{"id":43800,"date":"2024-06-07T10:10:00","date_gmt":"2024-06-07T10:10:00","guid":{"rendered":"https:\/\/psyclehealth.com\/?p=43800"},"modified":"2024-06-05T22:11:59","modified_gmt":"2024-06-05T22:11:59","slug":"what-can-i-do-if-therapy-and-meds-arent-working-for-my-depression","status":"publish","type":"post","link":"https:\/\/psyclehealth.com\/psyclehealth-sta\/?p=43800","title":{"rendered":"What Can I Do If Therapy and Meds Aren\u2019t Working for My Depression?"},"content":{"rendered":"\n<p>In the U.S., about <a href=\"https:\/\/www.nimh.nih.gov\/health\/statistics\/major-depression\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">7% of adults<\/a> have at least one major depressive episode annually. About half of these people receive medication. The problem is that depression is a complicated condition, and what works for some people may not work for others. Some people may respond to antidepressants, while about a third of folks may have to cycle through different medications and dosages until they find something that works for them \u2014 if at all.&nbsp;<\/p>\n\n\n\n<p>If you\u2019ve been diagnosed with depression and tried therapy and medication but feel they just aren\u2019t helping, you may be dealing with treatment-resistant depression (TRD). If that\u2019s the case, there are alternative forms of treatment you can try.&nbsp; While it\u2019s important to stay in communication with your healthcare provider every step of the way. <\/p>\n\n\n\n<p>Let\u2019s review a few alternative treatment options to consider and what the research tells us about how they work.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What is Treatment-Resistant Depression?<\/strong><\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>Failing to respond to depression treatment is more common than you might think. About <a href=\"https:\/\/www.psychiatrist.com\/jcp\/prevalence-national-burden-treatment-resistant-depression-major-depressive-disorder-in-us\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">30% of people<\/a> diagnosed with major depressive disorder (MDD) have treatment-resistant depression (TRD), characterized by persistent depressive symptoms despite multiple treatment attempts.&nbsp;&nbsp;<\/p>\n\n\n\n<p>TRD can be frustrating, especially if you\u2019ve been dealing with depression for a while. Depression treatment varies from person to person, and there can be <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21658343\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">several reasons<\/a> why medication isn\u2019t helping, such as the severity of the condition, your genetic makeup and family history, your social situation as well as any comorbid illnesses.&nbsp;<\/p>\n\n\n\n<p>That\u2019s why it\u2019s important to keep your providers up to date on your efforts\u2014they may decide to change your dose, switch medications, or add another treatment (such as therapy or a second medication) to your care plan.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What You Should Know About Alternative Forms of Therapy<\/strong><\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>Generally, you should stick with your prescribed treatment for six to eight weeks before it\u2019s considered ineffective, although your doctor may change your treatment plan sooner if deemed necessary. Medication and talk therapy are the most common ways to treat depression, but they\u2019re not your only options.&nbsp;<\/p>\n\n\n\n<p>Other, more extensively studied types of therapy for TRD include <a href=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/alternative-treatments\/what-is-transcranial-magnetic-stimulation\/\" title=\"\">transcranial magnetic stimulation<\/a>, ketamine therapy, and Spravato (esketamine). Here\u2019s what you should know about these treatments.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Transcranial Magnetic Stimulation (TMS)<\/strong><\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>TMS therapy is a noninvasive (surgery and medication-free) treatment that applies a series of short magnetic pulses to stimulate specific brain regions and ease depressive symptoms. It\u2019s safe, FDA-approved, and has <a href=\"https:\/\/www.biologicalpsychiatryjournal.com\/article\/S0006-3223(07)00146-1\/abstract\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">minimal side effects<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How Does TMS Work?<\/strong><\/h3>\n\n\n\n<p>TMS therapy begins with an initial evaluation with a healthcare provider. Your doctor will talk about the process and how to prepare for treatment. TMS is an outpatient procedure, which means you\u2019ll go home same-day.<\/p>\n\n\n\n<p>TMS involves the use of a specially designed electromagnetic device. The machine\u2019s magnetic pulses induce small electric currents that change the firing patterns of neurons, which \u201cresets\u201d specific areas of the brain that regulate your mood. The sensation feels like a tapping on your scalp.