Depression Treatment — Therapies and Alternatives – Reclaim Control of Your Life

Depression Treatment — Therapies and Alternatives – Reclaim Control of Your Life 150 150 Neuralia TMS

If feelings of sadness and lack of motivation are affecting your quality of life, and you’ve been dealing with them for longer than 2 weeks, it’s important to find help. The sooner you get depression treatment for these symptoms, the sooner you’ll feel better and more capable of building a support system.

There’s good news – there are many treatment options to consider. Choosing the best treatment for you can be challenging and may take time. But you will find a treatment that will work for you, and with a strong support system in place, there’s hope for improvement and a return to a fulfilling life.

What Are the Categories of Depression Treatment?

Depression treatments can be grouped into three categories: psychological, physical, and alternative therapies. Often, a combination of the different types of depression treatment works best. Everyone responds differently to depression, therapy, and treatment, so it may take some time to find the perfect combination for you. Your healthcare provider will help you decide on an appropriate treatment (or combination of treatments) after a thorough assessment.

Psychological Treatments for Depression

Also called psychotherapy, psychological treatments for depressive disorders are designed to change the way we think. These talking therapies are non-invasive, easy to access, and available in one-to-one or group settings.

This kind of depression therapy treatment may be a first step if you are looking for an alternative to medication, or it could work together with medication to provide a well-rounded treatment plan.

Cognitive Behaviour Therapy

Cognitive behaviour therapy (CBT) helps people with depression recognise and change negative thought patterns and behaviours that contribute to their low mood. Your therapist will guide you to identify negative thought patterns, which may take some time. You may also need to take notes as these thoughts pop up in everyday life.

Once you’ve identified negative patterns, your therapist will guide you through “cognitive restructuring.” You’ll question the evidence for these thoughts, develop more balanced perspectives, and reframe negative thoughts to be more objective.

CBT isn’t just about changing your thoughts, it’s also about changing your behaviour. As you reframe your mindset, you’ll begin to see things through a different, more empowered lens. This sets the stage for helping you break the cycle and develop healthier coping mechanisms.

Evidence shows that cognitive behavioural therapy is one of the best treatments for anxiety and depression. It’s widely used across all ages and usually takes 6 to 10 sessions (or 2 to 3 months) to see a real change.

Interpersonal Psychotherapy

Interpersonal psychotherapy (IPT) takes a slightly different approach to CBT. It focuses on addressing your current interpersonal issues and how they might impact your overall well-being. These issues usually fall into one of four categories:

  • Interpersonal troubles: Conflict with friends, family, or romantic partners
  • Grief: Difficulty coping with the loss of a loved one
  • Role transitions: Challenges adjusting to big life changes like becoming a parent, losing a job, changing roles, etc.
  • Social isolation: Hard time making friends or lack of a social support system

By analysing these aspects of your life, IPT helps you understand how your relationships are affecting your mood and provides tools to build healthier connections. These tools could include techniques for resolving conflicts in a healthy way, asserting your needs, and strengthening connections. The goal is to create a sense of support and ease symptoms of depression.

Physical Treatments for Depression

Physical treatments for depression include medication, transcranial magnetic stimulation (TMS), and electroconvulsive therapy (ECT).


Medication may be prescribed for moderate to severe depression. In general, there are three different types of medications your healthcare provider may consider, based on the severity of your depression:

  • Antidepressant medication: The most common type of depression medication, this medication is designed to alter brain chemistry and balance mood to reduce depressive symptoms. There are various types of antidepressants, and each one works in a slightly different way.
  • Mood stabilisers: These are usually used to treat bipolar disorder (characterised by alternating manic and depressive episodes), but may be prescribed for severe depression to minimise mood swings.
  • Tranquillisers: These are often used as a last resort for those whose depression isn’t responding to other treatment, or whose major depression is accompanied by psychotic symptoms.

