Psychological methods see Chapter

A continuing supportive relationship with a trusted professional forms a valuable part of the treatment of all depressed patients.

Occupational therapy can also be most helpful in encouraging the patient to resume the full range of daily activities.

Cognitive therapy, designed to modify habitual negative thinking patterns which contribute to depressed mood, is as effective as drug treatment in moderate or mild depression. Interpersonal therapy, focused on relationships with others, is also useful.

Psychodynamic psychotherapy may perhaps be indicated for long-term problems. However, during severe depression, a purely psychotherapeutic approach is not appropriate because it will not correct delusions or hallucinations, and may increase patients' feelings of guilt and unworthiness.

Social casework may be helpful if the patient's family relationships or life circumstances are disturbed, whether as cause or result of the illness.

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