The prevailing standard of care for clinical depression is medication combined with cognitive behavioral therapy. That will include lifestyle interventions such as improving diet, exercise, coaching on problem solving skills, social skills, etc.
I agree with the cognitive behavioral therapy, but I think there are a lot of doctors who take the easy way out, and just prescribe, prescribe, prescribe. They don’t get to the root of the problem.
Cognitive behavioral therapy is OK, at best. Psychiatry is currently way off track, IMHO. People are individuals, with individual issues. Psychiatry doesn’t treat individuals anymore. As a field, it is now focused on universal solutions - which is usually a drug.
“...cognitive behavioral therapy. That will include lifestyle interventions such as improving diet, exercise, coaching on problem solving skills, social skills, etc.”
Try dumping all that on a patient with a Hamilton-D score of 30 or greater. Ain’t gonna happen.