Time：2023-04-01 12:33:44 source：psychiatricethics.com author：Emergency treatment Read：452次

To prevent depression from recurring, therapy is very important

1. What is the recurrence rate of depression?

Recurrence of depression is a common clinical condition, and it is also a very headache for doctors, patients and their families. Through long-term follow-up of patients with depression, it is finally found that 75%-80% of patients will have multiple relapses. For people with a first episode of depression, the chance of having a second episode is 50%, after the second episode it's 70%, and after 3 episodes, the risk of relapse can reach 100%. Therefore, reducing relapse is particularly important for patients with depression. To say whether it can be completely cured, the answer is: yes. Through drug treatment, combined with psychotherapy (such as behavioral cognitive therapy, combined with exercise, etc.). There is a lot to persevere and learn, and it’s important to follow your doctor’s orders. Many patients feel better when they are recovering, so they stop the drug without authorization, resulting in relapse. You know, if you don't cooperate, persist, and be irrational, no matter how good the medicine is, no matter how good the treatment is, it will be in vain.

2. Scientific guidance is very important!

If ordinary stress or negative emotions are not channeled, they may gradually develop into psychological disorders or even clinical symptoms. Stress, anxiety, and depression are caused by a continuous cycle of negative thinking that affects how we physically feel, emotionally, and behave. Break the cycle, shift perspectives in the present and reduce relapses of depression over time. The good news is that psychological problems can be significantly improved if you stick to the right approach. In fact, in addition to drugs, there are some psychological intervention tools with proven efficacy: such as cognitive behavioral therapy (CBT), behavioral activation therapy (BA), and acceptance and commitment therapy (ACT). In the field of emotional distress, the current scientific psychotherapeutic programs have been able to achieve: using the psychotherapy program alone can effectively improve mild to moderate psychological distress (the improvement rate is 80%); for severe psychological distress, combined psychological treatment with medication can significantly improve Treatment effect (compared to using drugs alone, the treatment effect is increased by 3 times); for the recovery period of psychological distress, psychotherapy can significantly reduce the recurrence rate (relapse rate is reduced by at least 50%).

3. How does writing heal you?

In an experiment to study the healing effects of writing, participants were randomly assigned to write an essay about a traumatic event, a profound experience, or their shoes (control group) for 2 minutes a day for 2 consecutive days. article. Even this brief practice led to participants with psychological trauma and positive events having fewer mental health problems than the control group after 4-6 weeks. This is not a "whatever you want every day" kind of journal, but is based on various psychological schools such as Positive Psychology, Cognitive Behavioral Therapy (CBT), Acceptance Commitment Therapy (ACT), and Expressive Writing. Research has turned a way of writing that can help you explore yourself, improve your mood, and improve your well-being: into a standardized guide template. The therapeutic method of writing to heal emotions, namely expressive writing, is to write down the inner feelings under professional guidance. It is also widely used in the CBT (cognitive behavioral therapy) process: as a homework assignment for depressed patients as a therapist. Because in the process of writing, you can sort out the emotions in your head and see what happened, especially traumatic events, in a new light. Because in the negative thinking habits of depressed patients, events are often processed by the brain to form an unreasonable perception of reality. CBT uses the process of writing to help patients get out of the trap of negative thinking and re-establish a more positive or objective cognition of things.

4. Four Sections to Prevent Relapse of Depression

1. Regain your senses and incorporate different psychotherapy techniques to help you learn Knowing yourself is the first step in psychotherapy or CBT: being aware of your emotions. 2. Emotion regulation comes with the basis of being aware of emotions. If you have discovered that you have a negative "automatic" thinking habit, you can change it here and build a more positive thinking. 3. Build self-confidence After jumping out of the trap of negative thinking, start with small and feasible goals, establish connections with the outside world, and regain control of life: just like what positive psychology says, we help you see your beautiful and worthy of growth side . 4. Mindfulness Meditation The concept of mindfulness runs through it: focus on the moment, focus on yourself. Learn how to let go of negativity and relieve stress. Prevent depression recurrence: Correctly channel every negative emotion. Depression recurrence is a normal phenomenon. Recurrence of depression needs to seek professional help in time for diagnosis and treatment. It is very important to follow the doctor's advice. Early treatment and early recovery!

(责任编辑：Prevent anxiety)

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