How to treat depression without meds is a question many people are asking, especially when traditional options don’t help. Over 300 million people worldwide (about 4.4% of the population) live with major depression. While medication can help some, it often causes side effects or fails to work. That leaves many looking for natural ways to manage their symptoms.
The good news is there are proven methods to treat depression without medication. From supplements and exercise to therapy and routine changes, people are finding relief through simple, natural options. By combining these approaches, many have learned to better manage their depression and improve daily life.
Key Highlights
- Effective natural alternatives to medication – Treating depression without meds often involves a combination of dietary supplements, holistic therapies, and lifestyle changes, each supporting mental health in different ways.
- Lifestyle adjustments play a crucial role – Changes in diet, exercise, sleep, stress management, and social connections significantly impact depression symptoms and enhance overall well-being.
- Professional guidance remains important – While many natural treatments show promise, consulting a healthcare provider ensures safe, personalized care, especially when considering supplements or changing treatment plans.
Table of Contents
What is Depression?
Depression is a common mental health condition that changes how you think, feel, and live each day. It can affect anyone, regardless of age or background. Many people exploring how to treat depression without meds start by understanding what depression is and how it shows up in daily life.
There are several types of depressive disorders, including: ¹
- Bipolar disorder
- Persistent depressive disorder
- Postpartum depression
- Psychotic depression
- Seasonal affective disorder (SAD)
Each type has unique symptoms and may respond to different treatment strategies. Still, many symptoms overlap across types. These may include:
- Aches, pains, cramps, headaches, and digestive issues without clear indication of medical problem
- Anxiety, persistent sadness, feelings of emptiness
- Changes in appetite and weight
- Fatigue (decreased energy)
- Feelings of worthlessness and guilt
- Hopelessness (pessimism)
- Irritability
- Loss of interest in activities you once enjoyed
- Problems with concentration, memory, and making decisions
- Sleep problems (i.e. insomnia)
- Suicidal ideation
What Causes Depression?
Depression is one of the most common mental health conditions, and researchers believe it comes from a mix of different factors. Understanding what causes depression can help people find the right support.
Here are the main causes:
- Biological – Studies show that depression is linked to brain chemical imbalances. The neurotransmitters serotonin, dopamine, and norepinephrine play a key role in mood regulation. ²
- Environmental – Stressful life events can increase the risk of depression. These may include childhood trauma, long-term stress, relationship issues, or the death of a loved one. ³
- Genetic – If a close family member (like a parent or sibling) has depression, your chances of developing it are higher.
- Psychological – Emotional struggles, grief, or trauma can trigger depression in people who are already at risk. ⁴
Depression can begin at any age, but it often starts in early adulthood. It’s also more common in midlife and later years, especially for those dealing with other health issues like heart disease, cancer, diabetes, or Parkinson’s disease.
Traditional Depression Treatment
Depression is easier to manage when treated early. Most people are diagnosed through a healthcare provider and then begin treatment with medication, therapy, or both. But treatment can take time to get right; what works for one person may not work for another. ⁵
Doctors often prescribe one of the following antidepressants:
- Selective serotonin reuptake inhibitors (SSRIs)
- Serotonin and noradrenaline reuptake inhibitors (SNRIs)
- Tricyclic antidepressants (TCAs)
- Monoamine oxidase inhibitors (MAOIs)
- Norepinephrine and dopamine reuptake inhibitors (NDRIs)
- Non-competitive N-methyl-D-aspartate receptor antagonists
While many people find relief with these medications, others experience side effects like weight gain, fatigue, or sexual dysfunction. These side effects often lead people to explore safer, natural options.
Therapy is another key part of depression treatment. Cognitive behavioral therapy (CBT), interpersonal therapy, and behavioral activation are common approaches. Most experts believe combining therapy with medication provides the best results, but many people are now turning to drug-free alternatives that can be just as effective.

How to Treat Depression Without Meds
Treating depression without medication is a growing concern for people who want relief without relying on prescription drugs. While many doctors turn to medication first, they may switch between drugs if one doesn’t work. Still, some people prefer to explore natural options before (or alongside) traditional treatment.
It’s true that antidepressants can be effective. But they aren’t the only solution. Research shows that natural alternatives may also help ease symptoms, though results can vary.