If your healthcare professional prescribes medication, they will typically do this together with other therapies, like CBT or IPT. They will also discuss potential side effects and risks, how long the medication generally takes to work, and how frequently to come for checkups.

It’s also important to know that not every medication will be effective for every person. Your doctor will monitor you carefully while you’re taking the medication, and you should report any negative symptoms to them. It may take some time to find the one that works best for you.

Transcranial Magnetic Stimulation (TMS)

TMS is a non-invasive therapy for depression that uses magnetic field brain stimulation to encourage neuroplasticity and regulate mood. Magnetic pulses are applied to the region of the brain involved in depression – the dorsolateral prefrontal cortex.

Antidepressants Medication Types
Common Types of Antidepressants

These pulses stimulate nerve cells and strengthen neural pathways, increasing brain activity over time. Studies suggest that it is a safe and effective treatment for depression and other conditions like obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD).

You’ll be fully awake for the treatment, which takes 30 to 60 minutes. A magnetic coil is placed close to the dorsolateral prefrontal cortex, and the magnetic pulses are delivered to this region. For long-lasting results, you should have 5 TMS sessions per week for 4 to 6 weeks. Your healthcare provider will discuss the duration of your specific treatment based on your needs.

TMS therapy is typically well-tolerated and may only cause mild side effects, such as headaches, scalp discomfort, facial twitching, and light-headedness. These side effects are mild and temporary, and they will improve shortly after each TMS session.

There are no medications involved with TMS therapy, and you’ll be able to drive home like normal afterwards. However, if you have a history of seizures or any metal fillings, implants, or aneurysm clips, won’t be able to use this therapy.

Electroconvulsive Therapy

Electroconvulsive therapy (ECT) is used as a last resort for treatment-resistant depression – severe depression that hasn’t shown improvement with other treatments. It involves using electrodes to give the brain a small “electric shock”, which triggers a seizure and “resets” your brain waves.

People receiving ECT will be given general anaesthetic and possibly muscle relaxants before the procedure. The application of the electrical pulse and the resulting seizure only take about a minute. You should wake up around 5 to 10 minutes later.

Common side effects after this medical treatment include headaches, nausea, and disorientation. In some cases, short-term memory loss may occur, which usually improves once your treatment is finished.

In treatment for depression in Australia, ECT can be given from 1 to 3 times a week, for 8 to 12 total treatments in total.

Alternative Depression Treatments

These treatments may be effective for improving mild depression. They are often used alongside the above physical and/or psychological treatments for moderate depression or severe depression.


Scientific research shows that physical activity can be an excellent remedy for depressive symptoms. Not only does it release endorphins – happy hormones – but it also increases serotonin, an important neurotransmitter that plays a role in depression if its levels are low.

Most types of regular exercise are effective, although research shows walking, jogging, strength training, and yoga (especially when paired with mindful, deep breathing) to be the most effective for easing depression symptoms.

Mindfulness Practice

Mindfulness is a type of self-awareness training that involves being present in the moment, and being aware of your feelings. Moreover, practising mindfulness can cause physiological changes that may help ease depression symptoms. It’s often used as a complement to traditional therapies.

We recommend asking your healthcare practitioner’s advice before engaging in mindfulness practice, especially if you’re receiving other depression treatments. They may recommend:

  • Deep breathing: Deep, controlled breathing activates the parasympathetic nervous system, which promotes mental and physical relaxation.
  • Journaling: A tool for positive self-talk, tracking depression symptoms or situations that may trigger you, and connecting thoughts, your feelings, and your actions.

Finding a Depression Treatment That Works for You

Figuring out how to treat depression successfully requires patience. The first step is recognising that you need help.

