highlight the fact that one in eight people will suffer from depression in their liveswith the lifetime risk for depression being 20-30% in females and 7-12% in males.The Health Research Board identify that in Ireland, depressive disorder accounted for 30% of all admissions to psychiatric hospitals in 2008 (Daly & Walsh, 2009).The symptoms of depression are many and can impact upon every aspect of anindividuals life. These include insomnia, loss or increase in appetite and weight,dysphoria (persistently sad mood), anhedonia (lack of interest, pleasure or motivation), tiredness, irritability, poor concentration, low self-esteem, fatigue andthoughts of suicide and death (Palmer, 2005).In Ireland the ICD-10 classification of mental and behavioral disorders (WHO, 1992)is most commonly used to classify psychiatric disorders such as depression. Alongwith clinician rated scales, self report instruments such as the Beck DepressionInventory (Beck
, 1996) have been developed to assess the severity of depressivesymptoms. There are different types of depression as listed on the ICD-10. TheICD-10 classifies depression according to it’s severity as mild, moderate and severedepressive episodes (WHO, 1992).
1.2Treatments for Depression
The most common treatments for depression are antidepressants and psychologicaltherapies or a combination of both (Mead
, 2009). Antidepressants are widelyused to treat depression in both primary and secondary care (Stuart & Laraia, 2009).Many types of antidepressants have been developed including tricyclicantidepressants, selective serotonin re-uptake inhibitors (SSRI), selectivenoradrenaline re-uptake inhibitors (SNRI) and monamine oxidase inhibitors (MAOI)(Norman & Ryrie, 2009). Antidepressants have side effects such as nausea, drymouth, insomnia, constipation, sexual dysfunction and withdrawal symptoms (MentalHealth Foundation, 2005). Aligned with these side effects Mead
(2009)highlights that people struggle with depression for up to six weeks after commencing2