Avoid risk factors when feasible. Psychotherapy or counseling along with drug treatment appears to obtain the best results for more severe depression. Hospitalization or inpatient at treatment center may be required for severe depression. Rarely, electroconvulsive therapy. Failure to improve.
Recurrence is common.
The recovery rate is high, despite one's pessimism. Seek support groups. Contact social agencies for help. Call your local suicide-prevention hot line if you feel suicidal. Lithium for alternating mania and depression.