  • Recognise the need: Realising that you’re experiencing symptoms of depression is step one. Acknowledging that you need some help is the next step.
  • Visit your GP for an accurate diagnosis: Your GP will assess you carefully and determine whether they can treat you or whether you’d benefit more from specialist help. A GP will be able to develop a Mental Health Care Plan (MHCP) for you, which will help you get access to up to 10 one-to-one and 10 group sessions with a mental healthcare provider every calendar year.
  • Weigh up your options: Discuss your treatment options with your mental healthcare provider. These may include medication, lifestyle changes, and psychological or physical treatments.
  • Be patient: Finding the most effective treatment for you can take some time. Be patient and keep communicating honestly with your healthcare provider. Your treatment plan may need to be adjusted every few months until you find the right treatment or combination for your specific circumstances.
  • Build a support network: Rally support from family and friends. You can also join online communities that offer resources and support for those dealing with depression.

Emergency Support

If you’re struggling with severe symptoms, you can contact:

Depression Treatment FAQs

How do I know if I have depression?

You may have depression if you have persistent sadness, loss of interest in activities, feelings of hopelessness, fatigue, hanges in sleep or appetite, difficulty concentrating, or thoughts of death that linger for 2 weeks or more.

Other symptoms include irritability, unexplained physical aches, and withdrawal from social activities. Remember that only a qualified mental health professional can provide a formal diagnosis and recommend the best treatment plan.

Am I depressed or lazy?

Distinguishing between depression and laziness can be tricky. Depression is a mental health condition with persistent, long-term symptoms. Laziness is usually a temporary choice to avoid doing something you don’t want to do.

If you’re unsure, track your symptoms and how they impact your life. If you have significant difficulty functioning, even doing things you used to enjoy, you should speak to a mental health professional. They will be able to help you determine whether it’s a mood disorder. They will also help you look for depression treatment.

What are the three levels of depression?

Depression is classified as mild, moderate, or severe (also called major depressive disorder or MDD). These levels are based on the number of symptoms a person displays, how severe the symptoms are, how frequently the symptoms occur, and how these symptoms affect their daily life.

Is depression different from sadness?

Depression and sadness are not the same. Sadness is a typical emotion and can arise in response to many things. Sadness can feel like a depressive episode, but it has a clear cause, and it passes with time.

Persistent and intense sadness with no specific cause could be a symptom of clinical depression – a medical condition. It’s often accompanied by other symptoms, like hopelessness and a loss of enjoyment in hobbies you used to love.

Seasonal affective disorder (SAD) is a type of depression that may be confused with sadness. However, it’s a specific type of depressive disorder that arises at specific times of the year.

How long does depression last?

Without treatment, chronic depression symptoms can last for years. With the right treatment, your symptoms may improve in as little as a few months. However, it’s important to note that there’s no cure for depressive disorders as yet – symptoms may come back, so treating depression is often an ongoing effort.

Think you know antidepressants? The Side Effects that will surprise you!

Think you know antidepressants? The Side Effects that will surprise you! 860 850 Neuralia TMS

We have all heard of the remarkable recoveries and in some cases life-changing effects that antidepressant medication can have, but we rarely discuss the side effects of antidepressants. This conversation is crucial to have as some effects may not be known or discussed openly, you should discuss any concerns with your healthcare professional or you can discuss any queries at your next appointment with Dr Shanek Wick and our team at Neuralia TMS.

It is important to note that there are pros and cons to most treatments, including TMS treatment. Read more about the pros and cons of TMS treatment.

1. Weight Gain and/or Loss: It’s perhaps one of the most talked-about side effects of most prescribed antidepressants. While the science behind why this happens isn’t completely understood or known yet, many individuals have reported notable changes in their weight after starting antidepressants. In some cases, people experience weight loss, which can be a concern if unintended, and either outcome is best to be discussed with your healthcare professional.

2. Erectile Dysfunction and Other Sexual Side Effects: Here’s a tough one to discuss, but it’s important to be made aware of. Men, in particular, might experience erectile dysfunction, which can be both frustrating and concerning. But it’s not just men; many people taking antidepressants find that their sexual drive takes a backseat. It’s essential to talk to your doctor if you’re experiencing these challenges; they’re there to help you through this journey.

