Showing posts with label cognitive behavioural. Show all posts
Showing posts with label cognitive behavioural. Show all posts

There are different types of talking therapy, but chances are you’re more familiar with counselling, cognitive behavioural therapy (CBT) or psychotherapy. Some types of talking treatments are more suitable than others for particular people and situations, and so it’s important to explore your options before you opt for a less-effective therapy. It may be helpful to discuss your options with your GP, but here’s the basic run-down of each talking treatment and how they might be beneficial for you.


 


1. Counselling: As the best-known talking therapy, counselling is the most readily available at your GP surgery, with the NHS usually offering six to 12 hour-long sessions. In confidence, you talk to your counsellor about your situation and yourself, and he or she will support you and give you practical advice. This is a good complimentary wellness therapy for people who are otherwise healthy, but need help with current crises like anger, relationship problems, bereavement, redundancy, infertility and the onset of a serious illness.


 


2. Cognitive Behavioural Therapy (CBT): In CBT, you change your mindset so that you can cope with difficult situations in a healthier way. With your therapist, you set goals and carry out tasks between sessions, over a period of six to 15 weeks. Again, this is more to do with your present than your past, which is why CBT can help you deal with depression, anxiety, panic attacks, phobias, obsessive compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and some eating disorders, especially bulimia.


 


3. Psychotherapy: This is different to counselling and CBT in that psychotherapy involves talking more about your past to help you overcome problems you’re having in the present. There are many types of psychotherapy, but the main aim in all variations is to help you to understand yourself, your life and your relationships. As psychotherapy tends to last longer than CBT and counselling, it can be especially useful if you have long-term or recurring problems of which you don’t know the cause.


 


4. Family therapy: A therapist or a pair of therapists will meet with you all as a family, in order to understand your problems and enable you to communicate better with one another. This can be useful when one member of the family has a serious problem that’s affecting the rest of the group, such as child and adolescent behavioural problems, mental health conditions, illness and disability, domestic violence, drug and alcohol addiction, and separation, divorce and step-family issues.


 


5. Couples therapy: When your relationship wellness is at risk, be it because of a big event (like an affair) or lots of little things, couples therapy can help you work through it. You and your partner speak to a counsellor, who can help you find where you’ve gone wrong, and work on ways to change your relationship for the better. As a result of couples therapy, many people learn more about their partner’s needs and how to communicate better.


 


6. Group therapy: For group therapy, you meet up with around 11 other people and a therapist, in order to share a common problem and get support and advice from people who know exactly what you’re going through. Not only does this mean that you’ll get better advice than you would if you just talked to a friend or someone who hasn’t gone through the same things, but just knowing you’re not alone in your experiences is, in itself, beneficial to your wellbeing. Plus, you may just find that you’re a social person, and prefer being in a group to individual therapy.

There are several treatments that can be used as alternatives to antidepressants for treating depression and other mental health conditions.


Talking therapies


Cognitive behavioural therapy


Cognitive behavioural therapy (CBT) is a type of talking therapy that is increasingly being used in the treatment of depression. Most experts recommend that people with moderate to severe depression are treated with a combination of CBT and antidepressants.


But if you are unable or unwilling to take antidepressants then you have the option of receiving CBT as a sole treatment.


CBT helps you understand your thoughts and behaviour and how they affect you. It helps you recognise that events in your past may have shaped you, but it concentrates mostly on how you can change the way you think, feel and behave in the present. It also teaches you how to overcome negative thoughts.


CBT is available on the NHS. You normally have a short course of sessions, usually six to eight sessions, over 10-12 weeks on a one-to-one basis with a counsellor trained in CBT. In some cases, you may be offered group CBT.


Online CBT


Computerised CBT is a form of CBT that works through a computer screen, rather than face-to-face with a therapist.


It’s delivered in a series of weekly sessions and should be supported by a healthcare professional. For instance, it’s usually prescribed by your GP and you may have to use the surgery computer to access the programme.


Ask your GP for more information or read more about online CBT and the courses available here.


Interpersonal therapy (IPT)


Interpersonal therapy (IPT) focuses on your relationships with other people and on problems you may be having in your relationships, such as difficulties with communication or coping with bereavement.


A course of IPT is usually structured in the same way as a course of CBT.


There’s some evidence that IPT can be as effective as antidepressants or CBT, but more research is needed.


Counselling


Counselling is a form of therapy that helps you think about the problems you are experiencing in your life to find new ways of dealing with them. Counsellors support you in finding solutions to problems, but do not tell you what to do.


Counselling on the NHS usually consists of 6-12 sessions lasting an hour each. You talk in confidence to a counsellor. The counsellor supports you and offers practical advice.


Counselling is ideal for people who are healthy but need help coping with a current crisis, such as anger, relationship issues, bereavement, redundancy, infertility or the onset of a serious illness.


Exercise


Research suggests that regular exercise may be a more effective treatment for mild depression than antidepressants.


Exercise helps boost levels of serotonin and dopamine in the brain, which can lift your mood.


Exercising on a regular basis can boost self-esteem and confidence which can also help relieve symptoms of depression.


Your GP may refer you to a qualified fitness trainer for an exercise scheme or you can find out more about starting exercise here.


Read more about exercise for depression.


Self-help groups


Talking through your feelings can be helpful. You can either talk to a friend or relative, or you can ask your GP to suggest a local self-help group.


Find out more about depression support groups.


Lithium


If you’ve tried several different antidepressants and had no improvement, your doctor may offer you a type of medication called lithium, in addition to your current treatment.


There are two types of lithium – lithium carbonate and lithium citrate. Both are usually effective, but if you are taking one that works for you, it’s best not to change.


If the level of lithium in your blood becomes too high, it can become toxic. So, you’ll need blood tests every three months to check your lithium levels while you’re on it.


You’ll also need to avoid eating a low-salt diet because this can also cause the lithium to become toxic. Ask your GP for advice about your diet.


Side effects of lithium include:


  • dry mouth

  • a metallic taste in your mouth

  • some mild shaking of your hands

  • diarrhoea

These side effects usually pass with time once your body gets used to the medication.


Electric shock treatment


Sometimes electroconvulsive therapy (ECT) may be recommended if you have severe depression and other treatments including antidepressants haven’t worked.


During ECT, you’ll first be given an anaesthetic and medication to relax your muscles. Then you’ll receive an electrical ‘shock’ to your brain through electrodes placed on your head.


You may be given a series of ECT sessions. It is usually given twice a week for 3-6 weeks.


For most people, ECT is good for relieving severe depression, but the beneficial effect tends to wear off after several months.


Some people get unpleasant side effects, including short-term headaches, memory problems, nausea and muscle aches.



Alternatives to antidepressants