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Psychologist depression treatment


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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

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Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator

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Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

Psychological treatment - iFightDepression [EN]

Like drugs, psychological help is the other main treatment for depression.

Psychotherapy is the most common form of psychological treatment. Psychotherapy includes two main features: conversation and cooperation. There are several different types of proven psychotherapy, including cognitive behavioral therapy, psychodynamic psychotherapy, supportive counseling, and Mindfulness Practices. nine0003

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a type of behavioral therapy that has been shown to be effective in treating depression. It is based on the idea that negative feelings arise from useless thoughts and can lead to negative behavior such as a "vicious circle". CBT can start with exercises to learn how to structure your day and increase your daily activity. Later, CBT teaches how to identify useless thoughts to challenge them and replace them with ones that are more beneficial. nine0003

Another important part of therapy is education to learn more about the disorder (psychoeducation). Such changes have an indirect positive effect on mood and make it easier to manage external life events. In CBT, the client and therapist actively work together and learn from each other. As a rule, there are about 1-2 sessions per week. In general, the treatment takes 25 to 80 sessions maximum (approximately 3 months to a year).

Psychodynamic psychotherapy

Psychodynamic psychotherapy is based on knowledge from psychoanalysis. They are similar to similar assumptions about the causes of mental disorders, namely that they are the result of emotional problems in the subconscious. Unlike psychoanalysis, this type of psychotherapy preferably deals with ongoing internal conflicts and with the client's relationships with other people. In therapy, the client is in a seated position and both therapist and client have eye contact. The therapist's approach can range from being passive to participating and providing structuring. Usually there are one or two classes per week. In general, therapy can be either brief from 16-24 sessions or longer, taking 50-100 sessions, or even more. nine0003

Supportive counseling .

Some psychotherapists use a supportive, non-directive counseling approach, either alone or in combination with other therapy approaches. Supportive counseling is also regularly used by other health professionals and volunteers. This type of counseling is used to help create a favorable environment for the client to solve their problems. This is achieved by the therapist listening in a caring and respectful manner to the person and encouraging them to talk about their situation in order to find possible solutions. This type of counseling can help calm and reassure the client, but its long-term effectiveness in treating depression has not yet been proven. nine0003

Mindfulness (Mindfulness) Practices

While CBT and psychodynamic therapy aim to change patterns associated with depression, Mindfulness (Mindfulness) Practices help a person develop greater powers of observation and take a non-reactive approach to their thoughts and feelings. Examples of such approaches include Mindfulness Practice-based Cognitive Psychotherapy and the Mindfulness Practice-based Stress Reduction Program. Like CBT, Mindfulness Practices teaches the automatic nature of negative thoughts and feelings in depression and the need to seek to interrupt them. Unlike CBT, the focus is on developing skills to endure bad thoughts and feelings that come and go without reacting to them. Cognitive psychotherapy based on Mindfulness Practices is especially good for people who suffer from recurrent depression. nine0003

Activating behavioral therapy for depression in adults

Review question

In this Cochrane review, we wanted to know how effective activating behavioral therapy is for depression in adults.

Why is this important?

Depression is a common mental health problem that can cause persistent feelings of sadness and loss of interest in people, activities and things that were once enjoyable. A person with depression may feel tearful, irritable, or tired most of the time, and may have trouble sleeping, concentrating, and remembering. These and other symptoms can make daily life difficult. nine0003

Treatment for depression includes medication (antidepressants) and psychotherapy (talking therapy). Behavioral activation is a type of psychological therapy that encourages a person to develop or return to activities that are meaningful to him. Psychotherapy included scheduling activities and behavior monitoring, as well as considering specific situations in which changing these behaviors and activities might be beneficial. The therapist may provide assistance in person, over the phone, or online, usually over several sessions. nine0003

It is important to know whether behavioral activation can be an effective and acceptable treatment for people with depression.

What We Did

In January 2020, we searched for studies on behavioral activating psychotherapy for depression in adults (over 18 years of age). We looked for randomized controlled trials in which treatments were assigned randomly to participants; these studies provide the most reliable evidence. nine0003

We included 53 studies with 5495 participants. Studies have compared behavioral activation with no treatment, standard or usual care, sham treatment (placebo), medication, being on a waiting list for treatment, or other types of psychotherapy (cognitive behavioral therapy (CBT), third wave CBT, humanistic therapy, psychodynamic therapy). and integrative therapy).

Studies conducted in 14 countries; most of them are in the USA (27 studies). Most studies lasted between four and 16 weeks. nine0003

As a result, we focused on how well the treatment works and whether it is acceptable to the participants. How well a treatment worked (effectiveness) was measured by the number of people who responded well to treatment or no longer met criteria for depression at the end of treatment. Eligibility was measured by counting how many people dropped out of the study.

What did we find?

Behavioral activation may treat depression better than conventional care. We were not sure whether behavioral activation worked better than medication or being on a waiting list, and we found no evidence for this outcome when comparing behavioral activation to no treatment or placebo treatment. nine0003

We found no difference between behavioral activation and CBT in the treatment of depression. Although we did not find sufficient evidence to compare behavioral activation with other types of psychotherapy, it may work better than humanistic therapy, and we found no difference between behavioral activation and third wave CBT or psychodynamic therapy. There was no evidence available comparing behavioral activation with integrative therapy.

Behavioral activation is probably less acceptable to people than conventional help. We found no difference in acceptability of behavioral activation compared with being on a waiting list, no treatment, antidepressants, or placebo. We also found no difference in acceptability between behavioral activation and other psychotherapies studied (CBT, third wave CBT, humanistic therapy, integrative therapy). To compare behavioral activation with psychodynamic therapy, we did not find any evidence for the acceptability of the treatment. nine0003

Terminals

Behavioral activation may be an effective and acceptable treatment for depression in adults. Patients with depression who are prescribed this psychotherapy option will have more choice of treatment, and different formats and types of care can be explored to meet the demand for mental health support.

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