sisterMAG Issue 23 – "Light and Shadow"

Page 260

to it as the »negative cognitive triad«. The depression sits down on the feeling and thinking like black glasses. The biggest challenge for patients is to recognize and accept this. When a depressive patient can say: »I feel ill but I am not bad – I don’t see a way to feel fine but this doesn’t mean that I am not on that way«, the patient already made it far in their disease management. In questions of health, we can largely rely on our feelings whereas with depressions, we have to correct our feelings with our thinking: I feel like being in a black hole but my relatives, my professional helpers say: »I get out of there«, »I am not alone«, «there is help”. During the depression, feelings must not prevail since they are depressively wasted and the perception of depressive patients often is too negative and doesn’t reflect the real situation and the personal future. What exactly is done with a depression in a therapy? There are different cornerstones in the therapy of depression: SISTER-MAG.COM

With regards to the psychotherapy, there are different elements that verifiably support depressive patients in their disease management: The »cognitive behavioral therapy« focuses on the negative brooding but also on reduced self-esteem, self doubt and the aforementioned trias and tries to support the depressive patients by imparting knowledge about the disease, helping with the coping of specific problems and offering exercises for relaxation and mindfulness. The »interpersonal psychotherapy« aims at the support in solving interpersonal conflicts. »Depth psychological procedures« are also possible, following the classical psychoanalysis. Biological therapies are pharmacotherapy, but also sleep deprivation therapy and light therapy. In cases of severe depressions, the electroconvulsive therapy already proved to be effective a long time ago. Concerning the pharmacotherapy,

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