To treat depression without medication, it helps to focus on three key areas:
- Dietary supplements
- Holistic therapies
- Lifestyle changes
Most people find that combining these approaches works better than relying on just one. You may need to test different options to see what works best for you. Like medication, it often takes time and consistency to notice results.
Dietary Supplements for Depression
Many people wonder how to treat depression by using dietary supplements. Research shows that certain vitamins, minerals, herbs, and natural compounds may help reduce depressive symptoms. However, studies on these supplements are limited, and none are officially approved by the Food & Drug Administration (FDA) for treating depression.
Before trying any supplement, it’s important to talk with your doctor. Some supplements can interact with medications or cause side effects, even if those risks are rare.
Below, we’ll highlight some of the most promising supplements that people use to support their mental health and manage depression naturally.
B Vitamins
B vitamins (like folate, B6, and B12) play an important role in regulating brain chemicals linked to mood. ⁶ Research shows specific B vitamins can ease depression symptoms:
- Folate supplements have reduced symptoms in children and adults with a genetic mutation that affects folate processing, especially in cases of treatment-resistant depression. ⁷ ⁸
- Taking vitamin B12 along with antidepressants may improve outcomes for major depression. ⁹
- A 2019 study found vitamin B6, along with nutrients like tryptophan and nicotinamide, helped reduce depression in young adults. ¹⁰
Since people with depression often have low B vitamin levels, taking a B complex supplement might support mood and brain health.
Vitamin D
Vitamin D helps regulate calcium and phosphate, which keep your body healthy. Most people get vitamin D from sunlight or certain foods.
Research shows that many people with depression also have low vitamin D levels. This deficiency may contribute to seasonal affective disorder (SAD), a type of depression linked to changes in seasons. ¹¹
- Vitamin D can reduce inflammation, support mood regulation, and protect brain health. Some studies suggest it may help treat depression. ¹²
- A 2020 study found that a high-dose injection of vitamin D (300,000 IU) significantly improved symptoms in people diagnosed with depression. ¹³
While more research is needed before vitamin D becomes a standard depression treatment, current evidence supports its potential benefits for some cases of major depressive disorder.

Omega-3 Fatty Acids
Omega-3 fatty acids support both brain and body health. Unlike other fats, our bodies cannot make omega-3s, so we need to get them from food or supplements.
Research on omega-3s and depression shows mixed but promising results:
- A 2020 study found that omega-3 supplements significantly improved depressive symptoms in pregnant and postpartum women. ¹⁴
- A review of multiple studies showed that omega-3s, especially those with 60% or more EPA (about one gram daily), helped reduce depression symptoms in adults. ¹⁵
- However, a 2019 study found no clear benefit for children and adolescents with depression. ¹⁶
While omega-3s may not work for everyone, they offer a natural option for those exploring how to treat depression without meds.
N-acetylcysteine (NAC)
N-acetylcysteine (NAC) is a powerful antioxidant that supports the body by boosting levels of glutathione and helping to reduce inflammation. It’s a precursor to the amino acids L-cysteine and glutathione, both important for cell health. ¹⁷
NAC has also gained attention as a potential option for depression treatment:
- One study found that people with depression often show higher levels of cytokines, which are linked to inflammation. NAC may help reduce this inflammation and ease symptoms. ¹⁸
- A 2016 review reported that NAC improved overall functioning and lowered depression symptoms. ¹⁹
NAC is generally safe and well-tolerated. While more research is needed, current findings suggest it may be a helpful supplement for managing depression naturally.
Magnesium
Magnesium is an essential mineral involved in brain function and mood regulation. Research shows that people with depression often have low magnesium levels. However, it’s still unclear whether the deficiency directly causes depression. ²⁰
A randomized study explored magnesium’s effect on mild to moderate depression. Over six weeks, participants took 248 mg of magnesium daily. The results showed a clear improvement in depressive symptoms. ²¹
St. John’s Wort
St. John’s Wort is a popular herbal supplement often used to support mental health. It has been studied for conditions like depression and obsessive-compulsive disorder (OCD).
