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# '''Reducing overstimulation''' - anti rumination, reduce caffeine intake do more mindfulness and meditation. | # '''Reducing overstimulation''' - anti rumination, reduce caffeine intake do more mindfulness and meditation. | ||
# '''Talking''' - self therapy, counselling, increase social contact. | # '''Talking''' - self therapy, counselling, increase social contact. | ||
The next step would be to consider a antidepressant. Doctors often prescriber the SSRI, fluoxetine as the first port of call however statistically, they (and all other antidepressants) are only effective by a small margin. It has been found that 54% of adults experience a reduction in symptoms after taking an antidepressant, however 35–40% experience similar improvements after taking a placebo. This means antidepressants are only responsible for a decrease in symptoms of around 20%<ref>'''Treatment outcomes for depression: challenges and opportunities.''' Pim Cuijpers, Argyris Stringaris, Miranda Wolpert. Published in the Lancet Psychiatry: February 17, 2020. Accessed on 31 March 2023 via DOI:<nowiki>https://doi.org/10.1016/S2215-0366(20)30036-5</nowiki></ref>. | The next step would be to consider a antidepressant. Doctors often prescriber the SSRI, fluoxetine as the first port of call however statistically, they (and all other antidepressants) are only effective by a small margin. It has been found that 54% of adults experience a reduction in symptoms after taking an antidepressant, however 35–40% experience similar improvements after taking a placebo. This means antidepressants are only responsible for a decrease in symptoms of around 20%<ref>'''Treatment outcomes for depression: challenges and opportunities.''' Pim Cuijpers, Argyris Stringaris, Miranda Wolpert. Published in the Lancet Psychiatry: February 17, 2020. Accessed on 31 March 2023 via DOI:<nowiki>https://doi.org/10.1016/S2215-0366(20)30036-5</nowiki></ref>. To compound this, the 20% who see some effectiveness are plagued by the fact that about a third of these symptoms return at some point during therapy. | ||
=== Relapse === | === Relapse === |