&nbsp;<\/p>\n\n\n\n<p>A typical course of treatment involves <a href=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/alternative-treatments\/how-many-tms-sessions-do-you-need\/\" title=\"\">daily TMS sessions<\/a> over four to six weeks. People typically feel better after 10 to 15 sessions.\u00a0<\/p>\n\n\n\n<blockquote class=\"tiktok-embed\" cite=\"https:\/\/www.tiktok.com\/@makingitez\/video\/7237709620360252718\" data-video-id=\"7237709620360252718\" style=\"max-width: 605px;min-width: 325px;\" > <section> <a target=\"_blank\" title=\"@makingitez\" href=\"https:\/\/www.tiktok.com\/@makingitez?refer=embed\" rel=\"noopener\">@makingitez<\/a> Transcranial, magnetic stimulation, or TMS is a really great way to treat depression. Most people get this confused with ECT or electric compulsive therapy, these are two completely different treatments. TMS is one of the best treatments for depression as it\u2019s 70% successful. <a title=\"tmstherapy\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/tmstherapy?refer=embed\" rel=\"noopener\">#tmstherapy<\/a> <a title=\"tms\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/tms?refer=embed\" rel=\"noopener\">#tms<\/a> <a title=\"mentalhealth\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/mentalhealth?refer=embed\" rel=\"noopener\">#mentalhealth<\/a> <a title=\"depressionanxiety\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/depressionanxiety?refer=embed\" rel=\"noopener\">#depressionanxiety<\/a> <a title=\"brainscience\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/brainscience?refer=embed\" rel=\"noopener\">#BrainScience<\/a> <a target=\"_blank\" title=\"\u266c original sound - Making it EZ\" href=\"https:\/\/www.tiktok.com\/music\/original-sound-7237709610600139562?refer=embed\" rel=\"noopener\">\u266c original sound &#8211; Making it EZ<\/a> <\/section> <\/blockquote> <script async src=\"https:\/\/www.tiktok.com\/embed.js\"><\/script>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Is TMS Effective for Treatment-Resistant Depression?<\/strong><\/h3>\n\n\n\n<p>TMS has been shown to be at least <a href=\"https:\/\/health.ucsd.edu\/care\/behavioral-mental-health\/depression-treatment\/tms\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">twice as effective<\/a> as standard treatments for TRD. Patients typically feel relief from their symptoms anywhere from six months to several years. In a <a href=\"https:\/\/www.psychiatrist.com\/jcp\/repetitive-transcranial-magnetic-stimulation-treatment-2\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">review<\/a> examining the efficacy of TMS for MDD, patients receiving TMS were more than five times as likely to achieve remission from depression than those receiving a placebo.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Is TMS Covered by Insurance?<\/strong><\/h3>\n\n\n\n<p>TMS therapy is FDA-approved for the treatment of depression and obsessive-compulsive disorders, and it is covered by insurance if it\u2019s deemed a medically necessary form of treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ketamine Infusions<\/strong><\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>Ketamine is a dissociative anesthetic, which means that it makes people feel detached from their body and environment in doses used for pain and sedation.&nbsp; It has a long history as a surgical anesthetic and analgesic (pain relief) medication that\u2019s used for adults, children, and animals.&nbsp;<\/p>\n\n\n\n<p>As an off-label use, ketamine has been consistently proven over more than 20 years of peer reviewed research to help treatment-resistant conditions like depression and <a href=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/alternative-treatments\/does-spravato-help-with-suicidal-ideation\/\" title=\"\">alleviate suicidal ideations<\/a>. Ketamine works quickly, which is one of the reasons it\u2019s so sought after as a mental health treatment: while other treatment options can take weeks to take effect, many patients can feel ketamine\u2019s effects within an hour.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How Does Ketamine Work?<\/strong><\/h3>\n\n\n\n<p>Ketamine works in two important ways in patients with TRD. &nbsp; It has unique effects on the neurotransmitter glutamate, which is a major messenger throughout your central nervous system. It primarily works by <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29885421\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">allowing<\/a> glutamate levels to temporarily increase in your brain, which may have downstream effects that contribute to ketamine\u2019s <a href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/2045125320916657\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">antidepressant effects<\/a>.&nbsp; <\/p>\n\n\n\n<p>Ketamine also works on chemicals in your brain called BDNF and VEGF.&nbsp; These chemicals increase connections between neurons.&nbsp; It is theorized that these \u201cgrowth factors\u201d&nbsp; allow your brain to create new pathways for managing things like your emotions and mood.