A 2016 review of 35 studies found that St. John’s Wort can reduce symptoms of mild to moderate depression. However, there’s no strong evidence that it works for severe depression. ²²
St. John’s Wort may seem appealing, but caution is key. It’s known to interact with many antidepressants and other medications. Always speak with a doctor before using it. ²³

Zinc
Zinc is a trace mineral with antioxidant and anti-inflammatory effects. It plays a role in brain health and may help reduce symptoms of depression.
Studies have linked low zinc levels to a higher risk of depression. ²⁴ One analysis found that people with depression had blood zinc levels 0.12 µg/mL lower than the general population. ²⁵ Another study showed that zinc supplements, when used with antidepressants, helped reduce depression symptoms more effectively than medication alone. ²⁶
Zinc may offer a safe and natural way to support mood and overall mental well-being.
Rhodiola (Rhodiola rosea)
Rhodiola is an adaptogenic herb that may help the body manage stress. Because of this, researchers have explored its potential for easing symptoms of depression. ²⁷
Rhodiola appears to support nerve cell communication and reduce activity in the HPA axis, a stress-response system often linked to depression. These effects may explain its antidepressant potential. ²⁸
Recent studies support its use: ²⁹
- In one 12-week study, 340 mg of Rhodiola extract daily helped reduce depressive symptoms in 57 adults. ²⁷
- Another study found that combining Rhodiola with saffron lowered both anxiety and depression anxiety and depression symptoms. ³⁰
For those looking into how to treat depression without meds, Rhodiola could be a helpful supplement. Still, more research is needed to confirm its long-term effectiveness.
Saffron
Saffron is a natural spice known for its antioxidant properties. In recent years, it has gained attention as a potential herbal remedy for depression.
Some studies suggest that saffron can boost serotonin levels by acting like a natural serotonin reuptake inhibitor. Because of this, it may work in a similar way to certain antidepressant medications. ³¹
Research shows saffron may help reduce symptoms of depression. However, there is still a lack of long-term studies, so its full impact isn’t yet clear.
Holistic Therapies for Depression
Psychotherapy is still one of the most effective options available for depression. Many people benefit from approaches like cognitive behavioral therapy (CBT), even without taking medication.
However, if traditional therapy hasn’t worked for you (or you want to add something new) there are alternative therapies worth trying. These holistic options focus on the connection between mind and body and can be used alongside other treatments.
Here are some of the most effective holistic therapies for managing depression:
Acupuncture
Acupuncture is an ancient practice that involves placing thin needles into specific points on the body. It’s often used to relieve pain, but some people also try it to manage depression.
There isn’t much research on acupuncture for depression, mainly because it’s hard to study in controlled settings. However, we do know that acupuncture helps release endorphins, natural chemicals that improve mood and reduce stress. Because of this, many believe acupuncture may ease depression symptoms. ³²
Here’s what the research says so far:
- A 2013 study found that electroacupuncture (which uses small electric currents) was as effective as fluoxetine (Prozac) for treating depression. ³³
- Another study found that 12 weeks of acupuncture helped reduce sexual side effects caused by antidepressants. ³⁴
While more evidence is needed, acupuncture may still be a helpful option for those exploring how to treat depression without meds, especially when used alongside other approaches.

Reflexology
Reflexology is based on the idea that certain areas of the foot are linked to other parts of the body. By applying pressure to these zones, practitioners believe they can support healing and restore balance.
It’s more than just a foot massage. Reflexology involves targeted pressure, stroking, and massage to reduce tension, improve blood flow, and break down lactic acid build-up in the feet. ³⁵ Some also believe it clears blocked energy in the nervous system and activates the endocrine system. ³⁶
Reflexology may help:
- Activate the endocrine system
- Clean out energy pathways in the nervous system
- Promote relaxation
- Release endorphins in the body
While research is limited, some studies suggest reflexology may help people manage depression and anxiety. One 2019 study found that reflexology reduced hospital-related depression and anxiety in older women. ³⁷
Meditation
Meditation is one of the most widely used holistic therapies for depression, and with good reason. While it won’t erase symptoms completely, it can help ease common emotional struggles like:
- Anger
- Hopelessness
- Worthlessness
Meditation teaches you to observe your thoughts and emotions without judgment. ³⁸ By becoming more aware of your mental patterns, you can better manage how you react to them. For example, if you notice you feel irritable in certain situations, focused breathing and mindfulness may help you respond more calmly to depressive episodes.
