Dr Ellie Cannon

TREATING depression isn’t all about pills. The first-line treatment for mild to moderate depression is lifestyle changes: being physically active, engaging with friends and family, tackling loneliness and taking part in active relaxation such as yoga and mindfulness. However a consultation with a good GP should also cover the options of therapy and anti-depressants.

Q: If I go to the doctor feeling low, will they give me anti-depressants? A: It will always be your choice and something you discuss with your GP. I find some patients are very keen, others conclude it may be the best option available to them if there is a long waiting list for therapy or they can’t attend appointments for some reason. GPs often use 50mg of sertraline, as research shows it is the most effective with fewest side effects.

Q: Will I feel better straight away? A: You should start to feel the benefits after two to three weeks, but you can feel worse for the first couple of weeks while your brain adjusts to the drug. Your GP is likely to review progress after six weeks. If you feel the drug isn’t working, they may try a different drug such as fluoxetine or citalopram.

Q: Isn’t it really difficult to get psychotherapy on the NHS? A: It depends where you live. Things have improved over the past few years, thanks to the Improving Access to Psychological Therapies (IAPT) programme. You can also self-refer yourself for therapy without seeing your GP, if you wish. One thing many of my patients find helpful and convenient is online therapy, which is available on the NHS in many areas. Visit iesohealth.com for more information.