Treatment options for mild depression

The following are the commonly used treatment options for people with mild depression. Also, for people with subthreshold depression that has lasted a long time and not shown signs of improving. Some people prefer one type of treatment to another. So, personal preference for the type of treatment used should be taken into account when discussing the best treatment for yourself with your doctor.

A guided self-help programme
There are various pamphlets, books, and audio tapes which can help you to understand and combat depression. The best are based on the principles of CBT, as described earlier. Ideally, a guided self-help programme is best. That is, a programme where the materials are provided by a trained practitioner such as a doctor, and where a practitioner monitors your progress. A self-help programme takes some motivation and effort to work through - a bit like doing homework. A typical guided self-help programme consists of 6-8 sessions (face-to-face and via telephone) over 9-12 weeks.

Computer-based cognitive behavioural therapy
Computer- and internet-based self-help CBT programmes are recent innovations. They are supported by a trained practitioner who monitors progress. A programme typically takes place over 9-12 weeks, and you are given tasks to try out between sessions.

Group-based cognitive behavioural therapy
This is CBT but in a group setting of 8-10 participants. Typically, it consists of 10-12 weekly meetings.

Group-based peer support
This is an option for people with depression who also have an ongoing (chronic) physical problem. This allows sharing of experiences and feelings with a group of people who understand the difficulties and issues facing group members. Typically, it consists of one session per week over 8-12 weeks. Ideally, it should be supported by a facilitator who has knowledge of the physical health problem, and who reviews progress with people taking part in the group.

Antidepressant medicines
Antidepressant medication is not usually recommended for the initial treatment of mild depression. However, an antidepressant may be advised for mild depression in certain circumstances. For example, in people:

With mild depression that persists after other treatments have not helped.
Whose depression is associated with a physical illness.
Who have had an episode of moderate or severe depression in the past.