Research further supports the benefits of meditation:
- A 2016 study found that mindfulness meditation lowered the risk of depression relapse when combined with traditional therapy. ³⁹
- Another study showed that ongoing practice is more helpful than short-term use. ⁴⁰
- In 2017, researchers found meditation to be more effective than exercise in reducing depression symptoms in nursing students. ⁴¹
Among natural therapies, meditation may be one of the most helpful tools for managing depression over time.
Yoga
Yoga is a mindfulness-based practice that connects the body and mind through movement, breathing, and focus. Like meditation, it encourages awareness and calm, but yoga adds physical postures that help balance energy, relieve tension, and improve overall well-being.
Recent research suggests yoga may: ⁴²
- Act as a self-soothing technique
- Decrease symptoms of anxiety and depression
- Improve energy
- Reduce stress
In terms of treating depression:
- A 2007 study found that breathing exercises increased serotonin levels, suggesting yoga could help people with low serotonin. ⁴³
- A 2017 review found yoga was effective in reducing depressive symptoms, though more studies are needed. ⁴⁴
- Another 2017 study showed yoga could be a helpful addition to therapy and medication. ⁴⁵
Yoga offers a natural, movement-based way to support mental health. Like meditation, consistent practice delivers the best results.

Guided Imagery
Guided imagery is a relaxation technique where a practitioner (or an audio recording) leads you through calming, positive mental images. This practice helps shift focus away from stress and toward peace.
Research suggests guided imagery may help:
- Decrease stress
- Help with insomnia
- Improve mood
- Reduce chronic pain
Because stress, poor sleep, and chronic pain can contribute to depression, guided imagery may also support emotional healing. While studies are still limited, early research is promising:
- A 2009 study found that people with depression who used guided imagery saw reduced symptoms of depression, anxiety, and stress compared to those receiving standard care. ⁴⁶
- A 2015 study showed that guided imagery eased depression in people with fibromyalgia. ⁴⁷
- A 2002 study reported that it helped reduce depression and anxiety in people with advanced cancer. ⁴⁸
Even though research is limited, guided imagery may be an adequate option for those who find it difficult to practice meditation.
Massage Therapy
Massage therapy is best known for relieving muscle tension, but it may also help reduce symptoms of depression. Some clinical trials suggest that when used alongside traditional treatment, massage therapy can support emotional and physical well-being. ⁴⁹
Massage may ease physical symptoms often linked to depression, such as:
- Back pain
- Fatigue (and other sleeping problems)
- Joint pain
- Muscle aches
- Sluggishness
While research is still growing, a 2018 review found that massage therapy was effective in reducing symptoms of several psychiatric disorders (including major depression) when paired with other treatments. ⁵⁰
Lifestyle Changes for Depression
While supplements and holistic therapies can help reduce symptoms, they often aren’t enough on their own. If you’re looking for how to treat depression without meds, making lasting changes to your daily habits is one of the most effective steps you can take.
Lifestyle changes can look different for everyone. Some people might start a new hobby, while others may focus on managing stress or improving sleep. The key is to find what supports your well-being and build it into your routine.
Below, we explore specific areas of your life you may want to adjust, along with practical tips to help you get started.
Diet
What you eat can affect how you feel. Studies show that people who eat a poor-quality diet (high in processed meats, sweets, fried foods, refined cereals, and high-fat dairy) are more likely to experience depression symptoms.
This connection may be explained by the brain-gut link. Inside your digestive system is the enteric nervous system (ENS), sometimes called the “second brain” because it communicates with your brain about nutrient absorption. While it mainly controls digestion, the ENS also influences mood. ⁵¹
Because of this link, researchers recommend healthy diets to help ease depression symptoms. Some of the best foods include: ⁵²
Foods High in Fatty Acids
- Fish
- Fresh fruits and vegetables
- Olive oil
- Nuts
Foods Rich with Amino Acids
- Dairy products
- Meat
- Specific fruits and vegetables (i.e. legumes and beans)
Foods with Complex Carbohydrates
- Certain fruits (i.e. oranges and pears)
- Legumes
- Specific vegetables (i.e. spinach and broccoli)
- Whole grains
Planning your meals daily or weekly can help. This reduces the chance of grabbing unhealthy fast food and keeps you on track with a balanced diet.
