Additionally, inconsistent sleeping patterns and reduced appetite, often occurring in this age group independent of depression, may in fact be signs of depression. A significant number of patients respond to a combination of antidepressant drugs and psychotherapy. Research demonstrates that the most effective psychotherapeutic approach is Cognitive Behavioral Therapy. This is a structured approach, which is based on the premise that people's emotions and behaviors are determined by how they view their world and interpret their experiences. Depressed mood is the result, therefore, of distorted conceptualizations of the self, the future and one's experiences.
Cognitive therapy is aimed at reassessing and correcting such thinking patterns.
Behavioral techniques are used to alter behaviors associated with depression, such as withdrawal or physical and social inactivity, and are focused on restoring the patient's functioning. The general principles of treatment of adults with depression apply as well to children and elderly patients. With regard to antidepressant drugs, medical management of these special populations is essential since they metabolize these drugs differently than adults.