3. Blood Pressure and Irregular Heartbeat: Not as common, but equally significant, some individuals have reported elevated blood pressure or even an irregular heartbeat after starting on the new medication. If you’ve been feeling like your heart’s playing a different drum, or you’ve got that pressured feeling, it might be time to have a chat with your healthcare professional as promptly as possible.

4. Flu-like Symptoms and Stomach Pains: Now, this one can be tricky. Sometimes, after starting an antidepressant, you might feel like you’ve caught a mild flu or that stomach bug that’s been going around. Flu-like symptoms and stomach pains are known but less common side effects. Always listen to your body and if something feels off or it is lingering longer than the general cold would, it’s worth checking it out with your GP.

5. Breastfeeding Mother’s: This is sometimes something new mothers don’t consider or mention, but it is crucial to be informed. Some antidepressants can affect a mother’s breast milk, if you are currently breastfeeding or planning to, you must discuss your options with your GP or Dr Shanek Wick at your next appointment.

6. Vivid Dreams: Vivid dreams can be an unexpected but very real side effect of some antidepressant medication. While many find this intriguing, for others, it can be a bit unsettling.

7. Withdrawal Effects: If you are thinking of stopping, changing or altering your medication dosage, be wary of potential withdrawal effects. You can discuss ceasing or altering your medication with Dr Shanek Wick, our team here at Neuralia TMS, or your healthcare professional. Upon ceasing medication, some can experience a range of effects from mild irritability to more severe symptoms.

Antidepressant medication can provide life-changing benefits, but it is important to keep up to date about the potential side effects they may cause. If you have trialled antidepressants and found it to be unsuccessful, you may wish to consider TMS Treatment.

Find out if TMS Treatment is suited to your mental health journey.

Overcoming Stigma: Perth Psychiatrist, Dr Wick weighs in on TMS as your Mental Health Treatment

Overcoming Stigma: Perth Psychiatrist, Dr Wick weighs in on TMS as your Mental Health Treatment 944 944 Neuralia TMS

Mental Health can be a daunting experience that can interfere with your daily life. Fortunately, there are numerous ways to manage it, and TMS treatment is one of the most effective. Perth Psychiatrist, Dr Shanek Wick and the team at Neuralia TMS, Palmyra recommends discussing TMS treatment with your GP as an option for managing Mental Health. Find out more information about how TMS works.

The fact that TMS treatment is non-invasive—that is, it doesn’t require any surgery or medication—is one of its main advantages. For those who are unable to take medication owing to side effects or other health issues, this makes it a safe and viable alternative. The majority of patients simply experience a slight tapping sensation on their scalp during TMS therapy, which is also completely painless.

The fact that TMS treatment is very individualised is another advantage. Based on your particular requirements and symptoms, Perth psychiatrist Dr. Shanek Wick will work with you and your treatment plan. The standard course of treatment entails daily sessions for a few weeks, but the frequency and duration of treatment may change based on your particular situation.

If you’re considering TMS treatment for your mental health, it’s essential to work with a qualified and an experienced Perth Psychiatrist who specialises in the TMS treatment option. Your GP can assist you in deciding whether TMS is the best option for you and recommend you to a psychiatrist who will create a specialised treatment plan that takes into account your unique needs.

Find out if you are a good candidate for TMS Treatment.

In conclusion, TMS treatment is a safe and effective option for managing mental health. If you’re struggling with anxiety, depression, OCD or PTSD and are looking for a non-invasive treatment option, TMS may be worth considering. Talk to our team at Neuralia TMS about whether TMS is the right choice for you, and take the first step towards regaining control over your mental health.

Understanding how Depression and the Menstrual Cycle interact

Understanding how Depression and the Menstrual Cycle interact 1100 770 Neuralia TMS

Both depression and the menstrual cycle can affect a woman’s daily life in both favourable and unfavourable ways. The severity and length of a woman’s menstrual cycle may have an impact on how depressed she feels. Positively, periods can aid in the management of depression by offering structure, solace, and support. Depression, on the other hand, can exacerbate PMS symptoms and make them more challenging to control.