Exercise
Exercise is one of the most effective natural options for treating depression without meds. Many people turn to physical activity as a way to boost their mood.
Exercise offers many health benefits, such as: ⁵³
- Lower blood pressure
- Promotes better sleep
- Protects against diabetes and heart disease
One reason exercise works is that it releases a protein called neurotrophic factor. This protein helps nerve cells grow and form new connections, especially in the hippocampus, a part of the brain linked to mood regulation. ⁵⁵
Starting an exercise routine can be tough. But once you find a rhythm, it becomes easier to keep going. For best results, stick with a regular, long-term exercise plan to support your mental health.

Relationships
Depression often brings a heavy feeling of isolation. Since humans are social by nature, loneliness can make both mental and physical health worse. ⁵⁶
If you’ve struggled with depression, it might feel like no one truly understands or cares. But having a support system is one of the strongest ways to help manage symptoms and keep moving forward.
This support can come from family, friends, or loved ones. If reaching out feels hard or you don’t have close connections, support groups offer a welcoming space. Here are some resources to consider:
- 7 Cups of Tea
- Anxiety and Depression Association of America
- Depression and Bipolar Support Alliance
- Mental Health America (MHA)
- National Alliance on Mental Illness (NAMI) Connection
Your doctor or therapist might also know of local groups or resources near you.
Sleep
Sleep problems are a common symptom of depression. Depression and sleep have a two-way relationship: ⁵⁷
- Poor sleep can lead to depression
- Depression can lead to poor sleep
Because of this, it can be hard to tell which started first: depression or sleep issues.
About 75% of people with depression experience insomnia, 20% have obstructive sleep apnea, and 15% suffer from hypersomnia (excessive sleepiness). ⁵⁸ Some experts believe sleep problems affect serotonin function. Poor sleep also increases stress and disrupts the body’s natural circadian rhythm. ⁵⁹ ⁶⁰
To improve sleep, try these tips:
- Avoid alcohol
- Exercise regularly
- Go outside more often
- Maintain a regular sleep schedule (go to bed and wake up at the same time)
- Nap responsibly (no more than 20 minutes)
If sleep problems persist, some supplements like melatonin or cannabidiol (CBD) may help. Always check with your doctor before starting any new supplement.
Stress Management
Short-term stress can motivate us, but long-term stress harms both body and mind. Like sleep, stress and depression affect each other, one can worsen the other. ⁶¹
Because of this, managing stress calmly is key to improving mental health. Everyone finds different activities helpful, so it’s important to choose something healthy and enjoyable, such as:
- Exercise
- Listen to music
- Practice a hobby
- Read literature
- Watch movies or television
- Write in a journal
You may also want to explore natural stress relief methods to complement your depression treatment.
Avoid Drugs and Alcohol
About one-third of people with major depression also face alcohol addiction. Many use drugs or alcohol to self-medicate, but this often worsens depression and leads to other health issues. ⁶²
Drugs and alcohol can cause problems such as:
- Complications with personal relationships
- Financial and legal issues
- Inability to acknowledge a problem
- Isolation from other people
- Loss of interest in social activities and hobbies
Another challenge is that some antidepressants may carry a risk of addiction. For some, substance use issues may only emerge after starting depression treatment. ⁶³
If you struggle with both depression and addiction, it’s important to address both conditions together. Treating only one can make the other worse and increase the risk of relapse. ⁶⁴

Final Word
It is possible to treat depression without medication, but it is not easy. As this guide shows, many options exist, and not every method works the same for everyone. Finding what helps usually requires some trial and error with supplements, therapies, and lifestyle changes.
There is no quick fix for depression. Recovery takes time and commitment, even when symptoms improve.
Before changing your treatment plan, especially if you’re taking medication, talk with your doctor or a mental health professional. Their guidance will help you find the safest and most effective path.
Frequently Asked Questions (FAQs)
What are the most effective natural ways to treat depression without medication?
