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Depression Relapse

When a depression relapse occurs, treatment such as medication, cognitive behavioral therapy or ECT for depression can help a person to recover.

Though people who receivedepression treatmentmay experience a significant reduction of their symptoms, a depression relapse is still possible over time. In fact,research showsthat almost half of people who discontinue treatment for depression will relapse within a few months. While depression relapse statistics show that this condition is likely, there are steps people can take to prevent depression from returning.

What Is Depression Relapse?

Most depression relapse definitions are similar, and each provides additional information about what this type of relapse looks like. According tomedical professionals, relapse occurs when a person returns to meeting the full diagnostic criteria for depression after being in remission. In other words, a depression relapse is when someone becomes depressed again after feeling better for a period of time.

Signs of a Depression Relapse

Since a relapse means a return to depression, depression relapse symptoms are the same as those associated withmajor depressive disorder. A person who has relapsed into depression may also have thoughts of suicide or feel hopeless or worthless.

Common signs of a depression relapse:

  • A lack of interest in previously enjoyable activities
  • Sleeping more or less than usual
  • Eating more or less than usual
  • Changes in weight
  • A persistent mood of unhappiness
  • Low energy levels
  • Moving more slowly than normal
  • Feeling physically uncomfortable without any medical reason
  • Irritability or anxiety

Feelings of depression or anxiety can lead to suicidal thinking.If you or a loved one is experiencing suicidal thoughts or tendencies, call theNational Suicide Prevention Hotlineat1-800-273-8255.

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Common Relapse Triggers

Certaindepression relapse triggerscan increase a person’s risk of returning to depression. These can include any of the following:

Stressful life events:

Family history of depression:

Discontinuing treatment:

Other medical conditions:

Preventing Depression Relapse

A depression relapse prevention plan can help reduce the risk of recurrence. A person may develop a plan with a counselor before ending regular treatment sessions, and it can include a list of relapse triggers, signs of relapse and tools for coping with stressors. Being able to recognize signs of an impending relapse can help a person prevent a full relapse from occurring.

Arelapse prevention planmay include beneficial activities, such as regular exercise, meditation or spending time with friends. It may also include a list of steps to take if signs of relapse appear.

The Importance of Maintenance Treatment

A depression relapse prevention plan should also include maintenance treatment. This might include monthly check-ins with a therapist. Medication is also an important component of maintenance treatment. Because mostantidepressants are effective for preventing depressionrelapse, continuing to take medication under the supervision of a doctor can be important for long-term recovery from depression.

Related Topic:High functioning depression treatment

Treating a Depression Relapse

For people experiencing the return of depression symptoms, it is important to know how to cope with depression relapse. Various therapies and treatments are effective fortreating depression.

  • Cognitive Behavioral Therapy (CBT): CBT is a common treatment for depression. It is effective because it helps people change negative ways of thinking.
  • Interpersonal Therapy: Ininterpersonal therapy for depression, a person explores relationships that may be contributing to the condition.
  • Medication: Depression medicationscan help by having apositive effect on brain chemicals that are responsible for mood and stress.
  • Electroconvulsive Therapy (ECT): When medications and therapy are not beneficial, ECT for depression may be an option.

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Sources

Sim, Kang; et al. “Prevention of relapse and recurrence in adults with major depressive disorder: Systematic review and meta-analyses of controlled trials.” International Journal of Neuropsychopharmacology, February 2016. Accessed October 4, 2019.

Moller, Hans-Jurgen; et al. “Relapse or recurrence in depression: Why has the cutoff been set at 6 months?” Medicographia, 2011. Accessed October 4, 2019.

National Institute of Mental Health. “Depression.” February 2018. Accessed October 4, 2019.

van Loo, Hanna; et al. “Multiple risk factors predict recurrence of major depressive disorder in women.” Journal of Affective Disorders, July 15, 2015. Accessed October 4, 2019.

Burcusa, Stephanie; Iacono, William. “Risk for recurrence in depression.” Clinical Psychology Reviews, December 2007. Accessed October 4, 2019.

Lustman, Patrick; et al. “The course of major depression in diabetes.” General Hospital Psychiatry, March 1997. Accessed October 4, 2019.

National Institute of Mental Health. “Depression: What you need to know.” (n.d.). Accessed October 4, 2019.

Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

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