Depression Treatment
At Sivana Bali, we approach co-occurring mental health issues and depression treatment with the same meticulous care as addiction, ensuring holistic and intertwined healing for both conditions.

How to Cope with Depression
Managing depression symptoms requires a multifaceted approach that addresses both emotional and physical well-being. Although professional treatment is often necessary, there are also various ways patients can take steps toward coping with mild or moderate depression.
Looking for psychological support, engaging in physical activities, and adopting self-care routines can improve mood and overall mental health. In some cases, residential treatment may provide the structured care needed for severe depression or for patients with major depressive disorder. Finding the right combination of therapies and support systems is essential in navigating the challenges of diagnosis and treatment of depression and working toward recovery.

Psychological Treatments for Depression
Psychological therapy or talk therapy plays a crucial role in the diagnosis of depression as well as its initial treatment by helping patients understand their thoughts, emotions, and behaviours. Cognitive behavioural therapy (CBT) is one of the most effective approaches, focusing on identifying negative thinking patterns and replacing them with healthier perspectives. Interpersonal therapy (IPT) addresses relationship challenges that may contribute to mild to moderate depression, while psychodynamic therapy explores past experiences and unresolved emotional conflicts.
Therapy can be delivered in individual, group, or online formats, depending on the level of support needed. Working with a qualified mental health professional ensures a personalised approach to recovery.

Physical Treatments for Depression
In cases where depression is severe or persistent, physical treatments may be necessary. Antidepressant medications can help regulate brain chemistry and alleviate symptoms, while electroconvulsive therapy (ECT) is sometimes used for treatment-resistant depression. Transcranial magnetic stimulation (TMS) is another non-invasive option that stimulates specific brain areas to improve mood.
Regular exercise has also been shown to positively impact mental health by increasing endorphin levels and reducing stress. Combining physical treatments with psychological therapy often leads to the most effective ways to treat depression.

Self-Help and Alternatives Therapies
Self-help strategies and alternative therapies can support many people with depression alongside traditional treatments. Mindfulness meditation, yoga, and breathing exercises can help reduce stress and improve emotional regulation. Engaging in creative activities, such as art or music therapy, provides a positive outlet for self-expression.
Moreover, building a structured routine, maintaining social connections, and prioritising sleep and nutrition are also essential in supporting mental well-being. These methods may not replace professional health and human services; however, they can play a valuable role in an overall treatment plan for mental health conditions.

Hospital and Residential Treatment
For patients experiencing severe or treatment-resistant depression, hospitalisation or residential treatment may be necessary for disease control and prevention. Inpatient care provides a structured environment where patients receive intensive therapy, medical supervision, and crisis intervention as part of their treatment.
Residential treatment centres offer longer-term support, combining therapy, pharmacological treatment of depression, and holistic treatments in a safe, recovery-focused setting. These options ensure people receive the appropriate care needed to stabilise their condition and develop long-term coping strategies to prevent depression relapse.
Antidepressant Medications
Antidepressants are the most commonly prescribed treatment options that help manage different types of depression by balancing brain chemicals that regulate mood. These medications may reduce symptoms such as persistent sadness, low energy, and difficulty concentrating, making it easier for patients to engage in therapy and daily activities.
People who take antidepressants can find them highly effective; however, they are not a one-size-fits-all solution. A personalised approach to medication, combined with therapy and lifestyle adjustments, often yields the best results in managing various forms of depression.
Types of Antidepressants
There are many types of antidepressants used in clinical depression, each working differently to regulate mood. Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine and sertraline, are commonly prescribed due to their effectiveness and relatively mild side effects. Serotonin-norepinephrine reuptake inhibitors (SNRIs), including venlafaxine and duloxetine, target multiple neurotransmitters for a broader therapeutic effect.
Other options include tricyclic antidepressants (TCAs), monoamine oxidase inhibitors (MAOIs), and atypical antidepressants, which may be recommended depending on how the patient responds to treatment. Finding the treatment or medication often requires time and careful adjustment under medical supervision.
Length of Treatment
Antidepressant treatment duration varies depending on the type of depression and individual response to medication. Most people with depression begin to notice improvements within a few weeks, but full therapeutic effects may take six to eight weeks.
Healthcare providers typically recommend continuing medication for at least six months after symptoms improve to prevent depression relapse. For those with health conditions such as recurrent or major depression, long-term treatment may be necessary to maintain stability and reduce future episodes.
Risks of Abruptly Stopping Medication on Mental Health
Stopping antidepressant medication suddenly can lead to withdrawal symptoms, including mood swings, dizziness, fatigue, and flu-like sensations. This is known as antidepressant discontinuation syndrome.
To prevent these effects, healthcare providers recommend gradually tapering the dosage under medical supervision. Abruptly discontinuing treatment can also increase the risk of depression relapse, making it essential to follow a structured plan when adjusting or stopping medication.
Antidepressants and Pregnancy
For patients who experience depression during pregnancy, the decision to continue or adjust antidepressant use requires careful consideration. While some medications are considered safer than others, certain antidepressants may pose risks to foetal development.
However, untreated depression can also have serious consequences for both the parent and baby. A healthcare provider can help assess the benefits and risks, offering guidance on the safest options for managing depression throughout pregnancy and postpartum.
Types of Depression
Depression may be showcased in various forms, each with unique symptoms and challenges. Understanding the specific type of depression an individual experiences is crucial for developing an effective treatment plan.
Some patients respond well to conventional treatments, while others may require a more specialised approach, particularly when depression coexists with other conditions such as addiction or bipolar disorder.
Treatment-Resistant Depression
For some patients, standard treatments such as antidepressants and therapy may not provide significant relief. This is known as treatment-resistant depression (TRD).
Managing TRD often requires a combination of alternative treatment strategies, such as medication adjustments, TMS, ECT, or ketamine-assisted therapy. A multidisciplinary approach, integrating psychiatric care, lifestyle changes, and holistic interventions, can be beneficial in improving symptoms and overall well-being.
Depression Alongside Addiction
Depression and addiction frequently co-occur, creating a complex cycle where substance use temporarily alleviates symptoms but ultimately worsens mental health. This dual diagnosis requires a comprehensive treatment plan addressing both conditions simultaneously.
Vulnerable Populations
Certain groups may be at a higher risk of developing depression due to genetic, environmental, or social factors. Adolescents, older adults, patients with chronic illnesses, and those experiencing socioeconomic hardships often face unique challenges in accessing effective depression treatment.
Tailored interventions, such as age-appropriate therapy, community support programmes, and specialised medical care, can help bridge the gap and ensure that vulnerable populations receive the care they need.
Addiction and Depression
Addiction and depression often walk hand in hand. It’s not uncommon for patients grappling with addiction to also need help with depression.
This dual challenge can create a vicious cycle: depression can push someone towards substances as a way to cope, and continued substance use can further exacerbate depression. The interplay between these two conditions can make recovery more complex, but understanding this relationship is pivotal.
For many, the relief from depressive symptoms provided by drugs or alcohol is only temporary, leading them toward increasing dependence. Over time, the brain’s chemistry can be altered, making it even more challenging to experience pleasure or happiness without the substance.

