Management and Support
As with the general population, treatment of depression in those with I/DD should take a person-centered approach with interventions that are tailored to the individual’s needs. All treatment plans should start with a thorough assessment that includes both physical and mental health along with evaluation of any social or relational issues.
Once the assessment is complete, there are two main components of treatment:
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Counseling and psychotherapy
Therapy is underused in individuals with I/DD even though it has proven to be effective, especially when the therapist has experience with and understands this unique population. Both group and one-on-one sessions can be employed as long as they are tailored to the individual’s needs, abilities, and communication preferences. Counseling and therapy can also be a means of uncovering factors, like adverse childhood experiences or other traumas, that are contributing to depression.
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Antidepressant medications
Not everyone with depression requires medication but it can be an effective option for many individuals when used in conjunction with therapy. There are several classes of antidepressants, all of which work differently and are associated with different side effects. Like psychotherapy, medication therapy should be tailored to the individual. It’s also important to note that antidepressants take up to six weeks to have an effect, so it may take time to see improvement.
Staff involvement is key
Direct support professionals (DSPs) and other staff can help by acknowledging and validating individuals’ feelings, teaching and reinforcing life skills like problem solving and anger management, and keeping to routines that help individuals feel secure and in control. Overall, having patience and empathy are the best ways caregivers can provide support and help the individuals they care for successfully manage depression.