Treatment

NHS

Treatment for depression usually involves a combination of self-help, talking therapies and medicines. The treatment recommended will be based on the type of depression you have.

Mild depression

If you have mild depression, the following treatments may be recommended.

Wait and see

If a GP diagnoses you with mild depression, they may suggest waiting a short time to see if it gets better by itself. In this case, you'll be seen again by the GP after 2 weeks to monitor your progress. This is known as watchful waiting.

Exercise

There's evidence that exercise can help depression, and it's one of the main treatments for mild depression. You may be referred to a group exercise class.

Self-help

Talking through your feelings can be helpful. You could talk to a friend or relative, or you could ask a GP or local psychological therapies service if there are any self-help groups for people with depression in your area. You could try self-help books or online cognitive behavioural therapy (CBT).

Mental health apps

You can also find mental health apps and tools in the NHS Apps library.

Mild to moderate depression

If you have mild to moderate depression that is not improving, or moderate depression, you may find a talking therapy helpful.

There are different types of talking therapies for depression, including cognitive behavioural therapy (CBT) and counselling.

A GP can refer you for talking treatment, or you can refer yourself directly to an NHS psychological therapies service (IAPT) without a referral from a GP.

Moderate to severe depression

If you have moderate to severe depression, the following treatments may be recommended.

Antidepressants

Antidepressants are medicines that treat the symptoms of depression. There are many different types of antidepressant.

They have to be prescribed by a doctor, usually for depression that's moderate or severe.

Combination therapy

A GP may recommend that you take a course of antidepressants plus talking therapy, particularly if your depression is quite severe.

A combination of an antidepressant and CBT usually works better than having just one of these treatments.

Mental health teams

If you have severe depression, you may be referred to a mental health team made up of psychologists, psychiatrists, specialist nurses and occupational therapists.

These teams often provide intensive specialist talking treatments as well as prescribed medicine.

Talking treatmentsCognitive behavioural therapy (CBT)

Cognitive behavioural therapy (CBT) aims to help you understand your thoughts and behaviour, and how they affect you.

CBT recognises that events in your past may have shaped you, but it concentrates mostly on how you can change the way you think, feel and behave in the present.

It teaches you how to overcome negative thoughts – for example, being able to challenge hopeless feelings.

CBT is available on the NHS for people with depression or any other mental health problem it's been shown to help.

If CBT is recommended, you'll usually have a session with a therapist once a week or once every 2 weeks.

The course of treatment usually lasts for between 5 and 20 sessions, with each session lasting 30 to 60 minutes.

In some cases, you may be offered group CBT.

Interpersonal therapy (IPT)

Interpersonal therapy (IPT) focuses on your relationships with others and problems you may be having in your relationships, such as difficulties with communication or coping with bereavement.

There's some evidence that IPT can be as effective as antidepressants or CBT, but more research is needed.

Psychodynamic psychotherapy

In psychodynamic (psychoanalytic) psychotherapy, a psychoanalytic therapist will encourage you to say whatever is going through your mind.

This will help you become aware of hidden meanings or patterns in what you do or say that may be contributing to your problems.

Counselling

Counselling is a form of therapy that helps you think about the problems you're experiencing in your life so you can find new ways of dealing with them.

Counsellors support you in finding solutions to problems, but do not tell you what to do. You can talk in confidence to a counsellor, who supports you and offers practical advice.

On the NHS, you may be offered a single session of counselling, a short course of sessions over a few weeks or months, or a longer course that lasts for several months or years.

It's ideal for people who are generally healthy but need help coping with a current crisis, such as anger, relationship issues, bereavement, redundancy, infertility or a serious illness.

Getting help

See a GP for more information about accessing NHS talking treatments. They can refer you for local talking treatments for depression.

You also have the option of self-referral. This means that if you prefer not to talk to a GP, you can go directly to a psychological therapies service. Extensive information on treatment of depression may be found here.

