Depression and Complementary Health Approaches

Many individuals with depression turn to complementary health approaches as an adjunct to or in place of conventional treatment. Although these approaches are commonly used and readily available in the marketplace, many of these treatments have not been rigorously studied for depression. For this reason, it’s important that you understand the benefits and risks of these complementary approaches to advise your patients. A Task Force on Complementary and Alternative Medicine of the American Psychiatric Association conducted a review in 2010 of complementary approaches in psychiatry and found that, based on the quality of available evidence, there is enough evidence to support further research on some complementary approaches, including omega-3 fatty acids, St. John’s wort (Hypericum perforatum), folate, S-adenosyl-l-methionine (SAMe), light therapy, physical exercise, and mindfulness-based therapies for augmenting current treatments of depression in adults. However, the Task Force noted the need for more rigorous and larger studies before employing these complementary approaches. This issue of the digest provides the state of the science for several of these complementary health approaches.
Source: NCCAM Featured Content - Category: Complementary Medicine Authors: Source Type: news

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CONCLUSIONS: Implementing Tai Chi in Kiel would be interesting to develop the scope of used interventions. Investment in non-pharmacological treatment should be a priority for healthcare decision-makers in Poland. The wide range of non-pharmacological interventions should be commonly accessible to provide the most comprehensive treatment. PMID: 32379644 [PubMed - as supplied by publisher]
Source: Complementary Therapies in Clinical Practice - Category: Complementary Medicine Authors: Tags: Complement Ther Clin Pract Source Type: research
Bipolar disorder is a mood disorder characterized by episodes of both depressed and elevated mood. It typically begins in the late teens to early 20s. During depressive episodes, people experience low mood, loss of self-confidence, hopelessness, and impaired sleep and appetite. Manic episodes are marked by an increase in energy, euphoric or irritable and rapidly changing mood, higher self-confidence, and decreased need for sleep. People may experience a mood episode every few years, or as frequently as several times a year. Bipolar disorder can be treated with medications and psychotherapy. Certain chronotherapies — ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Anxiety and Depression Behavioral Health Complementary and alternative medicine Mental Health Source Type: blogs
CONCLUSIONS: Given the uncertain evidence on agomelatine and the absence of studies on melatonin, no conclusion about efficacy and safety of agomelatine and melatonin for prevention of SAD can currently be drawn. The decision for or against initiating preventive treatment of SAD and the treatment selected should consider patient preferences and reflect on the evidence base of all available treatment options. PMID: 31206585 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: The evidence on psychological therapies to prevent the onset of a new depressive episode in people with a history of SAD is inconclusive. We identified only one study including 46 participants focusing on one type of psychological therapy. Methodological limitations and the small sample size preclude us from drawing a conclusion on benefits and harms of MBCT as a preventive intervention for SAD. Given that there is no comparative evidence for psychological therapy versus other preventive options, the decision for or against initiating preventive treatment of SAD and the treatment selected should be strongly ba...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: Evidence on light therapy as preventive treatment for people with a history of SAD is limited. Methodological limitations and the small sample size of the only available study have precluded review author conclusions on effects of light therapy for SAD. Given that comparative evidence for light therapy versus other preventive options is limited, the decision for or against initiating preventive treatment of SAD and the treatment selected should be strongly based on patient preferences. PMID: 30883670 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: Available evidence indicates that bupropion XL is an effective intervention for prevention of recurrence of SAD. Nevertheless, even in a high-risk population, three out of four people will not benefit from preventive treatment with bupropion XL and will be at risk for harm. Clinicians need to discuss with patients advantages and disadvantages of preventive SGA treatment, and might want to consider offering other potentially efficacious interventions, which might confer a lower risk of adverse events. Given the lack of comparative evidence, the decision for or against initiating preventive treatment of SAD and ...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: For MDD of mild to moderate severity, exercise, light therapy, St. John's wort, omega-3 fatty acids, SAM-e, and yoga are recommended as first- or second-line treatments. Adjunctive exercise and adjunctive St. John's wort are second-line recommendations for moderate to severe MDD. Other physical treatments and natural health products have less evidence but may be considered as third-line treatments. CAM treatments are generally well tolerated. Caveats include methodological limitations of studies and paucity of data on long-term outcomes and drug interactions. PMID: 27486153 [PubMed - as supplied by publisher]
Source: Canadian Journal of Psychiatry - Category: Psychiatry Authors: Tags: Can J Psychiatry Source Type: research
Abstract This systematic review critically appraises the role of complementary and alternative medicine in the treatment of those with an eating disorder. Sixteen studies were included in the review. The results of this review show that the role of complementary and alternative medicine in the treatment of those with an eating disorder is unclear and further studies should be conducted. A potential role was found for massage and bright light therapy for depression in those with Bulimia Nervosa and a potential role for acupuncture and relaxation therapy, in the treatment of State Anxiety, for those with an eating d...
Source: Eating Behaviors - Category: Eating Disorders and Weight Management Authors: Tags: Eat Behav Source Type: research
“It is more important to know what sort of person has a disease than to know what sort of disease a person has.” — Hippocrates (460-377 B.C.E.) “The art of healing comes from nature and not from the physician. Therefore, the physician must start from nature with an open mind.” — Paracelsus (1493 – 1541) Treatment options that have long been considered outside the mainstream are becoming commonplace: a survey shows that nearly two in five adults in the United States have tried complementary or alternative therapy in the last year. As clinicians, it is o...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anxiety Book Reviews Depression General Happiness Herbs & Supplements Medications Professional Self-Help Stress Treatment anxiety treatment combining natural remedies with conventional care Depression Treatment holistic solutio Source Type: news
CONCLUSIONS: No available methodologically sound evidence indicates that melatonin or agomelatine is or is not an effective intervention for prevention of SAD and improvement of patient-centred outcomes among adults with a history of SAD. Lack of evidence clearly shows the need for well-conducted, controlled studies on this topic. A well-conducted RCT of melatonin or agomelatine for prevention of SAD would assess the comparative benefits and risks of these interventions against others currently used to treat the disorder. PMID: 26560173 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: Journals (General) Authors: Tags: Cochrane Database Syst Rev Source Type: research
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