For some patients, antidepressants give near-immediate relief from the symptoms of depression, which may include fatigue, feelings of hopelessness or worthlessness and loss of interest in activities or hobbies, for example. But for many, the same medications just don’t work. They may alleviate the symptoms to some extent but not fully, they may not work at all, or the side effects may be too great to make the medication helpful.
New research shows that cognitive behavioural therapy, when used along with usual care, can be as effective in patients who don’t respond to medication.
Cognitive behavioural therapy (CBT) involves a therapist talking through a patient’s current thoughts and feelings (rather than focusing on the past, as some other forms of therapy do) and then suggesting ways in which a person can change those habitual thought patterns and beliefs. Different coping strategies are suggested and a person’s overall approach to life, thei