Useful resources

Inspire Workplaces (one of the new names for Carecall and EAP Consultants), is a leading...
These five directories list the names, numbers and web addresses (where applicable) of...
The EA currently have 345 staff on our Mental Health First Aider network. The Mental...
Clinical hypnotherapy is the use of hypnosis for the treatment and alleviation of a...
We’ve gathered useful advice, information and help for young people aged 8-25 and those...
AMH Promote provides opportunities for adults with a learning disability to be socially...
This is delivered to expectant mothers & parents of babies under 3 years of age. It...
This programme is a six week training programme for groups of adults and focuses on...
This idea is a walk in the park. It really is that simple, post a news item to see how...
Back to Life, Back to Normality is a free 12-week mental health programme delivered by...
Beyond Bricks is Lego® Based Play that uses a 'recovery to discovery' approach to enhance...
AWARE also offers an online support group service. The groups provide an opportunity to...
Belfast Resource Centre offers many opportunities including social and leisure activities...
Anxiety can affect anyone at any time, however, students often experience additional...
This is a six-session programme using Cognitive Behavioural Therapy (CBT) concepts – the...
AMH New Horizons provides a comprehensive programme of specialist training in: Personal...
Supporting veterans at risk of suicide across Northern Ireland. Exposure to line of duty...
MindWise is delighted to offer employers an opportunity to train their staff as Mental...
A project for men aged 50+ to share skills, socialise and connect with their wider...
Libraries NI can provide a free Homecall service to your home if you have significant...
Link & Learns are bite size, topical learning sessions for your employees, delivered...
Counselling is a form of talking therapy that allows you to speak openly about your...
From books and magazines to local history resources, Libraries NI has a host of fabulous...
The OUR Generation project is a Peace IV funded project that provides a unique...
Bloom is a UK-wide programme which supports young people’s mental health resilience,...
Mindfulness is a form of meditation with its roots in Buddhism. It helps you develop...
Everyone’s mental health and emotional well-being is important and many different issues...
Compassion Focused Therapy (CFT), developed by Professor Paul Gilbert OBE, is a...
Sourcing and supporting employment opportunities, training and/or voluntary placements...
AMH Works provide specialised mental wellbeing training and consultancy to tackle...
Mood Matters Young People programme is aimed at 14-18 year olds and gives them knowledge...
There are a number of health campaigns throughout the year to raise awareness of...
This is delivered to the general adult population, including those affected by depression...
Positive Minds for Premature Parents supports families of premature babies to develop and...
This supportive behaviour change programme motivates individuals who are ready to make...
Our support groups offer a safe space for people aged 18+ to share experiences of anxiety...
AMH New Life Counselling provides high quality counselling services and is part of Action...
The British Red Cross is helping people connect with their local communities, meet new...
MindWise are proud to be the only membership-led mental health organisation in Northern...
This includes: Raising awareness of depression and Aware NI services at a wide range of...
AMH EveryBODY aims to promote greater understanding and awareness of eating disorders. We...
We have a wealth of experience in delivering training and consultancy services to a wide...
WiseTalking is a pilot Talking Therapies service for children and young people who are...
Tailored activities to support positive mental health and emotional wellbeing. MensSana,...
The Community Care and Support Service is open to individuals over the age of 18 years...
Our Talking Therapies Practice offers individuals a range of psychological interventions...
Helping employees become more resilient, by giving them the skills to reframe negative...
It is estimated that the overall prevalence of mental health conditions in Northern...
Free access to eBooks, audiobooks and eMagazines - available to download on your device...
A partnership, led by AMH, who worked with 8 leading charities to improve mental health...
Since 2010 Action Mental Health has been successfully delivering Chronic Pain/Conditions...
You must download the Libby app to continue to access the eMagazine and eNewspaper...
Stress doesn’t just make you feel bad – it can also be bad for your health. The good news...
CBT involves examining your thoughts, feelings and behaviour patterns, and working out...
Be Mindful is an online course that uses mindfulness techniques like meditation,...
Action Mental Health is one of the ChatPal Project Team Members working to develop and...
This is aimed at the over 55’s and is delivered to groups in community settings. The...
Our team of facilitators have extensive knowledge and experience in the field of Mental...
Advanced Diploma in Mental Health and Wellbeing Coaching This virtual training programme...
First aid as we know it is the help given to an injured person before medical treatment...
Well mind is a workshop which focuses on recognising the triggers of stress and the...
SuperBetter is a tool created by game designers to help you build resilience and get...
Wysa is your cute, emotional health buddy and well being tracker. It fits right in your...
Personalised Exercise Plans
What's Up? can help you cope with anxiety, stress and feelings of depression. It has...
Handle stress and anxiety on the go
Starting a regular habit of meditation can help us to improve concentration, reduce...
Clear Fear is an app developed for teenage mental health charity Stem4 which uses the...
Guided meditations
Here2Help has been developed by a local initiative from people who want to make the range...
Your New Daily Workout for Life Welcome to your versatile and practical mental fitness...
Self-Help for Anxiety Management (SAM) offers a range of self-help methods to help you...
Active 10 is a free and easy to use walking app that tracks your walking and shows you...
Whether you're feeling sad, anxious and stressed, or you're dealing with constant...
No matter your circumstances or position, Find Help NI simplifies the process of finding...
Fabulous! Is a motivational app that uses challenges to help build physically and...
Moodpath: Depression and Anxiety is a written mood journal that uses progress reports and...
The Sorted app is accredited by NHS digital - a mark of its effectiveness, safety and...
Guided meditations
MoodMission helps you learn new and better ways of coping with low moods and anxiety...
Support to resist self-harm
Boost your happiness and create a kinder world while doing it with the Action for...
Trusted information for people who self-harm or feel suicidal Concerned about self-harm?...
MindShift CBT is a free self-help anxiety relief app, that helps you reduce worry, stress...
It’s an easy to follow programme known the world over, and perfect for those new to...
What is Calm: Sleep & Meditation? Calm: Sleep & Meditation is a wellness app...
Learn to manage negative thoughts and look at problems differently
Your Mind Plan offers practical ideas and advice to help you boost and maintain your mental wellbeing. Answer the quick 5-question quiz and the Every Mind Matters widget will give you 5 tailored actions to help you feel more in control, improve your sleep, deal with stress and anxiety, and boost your mood – as well as the option to easily swap any actions and to save the whole plan via email.

Helplines & Web Chats

Samaritans
Action Mental Health
Association for Post-Natal Illness Helpline
Aware NI - Support Groups
Aware NI - Online Support Groups
Mind - Side by Side Online Community