Biomedical treatment is the commonly used model for the treatment of depression. The core of psychiatric treatment is pharmacotherapy and the core of contemporary psychological treatment is cognitive-behavioral therapy.



Mild-to-moderate depression treatment have reported remission rates of 46% for medications, 46% for psychotherapy and 24% for control conditions leaves about 50% of patients with some level of persistent symptoms.



Dr. Keitner is professor of psychiatry at Brown University has presented a bio-psychosocial model that may be more helpful for managing the cause of major depressions. Family functioning is the important one of all.



There are some reasons to concentrate on the social circumstance of depression as well as unsatisfactory helpfulness of biological and psychological treatments. There is a need to concentrate on family functioning -



# Fifty percent of patients with major depression suffer upsetting and problematic family functioning.



# There are family burdens with financial problems, fear of social isolation, loss of status, persistent strain and fears of repetition



# Family functioning improves often as the depression reduces. High levels of criticism toward the patient are associated with a greater likelihood of relapse.



# A patient’s vulnerability to depression may include genetic predisposition, early life experiences, personality variables, current life events and/or persistent family conflicts.



# Pharmacotherapy and psychotherapy may be helpful in dealing with genetic vulnerability, early life experiences and current life stresses, while family intervention can reinforce the family’s competence in responding to the illness.



You may find here the ways to access good family functioning, family therapy for depression and principles for connecting with families.



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