| You
need to be aware of the fact that
your depression can recur if your
treatment is interrupted too early.
We therefore divide the treatment
of depression into three phases:
- acute treatment
- maintenance
treatment
- preventive treatment
Acute
treatment
The
period from the start of your treatment
until the depressive symptoms disappear
is called the acute treatment. After
the acute treatment you will feel
completely well. The acute treatment
typically lasts one to two months.
It
is important to remember that the
symptoms disappear gradually over
several weeks. We strongly advice
you not to interrupt your treatment
just because you haven't felt any
effects after one week. Have plenty
of patience - that is the best for
yourself.
Your
family will often notice the effect
of your treatment before you yourself
notice it. Your should therefore listen
to them.
After
4-6 weeks of treatment the effect
of the treatment is at its maximum,
and now you will definitely be able
to tell that you are feeling better.
Maintenance
treatment
After
a good acute treatment you will feel
completely well. Your mood, energy
and interest in the people around
you has returned. You will be able
to resume work and other activities.
You can live your life the way you
used to before you got your depression.
It
is so important that you don't get
a relapse, i.e. that the depression
recurs. The best way of avoiding that
is to continue your treatment with
antidepressants, taking the same dose
as in the acute treatment.
Continue
taking your medicine
Depression
is a serious and painful disease,
and it doesn't disappear of its own
accord after a week under the duvet.
If you don't receive treatment for
your depression, it will last between
6 and 12 months. That is an awful
long time and causes great suffering.
We
therefore cannot repeat it often enough.
If you stop taking your medicine during
this period, you risk becoming depressed
again.
We
therefore advice you to continue with
your treatment and keep the dose unchanged
until your depression would have ceased
of its own accord - i.e. approximately
a year after your symptoms have disappeared.
If
your treatment needs to be stopped
after a year, we then recommend that
you gradually reduce the antidepressants
over one to two months. An abrupt
cessation of antidepressants can unfortunately
cause you to relapse. And you definitely
mustn't run any risk, when it concerns
something so important in your life!
Preventive
treatment
After
your maintenance treatment you and
your doctor must decide whether or
not you need to continue with preventive
treatment.
If
you have had one depression, the risk
of developing a new depression at
a later stage is approximately 50%.
In this case your preventive treatment
should last a year. If you have had
three or four depressions, the risk
of developing a new one is unfortunately
very great (90%). Your preventive
treatment should then last at least
5 years and in severe cases for the
rest of your life.
Your
treatment should be identical in terms
of medicine type and dose to the one
that was effective in your acute treatment.
During your preventive treatment,
you can lead a normal life and look
after your family and carry on with
your education and work.
Can
be permanent
The
goal of preventive treatment is to
avoid new depressive episodes. If
you have had several depressions,
the preventive treatment is especially
important, as the more depressions
you have had, the easier it is to
develop a new one.
Preventive
treatment is long - in some cases
lifelong. You might regard this as
a negative thing but just think about
what you gain from the treatment:
that you might avoid developing another
depression again ever. |