays, an active role psychotherapy can be seen as a means to help themselves.

There are many different types and forms of psychotherapy. For outpatient treatment of depression (in the doctor’s office), only the psychotherapy process are recognized and accepted by the public health insurance, which can be assigned to the policy process. These include psychoanalytic process and behaviour therapy. The antidepressant effect of this method has been demonstrated in studies; however, these statements refer mostly to the effectiveness of the method in mild and moderate depression.

In a present depression, cognitive behavioural therapy is used most often. Here are passive behaviours in everyday life (e.g., rumination) are replaced by pleasurable activities. In addition, the social skills to be strengthened again, as people often do not realize how negative their communication patterns are. Stressful experiences are to be reduced. Need to achieve this goal, the thought patterns of those affected will be restructured.

The effectiveness of psychotherapy is, in mild to moderate depression, to compare with the drug therapy. If the symptoms of depression, however, too strong, both methods may be used in combination to enhance the effectiveness. It is so ordered psychotherapy with concomitant medication.

The therapy can sometimes be unsuccessful, resulting in the deterioration of health of the patients (mostly short term). This must strike the patient immediately. Such a situation can occur, for example by an insufficient trust between therapist and patient, as both “unable to each other.”

During psychotherapy, the patient is dependent in some way by his therapist. Only in rare cases, psychotherapists exploit this dependence. However, an unsuccessful therapy can also come about if the patient is not ready to psychotherapy. The therapy calls time, motivation, ability to cooperate and willingness of patients.

Health: Depression and antidepressants

The effect of St. John’s wort extract is controversial. Some studies assessed the efficacy of the extract is stronger than that of a placebo. Other studies in turn deny just this. Another research speaks to the St. John’s wort extract, although effective against mild and moderate depression, but efficacy against severe depression did not exist. The dosage of St. John’s wort extract drugs can be very decease.

In general, medications should only be prescribed; their effect has been demonstrated in studies. These drugs should continue to be approved as a prescription.

The tolerability of St. John’s wort could be resolved only approximate due to low number of participants of such studies. In most cases, the herb was well tolerated. In the trials, some participants in an increased light sensitivity as a side effect of St. John’s wort. However, there are studies in only slight evidence. St. John’s wort may reduce the effect of some medications, such as the pill used to prevent pregnancy. This includes medicines to thin the blood and preparations, which are used for the treatment of epilepsy.

Even physical exercise can improve the symptoms of depression and improve well-being.


The treatment method shown here correspond to the treatments whose efficacy, safety, and sense and have been proven in studies that are recommended in the guidelines, which have been used for the preparation of this text. Among other things, and especially these include the national guidelines for depression and related patient information. For questions, please contact your family doctor.

Consequences of non-treatment

Depression can often subside without treatment. In some studies, it took about six to eight months. However, they can then occur again and the depressive episodes can last longer. Find a treatment takes place, occurs in 50% of cases of depression on again or it becomes chronic.

Chronic Depression affects two out of ten patients and is when it extends over at least two years. Is the therapy tailored to the personal needs and requirements of the patients, as occurs in ¾ of patients after about four to six months a full recovery? This period can vary greatly depending on the disease course and duration of the patient.