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Updated: Mar 31, 2026

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Treating depression: what works besides meds?

Michele M Larzelere1, Ernest James1, Michael Arcuri1

  • 1Department of Family Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA.

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|October 21, 2015
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Summary

Nonpharmacologic depression treatments like cognitive behavioral therapy and exercise show effectiveness. Evidence guides the use of these interventions for mood disorder symptom alleviation.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Medicine

Background:

  • Depression is a prevalent mood disorder with significant public health implications.
  • Nonpharmacologic interventions are increasingly explored as alternatives or adjuncts to traditional treatments.
  • Understanding the evidence base for these therapies is crucial for clinical decision-making.

Purpose of the Study:

  • To systematically review and synthesize evidence on the efficacy of nonpharmacologic interventions for depression.
  • To evaluate the effectiveness of cognitive behavioral therapy, exercise, and dietary supplements.
  • To provide an evidence-based overview of nonpharmacologic depression management.

Main Methods:

  • Systematic literature review and meta-analysis.
  • Inclusion of randomized controlled trials and observational studies.
  • Assessment of various nonpharmacologic therapies including cognitive behavioral therapy (CBT), exercise, and nutritional interventions.

Main Results:

  • Cognitive behavioral therapy demonstrates significant efficacy in reducing depressive symptoms.
  • Prescribed exercise programs show moderate effectiveness for depression.
  • Evidence for the effectiveness of many dietary supplements is limited or inconclusive.

Conclusions:

  • Nonpharmacologic options, particularly cognitive behavioral therapy and structured exercise, offer viable strategies for depression management.
  • Further research is needed to clarify the role of specific dietary supplements.
  • Integrating evidence-based nonpharmacologic therapies can enhance depression care pathways.