Depression And Mdd And How To Treat It Essay Samples

Literature Review Matrix

Synthesis of articles on the Efficacy of Combine Treatment versus Single Treatment Method
The suggested combined treatment on the studies conducted by March et al (2004), Manber et al (2008), de Maat et al (2007), and de Jongh (2001) might be effective for patients with depression as shown by the respective results of the said studies. Nevertheless, even such combined methods for treatment may not be as effective as effected due to the varying levels of depression (Vöhringer and  Ghaemi (2011). There should certain components of the therapy process that would determine its success, therefore. One of these components is the proper diagnosis of the level of the depression. There are different levels of depression and the psychotherapist must correctly deduce which level his or her patient is in before deciding which treatment is best. For example, is the patient is only at the mild depression level, the extent of using pharmacotherapy may be minimized and the use of psychotherapy such as the CBT be more extensive the reverse can be true for severe levels of depression. A second component is the willingness of the patient to undergo the advised treatment. There are diverse kinds of psychotherapy techniques and diverse antidepressants. Patients should be informed on the efficacies of these choices. The third component is constant monitoring of patients, especially those at the severe level of depression. This may require a professional but close relationship between the patient and the therapist.
Given the three components of an effective treatment previously discussed, it is evident that a therapeutic alliance will play a key role in the treatment process of patients with depression and MDD. Antidepressants alone will not accomplish the goals of the treatment process. Patients will still need to have constant communication with their therapists, and this will require a professional but close relationship between the two.

References

de Jonghe, F.; Kool, S.; van Aalst, G.; Dekker, J. and Peen, J. (2001). Combining psychotherapy and antidepressants in the treatment of depression. Journal of Effective Disorders 64(2-3), pp. 217 – 229.
de Maat, S.M.; Dekker, J.; Schoevers, R.A. and de Jonghe, F. (2007). Relative efficacy of psychotherapy and combined therapy in the treatment of depression: A meta-analysis. European Psychiatry 22(1), pp. 1 – 8.
Manber, R.; Edinger, J.D.; Gress, J.L.; San Pedro-Salcedo, M.G.; Kuo, T.F. and Kalista, T. (2008). Cognitive Behavioral Therapy for Insomnia Enhances Depression Outcome in Patients with Comorbid Major Depressive Disorder and Insomnia. Sleep 31(4), pp. 49 – 495.
March, J.; Silva, S.; Petrycki, S.; Curry, J.; Wells, K.; Fairbank,J.; Burns, B.; Domino, M.; McNulty, S.; Vitello, B. and Severe, J. (2004). Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA 292(7), pp. 807 – 820.
Vöhringer, P.A. and  Ghaemi, S.N. (2011). Solving the antidepressant efficacy question: effect sizes in major depressive disorder. Clinical Therapy 33(12), pp. B49 – B61.