According to research, there is a direct relationship between depression and the menstrual cycle. Menstrual abnormalities, such as irregular periods, lighter or heavier bleeding, or shorter or longer cycles, might affect women who are depressed. However, depression can also be a symptom of menstruation-related diseases in women. This is particularly valid for women who have polycystic ovary syndrome (PCOS).

Sleep, energy levels, and concentration can all be negatively impacted by depression. These signs of menstruation, along with cramps, headaches, and exhaustion, can also occur. Menstruation and depression can have a disruptive influence on daily life, making it challenging to perform chores and uphold relationships. This may be made worse by the fact that some antidepressant medications may have unrecognised effects on the menstrual cycle.

The hormonal changes brought on by the menstrual cycle can be particularly troublesome for women who suffer from depression. This is due to the possibility that the hormones released during menstruation would make depressed symptoms worse and raise the likelihood of recurrence. As a result, it’s critical to understand the potential connection between depression and menstruation as well as the effects it may have on day-to-day functioning

Have a conversation with your doctor if your menstrual cycle is being affected by depression or medicines. There is “one size fits all” remedy that works for everyone, but altering your way of life may assist. Try to eat enough to nourish your body, get enough sleep to rest, and engage in moderate exercise as often as you can. Stress-relieving activities include breathing or mindfulness exercises, writing, and gentle exercise such as yoga and strolling.

Consult your doctor about non-pharmaceutical depression remedy if your symptoms appear to get worse after taking an antidepressant. Talking depression treatments like counselling and cognitive behavioural therapy, as well as TMS therapy, may fall under this category.

Find out more about TMS treatment.

The Connection Between Depression and Motivation

The Connection Between Depression and Motivation 939 627 Neuralia TMS

When you wake up in the morning, you are already worn out as you consider all the things you need to get done that day. In fact, it’s so overpowering that all you seem to be able to do is crawl back into bed. When you’re depressed, motivation is difficult to come by and is what you really need.

Motivation and depression are mutually exclusive concepts. It’s frequently difficult to carry out your regular obligations while you’re in a depressive state. Then, getting behind on your duties may worsen your situation. Feeling unmotivated while receiving medication and talk therapy for depression can be very distressing. When that happens, TMS can be beneficial in reducing the symptoms of depression so you can regain your motivation and momentum.

How Depression and Low Motivation are Related
Any part of your life that is suffering from a lack of drive or motivation will be affected because they are unable to complete even the most basic duties, a student or productive employee may witness a decline in their performance. Additionally, explaining your difficulties to coworkers or teachers can be challenging. You can become even more depressed as a result.

Low motivation is harmful on both a personal and professional level. Because you lack the energy to engage with others, relationships may suffer. The same lack of energy makes it challenging to practise fundamental self-care practices like working out, eating healthily, and getting enough sleep, which can result in problems with both mental and physical health.

Finally, being under a lot of stress might make you weak. Exhaustion may result from the body’s overproduction of the cortisol hormone in response to stress. It may consequently cause dopamine and serotonin levels to drop. Additionally, if you already lack motivation, the pressure of getting behind on your work may make it worse. Simply put, you lack the motivation to work. When you lose motivation, it’s simple to slip into the trap of feeling hopeless or unworthy. It is crucial to consult your support network and get medical attention for your depression symptoms because these feelings of failure could spiral. You can also do some things to help increase your motivation that won’t take too much work. A tiny move in the direction of improvement can have a significant impact.