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Ketamine therapy generally takes place at an outpatient facility and is available in several forms, including intravenous (IV) infusion, intramuscular injection, sublingual (under the tongue) liquid, and lozenges. Nobody loves needles, but IV injections have been shown to have the <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30995364\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">most rapid effects<\/a> on mood disorders.<\/p>\n\n\n\n<p>Treatment begins with an initial evaluation to set expectations and help you prepare for your session. Ketamine infusion therapy generally involves a series of six infusions over <a href=\"https:\/\/www.nature.com\/articles\/s41398-020-00897-0\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">several weeks<\/a>, depending on your response, your provider may adjust your treatment plan in consultation with your psychiatrist or primary care provider. During your session, you\u2019ll feel relaxed, detached, and calm.&nbsp;<\/p>\n\n\n\n<p>Ketamine is generally considered safe: in 2019, National Institutes of Health researchers found that a low-dose ketamine infusion had <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31791675\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">minimal side effects<\/a> among patients with TRD.<\/p>\n\n\n\n<blockquote class=\"instagram-media\" data-instgrm-captioned data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/C5v6Lh4RYLm\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/reel\/C5v6Lh4RYLm\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; 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font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">Ver esta publicaci\u00f3n en Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/reel\/C5v6Lh4RYLm\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">Una publicaci\u00f3n compartida por Psycle (@breakthepsycle)<\/a><\/p><\/div><\/blockquote> <script async src=\"\/\/www.instagram.com\/embed.js\"><\/script>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Is Ketamine Effective for Treatment-Resistant Depression?<\/strong><\/h3>\n\n\n\n<p>Evidence suggests that <a href=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/alternative-treatments\/understanding-who-is-a-candidate-for-ketamine-treatment\/\" title=\"\">ketamine is a promising treatment<\/a> option for TRD. In 2014, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24679390\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">researchers found<\/a> that ketamine\u2019s dissociative side effects predicted a more robust and sustained antidepressant response among 108 participants. Separate studies have also found that ketamine effectively <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4243034\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">reduces suicidality<\/a> among people with TRD and significantly improves depressive symptoms within hours after administration.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Is Ketamine Covered by Insurance?<\/strong><\/h3>\n\n\n\n<p>Health <a href=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/alternative-treatments\/is-ketamine-therapy-covered-by-insurance\/\" title=\"\">insurance generally doesn\u2019t cover ketamine therapy<\/a> because it\u2019s not FDA-approved for the treatment of mood disorders, so patients generally have to pay out-of-pocket.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Spravato (Esketamine)<\/strong><\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p><em>Nasal spray targeting NMDA receptors to rapidly relieve severe depression.<\/em><\/p>\n\n\n\n<blockquote class=\"tiktok-embed\" cite=\"https:\/\/www.tiktok.com\/@makingitez\/video\/7290043836074577194\" data-video-id=\"7290043836074577194\" style=\"max-width: 605px;min-width: 325px;\" > <section> <a target=\"_blank\" title=\"@makingitez\" href=\"https:\/\/www.tiktok.com\/@makingitez?refer=embed\" rel=\"noopener\">@makingitez<\/a> \ud83c\udf2c\ufe0f Sparvato: Ketamine Reimagined! \ud83c\udf2c\ufe0f Imagine all the benefits of ketamine therapy in a simple nasal spray \u2013 no more needles, no more fuss! \ud83d\udca7 Sparvato brings relief, hope, and tranquility to your life with a gentle mist. \ud83d\udca1 Why Sparvato? \ud83d\udca1 \ud83c\udf08 Fast-acting: Experience a sense of calm and clarity in record time! \ud83d\udcaa Powerful: Sparvato tackles treatment-resistant depression like a champ! \ud83d\udc95 Convenient: No more daunting clinic visits \u2013 Sparvato can be administered at home! \ud83c\udf10 FDA-Approved: Trust in the science-backed solution for your mental wellness! Let&#39;s face it, mental health matters, and Sparvato gets it! \ud83e\udde0 Unlock a brighter future with this groundbreaking therapy that&#39;s easy, effective, and accessible.