Depression and anxiety are treatable

Treating depression and anxiety from a biopsychosocial model involves a comprehensive approach that includes medications, counseling, and lifestyle changes, particularly in the context of preventing suicidal thoughts and behaviors.

Pharmacotherapy is a cornerstone in managing moderate to severe depression and anxiety. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly prescribed as first-line therapy. For patients with severe symptoms or those who do not respond to first-line treatments, additional options like bupropion, and mirtazapine may also be considered.

Next, psychotherapy, particularly cognitive-behavioral therapy (CBT), is highly effective in treating depression and anxiety and reducing suicidal ideation. Adding cognitive therapy to antidepressant medications has been shown to further reduce suicidal ideation compared to medications alone. Dialectical behavior therapy (DBT), a form of therapy that helps people manage their emotions is another effective approach.

Finally, incorporating lifestyle modifications is essential for a holistic treatment approach. Regular physical activity, healthy nutrition, and structured social support can significantly improve mental health outcomes.