Suitability and Motivation for Treatment

Before undergoing sequential treatment, patients should already have displayed a satisfactory response to antidepressant drug treatment. They should have been treated for at least 3 months with drug treatment and no longer present with depressed mood. During pharmacological treatment and clinical management, however, it is essential to introduce the subsequent part of treatment.

A helpful way to introduce the sequential approach (Fava et al., 1998) follows:

"When we first saw you, you were very depressed. You went off the road. We gave you antidepressant drugs, and these put you back on the road. Things are much better now. However, if you keep on driving the way you did, sooner or later, you will go off the road again."

This example highlights the need for lifestyle modification and introduces a sense of control in the patient relative to his/her depressive illness. This psychological preparation paves the way for subsequent psychotherapeutic approaches.

Natural Depression Cures

Natural Depression Cures

Are You Depressed? Heard the horror stories about anti-depressants and how they can just make things worse? Are you sick of being over medicated, glazed over and too fat from taking too many happy pills? Do you hate the dry mouth, the mania and mood swings and sleep disturbances that can come with taking a prescribed mood elevator?

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