<a title=\"spravato\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/spravato?refer=embed\" rel=\"noopener\">#spravato<\/a> <a title=\"psychedelictok\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/psychedelictok?refer=embed\" rel=\"noopener\">#psychedelictok<\/a> <a title=\"ketaminetherapy\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/ketaminetherapy?refer=embed\" rel=\"noopener\">#ketaminetherapy<\/a> <a title=\"education\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/education?refer=embed\" rel=\"noopener\">#education<\/a> <a title=\"mentalhealth\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/mentalhealth?refer=embed\" rel=\"noopener\">#mentalhealth<\/a> <a title=\"depressionanxiety\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/depressionanxiety?refer=embed\" rel=\"noopener\">#depressionanxiety<\/a> <a target=\"_blank\" title=\"\u266c original sound - Making it EZ\" href=\"https:\/\/www.tiktok.com\/music\/original-sound-7290043874435664686?refer=embed\" rel=\"noopener\">\u266c original sound &#8211; Making it EZ<\/a> <\/section> <\/blockquote> <script async src=\"https:\/\/www.tiktok.com\/embed.js\"><\/script>\n\n\n\n<p>Spravato is the brand name for esketamine, a derivative of ketamine. In 2019, the FDA <a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-new-nasal-spray-medication-treatment-resistant-depression-available-only-certified\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">approved<\/a> Spravato for the treatment of TRD and suicidal ideation when combined with an oral antidepressant.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How Does Spravato (Esketamine) Work?<\/strong><\/h3>\n\n\n\n<p>Spravato is a nasal spray that targets specific landing pads in your brain called NMDA receptors. Like ketamine, esketamine allows glutamate to temporarily increase in the brain. Ketamine\u2019s antidepressant effects may stem from the way it impacts <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7704936\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">other chemical messengers and pathways<\/a> in the brain. In contrast, esketamine\u2019s effects are <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3534778\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">primarily focused<\/a> on those NMDA receptors and glutamate.&nbsp;<\/p>\n\n\n\n<p>During a dosing session, patients administer the nasal spray themselves under a licensed provider\u2019s supervision. Spravato contains 28 milligrams of esketamine, and the patient uses two to three devices per treatment. Esketamine\u2019s effects peak after about 40 minutes, and sessions take about two hours from start to finish. Treatment usually lasts for eight weeks, one to two times per week.<\/p>\n\n\n\n<p>Esketamine is generally considered safe. Potential side effects include headache, dizziness, and dissociation.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Is Spravato (Esketamine) Effective for Treatment-Resistant Depression?<\/strong><\/h3>\n\n\n\n<p>Studies have shown that esketamine can <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/treatment-tests-and-therapies\/esketamine-for-treatment-resistant-depression\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">improve depressive symptoms<\/a> and help maintain these improvements long term. One 2023 study focusing on esketamine\u2019s effects in patients with TRD found that <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10267177\/\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">almost half of patients<\/a> were in remission after one year of treatment.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Is Spravato (Esketamine) Covered by Insurance?\u00a0<\/strong><\/h3>\n\n\n\n<p>Unlike ketamine, <a href=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/alternative-treatments\/unraveling-the-mystery-does-insurance-cover-spravato\/\" title=\"\">Spravato is more commonly covered by insurance<\/a> because it\u2019s FDA-approved for TRD when combined with an oral antidepressant. Talk to your doctor if you\u2019re interested in learning more about Spravato.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"556\" src=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-3-1024x556.png\" alt=\"Grahic showing existing treatments for depression\" class=\"wp-image-43805\" srcset=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-3-1024x556.png 1024w, https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-3-300x163.png 300w, https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-3-768x417.png 768w, https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-3-1536x834.png 1536w, https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-3-2048x1112.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Additional Lifestyle Options\u00a0<\/strong><\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>Medication and therapy are life-saving interventions that can help people manage and recover from depression. However, it\u2019s also worth considering your lifestyle as part of your overall care plan and complementing your treatment with habits and practices that support your health.