1. Step 9
1.1. Review session 2
1.2. mechanism flow chart
1.3. 20 minutes
2. Step 10
2.1. Management
2.1.1. Goals of therapy
2.1.1.1. restore baseline function
2.1.1.2. prevent recurrence
2.1.1.3. improve quality of life
2.1.1.4. Team approach
2.1.2. Non-pharmacological
2.1.2.1. psychological
2.1.2.1.1. CBT
2.1.2.2. Education
2.1.2.2.1. to the patient
2.1.2.2.2. to the family
2.1.2.3. social
2.1.2.4. ECT
2.1.2.4.1. electrical current across the temporal area
2.1.2.4.2. used in severe acute depression and in pregnancy
2.1.2.5. Exercise
2.1.2.5.1. beneficial in mild-moderate depression
2.1.2.6. occupational therapy or psychological therapy for work
2.1.2.7. relaxation techniques
2.1.2.8. biopsychosocial approach to the patient
2.1.3. Pharmacological
2.1.3.1. Antidepressants
2.1.3.1.1. It takes weeks for the drugs to take effect
2.1.3.1.2. SSRIs
2.1.3.1.3. SNRIs
2.1.3.1.4. TCAs
2.1.3.1.5. MAO-I
2.1.3.2. Anti anxiety
2.1.3.2.1. Beta-blockers
2.1.3.2.2. benzodiazepines
2.2. Prevention
2.2.1. primary
2.2.1.1. deal with risk factors
2.2.1.1.1. separation
2.2.1.1.2. unemployment
2.2.1.1.3. coping skills
2.2.1.2. exercise
2.2.1.3. exposure to sun in seasonal depression
2.2.1.4. education to society
2.2.2. substance abuse prevention
2.2.3. education for families and child-raising
2.2.4. screening for depression in clinics