If the person is a danger to themselves or others ,needs inpatient depression treatment

INPATIENT DEPRESSION TREATMENT

A person who enters in inpatient treatment facility for patients in hospital is usually someone who can not provide personal care or are suspected of being a danger to themselves or others. In some situations, the patient may be so depressed that a doctor or someone about to intervene to guide patient care until they can resume making decisions. If the person is a danger to themselves or others they may be exposed to what is called an involuntary commitment when a doctor or even a member of law enforcement authorities decide your loved one needed hospitalization.

Major depression is a type of mood disorder that can makes you sad uncontrollable. You may be depressed if you feel sad at least two weeks. Depression is a mental state (an emotion or feeling) that affects their behavior (conduct). Your mood also affect what you think about yourself and life in general. Major depression is a real medical condition such as diabetes and high blood pressure. The doctors will discuss with you in many ways to treat depression. Medication is often used to treat depression with other therapies. Caregivers will teach you to manage your depression. Caregivers can teach how to better manage the problems and how to deal with stress.

You have the right to help plan treatment. Help with this plan, you must learn their own health and how it can be treated. You can then discuss treatment options with caregivers. Working with them to decide what care may be in treatment. You always have the right to refuse treatment. Depression often get worse if left untreated. Depression can make it difficult to work or get along with others. It may also affect the way you eat and sleep, which can cause disease. You can hurt yourself or others, if not treated. Call the nurse if you are worried or have questions about medications or treatments.

Inpatient depression treatment  program include :

• Full psychiatric assessment .
• Alcohol and chemical dependency evaluation.
• Individual, family and group psychotherapy .
• Occupational therapy.
• Complete psychopharmacological evaluation.
• Programs for specialized  dependent patients with the coexistence of psychiatric and other medical disorders.
• Individualized aftercare and monitoring services with links to community Nutrition assessments .
• Treatment interventions

Depression in this article refers to the mental disorder known as major depressive disorder. This depression is a medical condition recognized and is becoming a common disease in developed countries, which affects up to 20% of the population with this disorder at some point in their lives. Patients are usually assessed and managed in outpatient, inpatient units and one state mental health, if you consider that they pose a danger to themselves or others.

The three most common treatments reported in the psychotherapy of depression, drugs, and (in severe cases), electroconvulsive therapy. Psychotherapy is a treatment of choice for children under 18 years of age, and the drug is available only in combination with the first, and generally not as first-line agent. In addition, the pathology of the parents could be targeted and treated simultaneously.

Psychotherapy

There are a number of several psychotherapies for inpatient depression, which could be provided to individuals or groups. Psychotherapy could be delivered by a number of variety of mental health professionals, in which included psychotherapists, psychiatrists, psychologists, clinical social workers, counselors and psychiatric nurses. And in  more complex forms of chronic depression and the most effective treatment is often considered a combination of medication and psychotherapy. As mentioned above, psychotherapy  could be the treatment of choice in individuals under 18.

The most studied form of psychotherapy for inpatient depression is cognitive-behavioral therapy (CBT), I thought to do with teaching clients to learn a number of cognitive and behavioral skills that can be used independently. Previous research has suggested that cognitive-behavioral therapy was not effective as antidepressant treatment for depression, but recent studies show that you can do as well as antidepressants in treating patients with moderate to severe depression. Behavior treatment of depression is sometimes hereinafter referred to behavioral activation studies have demonstrated the activation of behavior is better than CBT. In addition, the behavioral activation appears to result in less time and more long-lasting change.

For the treatment of adolescent depression, CBT do not better than placebo, and significantly worse than the antidepressant drugs fluoxetine to CBT .Combining and provided no additional benefit, or at best, only marginal benefits. An analysis of four studies of the effectiveness of cognitive therapy based on conscience (MBCT), a new program based on classes to prevent relapse, suggest that MBCT may have an additive effect when equipped with usual caution in patients who had three or more depressive episodes, although precautions do not include antidepressant therapy or psychotherapy, and the improvement observed may reflect nonspecific effects or a placebo.

Interpersonal psychotherapy focuses on  social & interpersonal triggers that can cause depression. There is evidence that could be effective treatment for  major depression. This treatment takes a structured course with a number of weekly sessions (often 12) as in the case of CBT, but the emphasis is on relationships with others. Therapy could be used to help a individual develop or some improvement in interpersonal relations to give it to communicate more effectively and reduce stress.

Medication

Finding the most effective treatment drug, the dosage of drugs is often adapted to different combinations of antidepressants tested, or antidepressants changed. The response rate to the first agent administered may be as low as 50%. It can last from three to eight weeks after the start of medication before its therapeutic effects can be fully discovered. Patients are generally advised not to stop taking an antidepressant suddenly and to continue using it for at least four months to prevent the risk of relapse. People with chronic depression have to take medication for the rest of their lives.

Selective serotonin reuptake inhibitors (SSRIs) such as sertraline (Zoloft), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine, citalopram and drugs are considered primary because of their relatively adverse soft and broad effect on symptoms of depression and anxiety. Those who fail to respond to the first SSRI was trying to switch to another switch, resulting in an improvement of nearly 50% of cases. Another option is to move to the atypical antidepressant bupropion (Wellbutrin) or to add bupropion to the existing treatment, this strategy may be more effective.It is not uncommon for SSRIs can cause or aggravate insomnia, mirtazapine , sedating antidepressant (Zispin, Remeron) can be used in these cases.Venlafaxine (Effexor) may be moderately more effective than SSRIs, but it is not recommended as first-line treatment due to the higher rate of side effects and its use is specifically discouraged in children and adolescents.

The antidepressant fluoxetine is the only recommended for children under the age of 18 years.

Tricyclic antidepressants have more side effects as compare to SSRIs and are usually reserved for the treatment of hospitalized patients, that tricyclic antidepressants amitriptyline, in particular, seems to be more effective. different class of antidepressants, MAO inhibitors have traditionally been plagued by questionable efficacy and life-threatening side effects. Are still used only rarely, although new agents in this class (RIMA), a much better side effect has been developed.

Electroconvulsive therapy

Electroconvulsive therapy (ECT) is a treatment in which seizures are electrically induced in anesthetized patients for more therapeutic effect. ECT is most often used as a last resort (in terms of the psychiatrists of the hospital) for severe major depression has not responded to trials of antidepressants or, less often, psychotherapy or supportive interventions. With antidepressant treatment and therefore faster than may be the treatment of choice in emergencies such as catatonic depression when the patient has ceased oral intake of fluids and nutrients, or when there is serious risk of suicide. Some evidence suggests that the most effective treatment for depression in the short-term study, no comparison group or evaluation of complementary therapies provided, suggested that the minority who do may be related quality of life self-assessment improved in the short term (which correlates with the degree of amnesia) and after six months.

But the first systematic documentation of the effectiveness of ECT in community practices in the 65 years the document has been delivered much lower than in previous research, and most of them on its own usually relapsed.ECT n has no advantage because almost all tasks eventually fall within 6 months of a course, even when administered placebo.The relapse within six months may be reduced by the use of drugs or psychatric ECT again (although the latter is not recommended by some authorities, such as Nice), but is still high.Short term memory loss, disorientation, headaches and other side effects are common, as well as memory long-term and other neurocognitive deficits may persist.

American Psychiatric Association and the National Institute for Health and Clinical Excellence concluded that the evidence , they have suggested that the procedures, and when administered according to the standards and without complications that does not cause brain damage in individuals .