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Get quality sleep: <\/strong>Are you getting seven to nine hours of sleep per night? <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1087079217301582\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">Sleep and mood<\/a> are interconnected. If you\u2019re having trouble falling asleep, try going to bed around the same time every night, shutting off screens an hour or so before bed, and using calming techniques to wind down, like breathing exercises or listening to a guided meditation.<\/li>\n\n\n\n<li><strong>Nourish your body: <\/strong>While there isn\u2019t a specific \u201canti-depression diet,\u201d healthy dietary patterns have been <a href=\"https:\/\/www.nature.com\/articles\/s41380-020-00925-x\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">shown<\/a> to support a healthy mood. \u201cHealthy dietary patterns\u201d means <a href=\"https:\/\/www.health.harvard.edu\/blog\/diet-and-depression-2018022213309\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">nutrient-dense foods<\/a>: lots of vegetables and fruits, a good amount of whole grains, seeds and nuts, and lean sources of protein.<\/li>\n\n\n\n<li><strong>Move mindfully: <\/strong>Exercise is an <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0889159111005332\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">effective treatment<\/a> for mild to moderate depression, but you don\u2019t have to spend hours at the gym daily. Aim to incorporate movement throughout your day, like going for a walk after your meals or practicing a few simple yoga poses.<\/li>\n\n\n\n<li><strong>Make time for self-reflection: <\/strong>Mindfulness refers to the process of bringing your attention to the present moment. These practices are associated with <a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.2147\/PRBM.S34937\" target=\"_blank\" rel=\"noopener nofollow\" title=\"\">beneficial effects on well-being<\/a>, in part because they help shift negative thought patterns and promote relaxation. You can practice mindfulness through practices such as meditation, journaling, and breathing exercises.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"779\" height=\"1024\" src=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-4-779x1024.png\" alt=\"Graphic showing ways to support a healthy mood\" class=\"wp-image-43809\" srcset=\"https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-4-779x1024.png 779w, https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-4-228x300.png 228w, https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-4-768x1009.png 768w, https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-4-1169x1536.png 1169w, https:\/\/psyclehealth.com\/psyclehealth-sta\/wp-content\/uploads\/2024\/06\/What-Can-I-Do-If-Therapy-and-Meds-Arent-Working-4.png 1401w\" sizes=\"(max-width: 779px) 100vw, 779px\" loading=\"lazy\" \/><\/figure>\n\n\n\n<p>You don\u2019t have to make these changes all at once. Start small, picking one habit you can sustain long-term, and build from there.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Frequently Asked Questions<\/strong><\/h2>\n\n\n\n<p><\/p>\n\n\n\n<div data-schema-only=\"false\" class=\"wp-block-aioseo-faq\"><h3 class=\"aioseo-faq-block-question\"><strong>Is There a Recommended Duration for Sticking With a Particular Treatment Before Trying Another Option?<\/strong><\/h3><div class=\"aioseo-faq-block-answer\">\n<p>You should stick with your prescribed treatment for six to eight weeks before trying something new. Stay in communication with your doctor before you try any new treatments.<\/p>\n<\/div><\/div>\n\n\n\n<div data-schema-only=\"false\" class=\"wp-block-aioseo-faq\"><h3 class=\"aioseo-faq-block-question\"><strong>Should I Stop My Medication so I Can Pursue Alternative Treatment?<\/strong><\/h3><div class=\"aioseo-faq-block-answer\">\n<p>Patients are typically encouraged to continue their medications while they pursue alternative treatment. Your doctor can adjust medication during the course of treatment if needed. You should never abruptly stop taking oral medication without consulting your doctor.<\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>In the U.S., about 7% of adults have at least one major depressive episode annually. About half of these people receive medication. The problem is that depression is a complicated condition, and what works for some people may not work for others. Some people may respond to antidepressants, while about a third of folks may [&hellip;]<\/p>\n","protected":false},"author":31,"featured_media":43804,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[447],"tags":[],"class_list":["post-43800","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alternative-treatments"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 4.9.9 - aioseo.com -->\n\t<meta name=\"description\" content=\"Depression treatments not working? 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