Natural treatments like dietary supplements, holistic therapies, exercise, meditation, and lifestyle changes have all shown promise in managing depression symptoms without medication.
Can lifestyle changes really help treat depression without meds?
Yes. Adjusting habits related to diet, exercise, sleep, stress management, and social connections can significantly improve mood and reduce depressive symptoms.
Are dietary supplements safe and effective for treating depression without medication?
Many supplements like B vitamins, omega-3 fatty acids, magnesium, and vitamin D may help, but it’s important to talk to your doctor before starting any new supplements, especially if you’re on medication.
How long does it take to see improvements when treating depression without medication?
Improvement times vary widely. Natural approaches often require consistent practice over weeks or months before noticeable changes occur.
When should I seek professional help instead of relying on non-medication treatments?
If depression symptoms are severe, persistent, or worsen over time, it’s important to consult a healthcare professional to discuss all treatment options, including medication and therapy.
References
¹ Chand SP, Arif H. Depression. 2023 Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 28613597.
² Krishnan V, Nestler EJ. Linking molecules to mood: new insight into the biology of depression. Am J Psychiatry. 2010 Nov;167(11):1305-20. doi: 10.1176/appi.ajp.2009.10030434. Epub 2010 Sep 15. PMID: 20843874; PMCID: PMC3031089.
³ Nabeshima T, Kim HC. Involvement of genetic and environmental factors in the onset of depression. Exp Neurobiol. 2013 Dec;22(4):235-43. doi: 10.5607/en.2013.22.4.235. Epub 2013 Dec 31. PMID: 24465138; PMCID: PMC3897684.
⁴ National Research Council (US) and Institute of Medicine (US) Committee on Depression, Parenting Practices, and the Healthy Development of Children; England MJ, Sim LJ, editors. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. Washington (DC): National Academies Press (US); 2009. 3, The Etiology of Depression. Available from: https://www.ncbi.nlm.nih.gov/books/NBK215119/
⁵ Swedish Council on Health Technology Assessment. Treatment of Depression: A Systematic Review [Internet]. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2004 Mar. SBU Yellow Report No. 166/1+2+3. PMID: 28876724.
⁶ Kennedy DO. B Vitamins and the Brain: Mechanisms, Dose and Efficacy–A Review. Nutrients. 2016 Jan 27;8(2):68. doi: 10.3390/nu8020068. PMID: 26828517; PMCID: PMC4772032.
⁷ Dartois LL, Stutzman DL, Morrow M. L-methylfolate Augmentation to Antidepressants for Adolescents with Treatment-Resistant Depression: A Case Series. J Child Adolesc Psychopharmacol. 2019 Jun;29(5):386-391. doi: 10.1089/cap.2019.0006. Epub 2019 May 6. PMID: 31058543.
⁸ Kandler CE, Lam ST. Methylenetetrahydrofolate Reductase Screening in Treatment-Resistant Depression. Fed Pract. 2019 May;36(5):207-208. PMID: 31138974; PMCID: PMC6530664.
⁹ Syed EU, Wasay M, Awan S. Vitamin B12 supplementation in treating major depressive disorder: a randomized controlled trial. Open Neurol J. 2013 Nov 15;7:44-8. doi: 10.2174/1874205X01307010044. PMID: 24339839; PMCID: PMC3856388.
¹⁰ Tsujita N, Akamatsu Y, Nishida MM, Hayashi T, Moritani T. Effect of Tryptophan, Vitamin B6, and Nicotinamide-Containing Supplement Loading between Meals on Mood and Autonomic Nervous System Activity in Young Adults with Subclinical Depression: A Randomized, Double-Blind, and Placebo-Controlled Study. J Nutr Sci Vitaminol (Tokyo). 2019;65(6):507-514. doi: 10.3177/jnsv.65.507. PMID: 31902864.
¹¹ Penckofer S, Kouba J, Byrn M, Estwing Ferrans C. Vitamin D and depression: where is all the sunshine? Issues Ment Health Nurs. 2010 Jun;31(6):385-93. doi: 10.3109/01612840903437657. PMID: 20450340; PMCID: PMC2908269.
