Treatment Approaches
PDD is a treatable condition. The key is to recognize its signs and symptoms so that you are able to access the appropriate resources:
Psychotherapy
The goal of psychotherapy is to identify negative thought patterns and behaviors that contribute to your depressive symptoms. Cognitive behavioral therapy (CBT), in particular, teaches coping strategies for challenging destructive beliefs. Other helpful therapies include interpersonal therapy, which focuses on improving interpersonal relationships and social support, and psychodynamic therapy that examines underlying emotional conflicts and past experiences that influence mood and behavior.
Medication
People with PDD often benefit from medication to treat their symptoms and help them better manage their mood. Often the first-line of defense is selective serotonin reuptake inhibitors (SSRIs). These medications treat depression by increasing serotonin levels in the brain.
Serotonin-norepinephrine reuptake inhibitors (SNRIs) work similarly to SSRIs but also increase norepinephrine, a neurotransmitter that plays a role in the body’s response to stress and danger. Other antidepressants, such as tricyclic antidepressants, may be recommended, especially if first-line treatments are ineffective.
It’s important to note that it can take 4-6 weeks to notice the full benefits of your medication. If something isn’t working as well as it should, let your healthcare provider know, and they may be able to adjust your medication. However, if you’re still within this timeframe, you’ll likely be advised to wait, unless you are experiencing adverse effects. And, once the mediation does start working, expect to be on it for a longer term. This will help you maintain mood stability.
Lifestyle and Self-Care
When living with any type of depressive disorder, it’s crucial that you take good care of yourself. This will improve your resilience, regulate your mood, and help you get through your days. One of the most important things you can do is engage in regular exercise. You probably hear this often, but we can’t underestimate the power of being active. Regular activity releases endorphins and improves overall health. Even moderate activities like daily walks can make a difference.
You should also eat healthy, well-rounded meals to support your energy levels and overall wellness. Focus on whole foods like vegetables, fruits, whole grains, and lean proteins. If you’re looking for things to keep you busy, try growing some of your own produce and cooking most of your meals from scratch. Also aim for 7-9 hours of sleep at night, practice stress management techniques, and seek connection from family and friends.
