FACT SHEET 5
Why use both psychological
treatments and medications
for depression?
For more information
www.beyondblue.org.au
or
beyondblue info line 1300 22 4636
1 of 2
When a person is depressed, it affects both
the body and the mind. It disrupts some of the
body’s most basic systems, making the person
feel unwell. Those systems affected include the:
• Centralnervoussystem(ie.brainfunction)
• Sleep-wakecycle
• Hormonalsystem
• Stressresponsesystem
• Immunesystem
• Gastrointestinalsystem.
It doesn’t matter what causes depression, both psychological
treatments and medications help to relieve the main
symptoms. Different types of depression need different
treatments. As well, people respond differently to different
treatments. Together with your doctor or mental health
professional, you can find the treatment that works best for
you. Some people respond well to psychological treatments,
while others respond best to medications.
Psychological treatments can help to:
• Changeyournegativethoughtsandfeelings
• Encourageyoutogetinvolvedinactivities
• Speedyourrecovery
• Preventdepressionfromrecurring
• Identifywaystomanageyourillnessandstaywell.
Antidepressent medications:
• Mayhaveaphysicalimpact
• Helptotreatsymptomsofdepression
• Aresafe,effectiveandnotaddictive
• Helpyoutomanageyourillness.
THE EFFECTS oF TrEATEd And
unTrEATEd dEprESSion
The diagram below shows what happens when depression
iseithertreatedorleftuntreated.Psychologicaltreatments
improve coping skills by dealing with life’s stressors and
conflicts.Medicationsontheotherhand,haveaphysical
impact. They improve brain function by changing the brain’s
chemicals. When these two treatments are combined, they can
tackle successfully the symptoms of depression. If depression
isn’t treated, there can be negative physical effects on the
body’s systems.
uSing TrEATmEnTS To SuiT THE pErSon
Manytreatmentsareavailableforpeoplewithdepression.Itis
important to use psychological treatment(s) or medication(s)
that work for you and are the most useful for your level of
depression or anxiety. Different treatments target different parts
of the depression cycle, as shown in this diagram.
Manytreatmentsdonotfixtheproblem.Forexample,sleeping
tablets or simple counselling are ineffective, even though they
may provide temporary relief.
Effectivetreatmentsfordepressionareavailable–both
psychological treatments and medication. These treatments
can relieve physical symptoms and correct negative thoughts
and feelings.
dEprESSivE
illnESS
physical Symptoms
Interpersonal therapy
nEgATivE
FEElingS
nEgATivE
THougHTS
Breaking the depression cycle
Cognitivetherapy
Antidepressant drugs
FACT SHEET 5
Why use both psychological
treatments and medications
for depression?
For more information
www.beyondblue.org.au
or
beyondblue info line 1300 22 4636
2 of 2
The following table gives you an idea of the range of treatments available and outlines their suitability for different degrees of
depression and anxiety. Forexample,specificmedicationtherapyismoreusefulforpatientswithseveredepressionthanforthose
with mild depression.
mEdiCAl
ASSESSmEnT
& rEviEW
EduCATion
pSYCHologiCAl
THErApY
SpECiFiC
mEdiCATion
THErApY
Milddepression
3
3
3
–
Moderatedepression
33
33
33
33
Severe depression
333
33
33
*
333
Mixeddepression&anxiety
33
33
33
33
Mildanxiety
3
3
3
–
Moderateanxiety
3
33
33
3
Severe anxiety
33
33
333
33
Key:
3
–mildbenefits;
33
–moderatebenefits;
333
–mostbenefits.
* N.B. If people are severely depressed they may be unable to participate in psychological treatment, such as problem solving or changing negative self-thoughts,
until they have responded to drug therapy.
Source:Hickieetal.EducationalHealthSolutions;2000.Reproducedwithpermissionwww.spheregp.com.au.
© beyondblue: the national depression initiative,2009.
POBox6100,HawthornWestVIC3122
T:(03)98106100
beyondblueinfoline1300224636
F:(03)98106111
E:bb@beyondblue.org.au
W: www.beyondblue.org.au
undErSTAnding Your illnESS
And TrEATmEnT
You, your family and close friends need to have a good
understanding about treatments for depression. Havingthis
information helps you to:
• Recogniseyoursymptoms
• Understandtheirrelationshiptostress
• Worktowardsrecovery.
You can help yourself by:
• Readingtheinformationonbeyondblue’s fact sheets
and website
• Askingyourdoctorquestions
• Readingbooks,pamphletsandotherwebsiteson
depression
• Contactingself-helpgroups.
morE inFormATion
beyondblueFactsheet10:Changingyourthinking
–Informationonthinkingpatterns,cognitivetherapies,
relationship-based and other therapies.
beyondblueFactsheet11:Antidepressantmedication.
beyondblueSSRIFactsheet:Antidepressantsforthetreatment
of depression in children and adolescents. A fact sheet for
parents and other carers.
To read an article on treating depression, see:
‘Treating depression: the beyondblue guidelines for treating
depressioninprimarycare.’–Medical Journal of Australia
(2002)at: www.mja.com.au/public/issues/176_10_200502/
ell10082_fm.html
WrittenbyEllisandSmith,thisarticleprovidesevidence-based
treatment guidance across the range of depressive disorders
and shows where specialist treatment and primary care is
indicated. Download the article to learn more.
Source:Hickieetal.EducationalHealthSolutions;2000.
Reproducedwithpermissionwww.spheregp.com.au.
04/09