Practical guidelines on how to structure therapy sessions.

The treatment of depression may require a combination of cognitive behavioral therapy and medication, especially in moderate to severe cases. The approach should be interdisciplinary, with psychologists and physicians working together to ensure effective intervention.

The recommendation for pharmacological treatment should be evaluated according to the type of depression. In cases of endogenous depression or when symptoms significantly interfere with daily functioning, therapy alone may not be sufficient.

Here it is crucial to refer the patient to a physician or psychiatrist for medical evaluation and prescription. During psychoeducation, the patient should be explained that medication does not produce immediate effects, but requires time to work.

It is also important to inform the patient about possible side effects and the need for follow-up to assess progress or adjustments. If the patient refuses medication, their decision is respected, but they are informed that the therapeutic process may be slower or more limited.

The therapist's task will be to accompany, reinforce motivation, and continuously assess the need to reinforce treatment with pharmacological support, always in coordination with the medical team. The combination of both strategies—therapy and medication—enhances results, accelerates recovery, and reduces the risk of relapse, provided there is adequate follow-up.