How to Stay Motivated During Depression
Like building muscle, increasing motivation requires frequent training to get stronger. Here are a few easy ideas to try:
  • Break negative thought patterns: Self-talk and negative thoughts are destructive. It will not help you to beat yourself up over missing a deadline. Through cognitive behavioural therapy (CBT), you can evaluate your negative feelings and thoughts and swap them out for more constructive ones. When you notice that your thoughts are drifting in a depressing direction, a CBT-trained therapist can give you coping mechanisms and skills you can utilise.
  • Create a schedule: Keep your initial tasks straightforward to avoid becoming overwhelmed; having a lengthy to-do list might be intimidating. Additionally, being overworked puts you at risk for toxic productivity, a side effect of high-functioning sadness that might prevent you from putting your mental health first.
  • Invest in enduring connections: Your motivation may rise through social interaction with close friends or family because of their encouragement and support. They can also act as a sounding board if you need a little prodding to start going.
  • Attend to your bodily requirements: Even while getting a massage or spending the day outside admiring the scenery are both wonderful, simplicity is essential if you can’t do either. Good self-care practices include eating well, taking a short stroll around the block, and getting seven to nine hours of sleep each night. They’ll give you a rush of energy that can inspire you to get moving. In search of little pleasures, even if it’s just once a week for a little while, engage in something enjoyable. This could be a pastime, an activity, or just hanging around with friends. The positive emotions this produces can lessen depressive and increase motivational symptoms.
  • Make a system of rewards: Rewarding yourself with a movie, new clothing, or anything else you enjoy will help you stay motivated to complete a task or take care of yourself. This will increase your incentive to maintain healthy practices. In addition, when you work hard to get motivated and accomplish your goals, you’ll develop self-confidence.

Even while these techniques can seem simple, they might be intimidating for someone going through a depressed episode. It may seem impossible to overcome failure, discouragement, or exhaustion. Finding a depression treatment in Perth that is effective for you is essential in order to reduce your symptoms so that you can focus on regaining your motivation.

The first line of therapy is medication and conversation therapy, such as CBT. When you discover that such techniques aren’t producing the desired results, TMS may be useful. A non-invasive outpatient treatment for depression called TMS may be able to reduce symptoms, including lack of desire. TMS operates as follows: On the scalp, close to the left temple, a coil of electromagnetic energy is applied. The coil transmits gentle magnetic pulses to the desired brain regions. The pulses transform into electrical currents that trigger the nerve cells in the brain to improve symptoms and restore brain function.

The average treatment session lasts around 20mins, and you will be comfortably seated the entire time. You can drive yourself to and from treatment because there are few side effects—mild headaches or scalp discomfort are the most frequent—and no downtime. TMS is typically administered daily during the workweek for 8 weeks, then less frequently for a time.

What are the symptoms of Depression?

What are the symptoms of Depression? 1480 987 Neuralia TMS

Sadness and Depresssion exists on a continuum. We all have low days. That is normal. However, we believe clinical depression occurs when these low days become persistent and patient’s experience additonal affective, biological and cognitive symptoms. When this occurs, we suspect changes in a one’s seritonin, dopamine and noradrehnaline levels.

The symptoms of depression can be divided into the following three categories:

1. Affective symptoms:: decreased mood, hopelessness, worthlessness, guilt

2. Biological symptoms: early morning wakening, decrease appetite, psychomotor slowing ie. monotonous/slow/delayed/decreased amount speech & decreased facial expressions OR psychomotor agitation ie. hand wringing.

3. Cognitive symptoms: decreased concentration, decreased memory, daily tasks take longer than normal, decreased self esteem, self harm or suicidal thoughts)

At times one’s thoughts can become extremely dark. When this occurs. occasionally one’s mind can start playing tricks on them and psychotic symptoms develop (delusions and hallucinations). Delusions are fixed, false beliefs out of keeping with a patient’s culture. Hallucinations occur when one experiences a perception eg. voice or image, in the absence of an actual environmental stimuli.

Treatment for depression span three major categories.


Talking Therapy

Neurostimulation eg. TMS.

Neuralia TMS are the Transcranial Magnetic Stimulation (TMS) specialists in Perth, WA. TMS is non-invasive treatment for depression and several other conditions.

Phone: 6230 3996
Email: [email protected]
Fax: 6230 2231
Healthlink ID: neuralia

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