Behavioral interventions, such as interpersonal therapy and cognitive-behavioral therapy, are effective at preventing new onset depression.
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These include cognitive behavioral therapy, interpersonal therapy, dialectical behavior therapy, acceptance and commitment therapy, and mindfulness techniques.
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Increasingly, doctors say the most appealing treatment involves combining medications with talk therapy-- so-called cognitive-behavioral therapy and interpersonal therapy-- that have been proved successful in adolescents.
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In those studies, the depressed patients received interpersonal therapy, a short-term talk treatment that focuses on the effects of social relationships and major life events on mood.
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As they would in more traditional cognitive or interpersonal therapies, people practice these skills and track their progress by completing homework and diaries of their thoughts and behaviors.
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The conversational model, which has been manualised as Psychodynamic-Interpersonal Therapy, has been subject to outcome research, and has demonstrated effectiveness in the treatment of depression, psychosomatic disorders, self-harm, and borderline personality disorder.
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Subjects with interpersonal therapy but not Effexor also had activation of a brain area called the cingulate gyrus, which responds to serotonin in the brain and has a role in regulating mood.
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Dr . Gary Y . DeNelsky, a psychologist at the Cleveland Clinic, has shown with his colleagues that highly structured and task-oriented forms of psychotherapy like cognitive behavioral therapy and interpersonal therapy work as well as antidepressants in treating all forms of depression.
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The two that have been most effective in treating depression are cognitive-behavioral therapy, developed by Dr . Aaron Beck at the University of Pennsylvania in Philadelphia, and interpersonal therapy, developed by the late Dr . Gerald L . Klerman at Cornell and now being studied for dysthymia by Markowitz.
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In interpersonal therapy, given weekly for about four to six months, the therapist helps patients recognize links between their moods and what is going on in their lives, particularly things like grief, role disputes at work or at home, role transitions like marriage or job loss, and trouble initiating or sustaining relationships.
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