Signs and Symptoms of Depression Alongside Addiction
When depression and addiction intersect, symptoms become more intense and harder to manage. Persistent sadness can feel overwhelming, while substance use may increase as a coping mechanism, creating a dangerous cycle.
Patients often withdraw from social interactions and lose interest in activities they once enjoyed. Moreover, physical effects like fatigue, appetite changes, and sleep disturbances may also arise.
Risky behaviours, guilt, and cognitive impairments further complicate recovery. Most concerning, addiction and depression together significantly increase the risk of suicidal thoughts.

Why Dual Diagnosis Treatment is Crucial
Addressing both addiction and depression together is essential for lasting recovery. When untreated, they fuel one another, increasing emotional distress and relapse risk.
Dual diagnosis treatment takes a comprehensive approach, exploring underlying causes and developing healthier coping strategies. Many patients turn to substance use to manage depression, but long-term recovery requires treating both conditions simultaneously.
By integrating addiction and mental health support, people gain the tools to manage triggers, reduce relapse risk, and improve overall well-being.

Our Approach to Depression and Addiction Treatment
At Sivana Bali, we understand that addiction and depression are deeply connected, often reinforcing each other in ways that make recovery more challenging. Because depression is a mood disorder with diverse symptoms and triggers, our approach is designed to address both conditions holistically.
Recognising that every patient’s experience with depression can vary, we tailor our treatments to provide the most effective support, helping people regain control of their lives.
Therapy
Our dedicated therapists utilise evidence-based treatments, including cognitive behaviour therapy, which has been shown to ease depression symptoms and support long-term recovery. Individual therapy sessions provide a confidential space to explore the underlying factors contributing to depression or anxiety, while group therapy fosters a sense of connection and shared healing.
These therapies allow patients diagnosed with major depressive disorders or unipolar depression to work their struggles in a safe, supportive setting. For those experiencing mild depression, therapy may prevent symptoms from worsening and reduce the need for medication.
Holistic Treatment
Our holistic approach extends beyond therapy, addressing the mind, body, and spirit to support treatable mental health conditions like depression and addiction. Practices such as meditation, yoga, and deep-breathing exercises have been shown to have a positive effect on depression, helping patients develop healthier coping mechanisms.
Medications can be helpful for people with depression, but some may wish to explore non-pharmaceutical methods to manage their symptoms. Holistic treatments offer an alternative or complementary approach, particularly for people looking to avoid medications that could make depression worse or trigger dependency issues.
Detox (if necessary)
In cases where substance dependence is severe, detoxification may be required before diving into therapy. Sudden withdrawal from certain substances can cause depression as a side effect, making it essential to undergo detox under professional supervision. Our medical team ensures the process is as safe and comfortable as possible, monitoring symptoms to prevent complications.
For patients on antidepressant medication, it’s crucial to consult professionals before making changes to their regimen. We strongly advise against attempting to stop taking an antidepressant without medical guidance, as abrupt discontinuation can lead to withdrawal effects that worsen depression and anxiety.
Remote Aftercare
Healing doesn’t stop when treatment ends. Many people with depression face ongoing challenges after leaving rehab, which is why our clinic offers remote aftercare services to ensure long-term support. We provide virtual therapy and guidance to help individuals find a treatment that continues to meet their needs beyond their stay at our centre.
By staying connected, individuals can confidently manage potential triggers, maintain progress, and navigate post-treatment life. Whether dealing with anxiety and depression or seeking ways to stop taking harmful substances, aftercare ensures ongoing stability and support for sustainable recovery.
Contact Us for Dual Diagnosis Depression Treatment
Depression and addiction can feel isolating, but it’s important to remember that it’s treatable. At Sivana Bali, we specialise in providing a comprehensive treatment programme tailored to address depression and addiction.
Our expert team is dedicated to guiding you on your path to recovery, ensuring you’re supported every step of the way. If you or a loved one needs support, don’t hesitate to call us. Seeking help and treatment for depression alongside addiction can transform lives, and we’re here to help facilitate that change.