¹² Menon V, Kar SK, Suthar N, Nebhinani N. Vitamin D and Depression: A Critical Appraisal of the Evidence and Future Directions. Indian J Psychol Med. 2020 Jan 6;42(1):11-21. doi: 10.4103/IJPSYM.IJPSYM_160_19. PMID: 31997861; PMCID: PMC6970300.
¹³ Vellekkatt F, Menon V, Rajappa M, Sahoo J. Effect of adjunctive single dose parenteral Vitamin D supplementation in major depressive disorder with concurrent vitamin D deficiency: A double-blind randomized placebo-controlled trial. J Psychiatr Res. 2020 Oct;129:250-256. doi: 10.1016/j.jpsychires.2020.07.037. Epub 2020 Aug 4. PMID: 32823218.
¹⁴ Zhang MM, Zou Y, Li SM, Wang L, Sun YH, Shi L, Lu L, Bao YP, Li SX. The efficacy and safety of omega-3 fatty acids on depressive symptoms in perinatal women: a meta-analysis of randomized placebo-controlled trials. Transl Psychiatry. 2020 Jun 17;10(1):193. doi: 10.1038/s41398-020-00886-3. PMID: 32555188; PMCID: PMC7299975.
¹⁵ Liao Y, Xie B, Zhang H, He Q, Guo L, Subramanieapillai M, Fan B, Lu C, McIntyre RS. Efficacy of omega-3 PUFAs in depression: A meta-analysis. Transl Psychiatry. 2019 Aug 5;9(1):190. doi: 10.1038/s41398-019-0515-5. Erratum in: Transl Psychiatry. 2021 Sep 7;11(1):465. doi: 10.1038/s41398-021-01582-6. PMID: 31383846; PMCID: PMC6683166.
¹⁶ Zhang L, Liu H, Kuang L, Meng H, Zhou X. Omega-3 fatty acids for the treatment of depressive disorders in children and adolescents: a meta-analysis of randomized placebo-controlled trials. Child Adolesc Psychiatry Ment Health. 2019 Sep 14;13:36. doi: 10.1186/s13034-019-0296-x. PMID: 31534476; PMCID: PMC6744624.
¹⁷ Šalamon Š, Kramar B, Marolt TP, Poljšak B, Milisav I. Medical and Dietary Uses of N-Acetylcysteine. Antioxidants (Basel). 2019 Apr 28;8(5):111. doi: 10.3390/antiox8050111. PMID: 31035402; PMCID: PMC6562654.
¹⁸ Ooi SL, Green R, Pak SC. N-Acetylcysteine for the Treatment of Psychiatric Disorders: A Review of Current Evidence. Biomed Res Int. 2018 Oct 22;2018:2469486. doi: 10.1155/2018/2469486. PMID: 30426004; PMCID: PMC6217900.
¹⁹ Fernandes BS, Dean OM, Dodd S, Malhi GS, Berk M. N-Acetylcysteine in depressive symptoms and functionality: a systematic review and meta-analysis. J Clin Psychiatry. 2016 Apr;77(4):e457-66. doi: 10.4088/JCP.15r09984. PMID: 27137430.
²⁰ Eby GA, Eby KL, Murk H. Magnesium and major depression. In: Vink R, Nechifor M, editors. Magnesium in the Central Nervous System [Internet]. Adelaide (AU): University of Adelaide Press; 2011. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507265/
²¹ Tarleton EK, Littenberg B, MacLean CD, Kennedy AG, Daley C. Role of magnesium supplementation in the treatment of depression: A randomized clinical trial. PLoS One. 2017 Jun 27;12(6):e0180067. doi: 10.1371/journal.pone.0180067. PMID: 28654669; PMCID: PMC5487054.
²² Apaydin EA, Maher AR, Shanman R, Booth MS, Miles JN, Sorbero ME, Hempel S. A systematic review of St. John’s wort for major depressive disorder. Syst Rev. 2016 Sep 2;5(1):148. doi: 10.1186/s13643-016-0325-2. PMID: 27589952; PMCID: PMC5010734.
²³ Peterson B, Nguyen H. St. John’s Wort. [Updated 2023 May 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557465/
²⁴ Wang J, Um P, Dickerman BA, Liu J. Zinc, Magnesium, Selenium and Depression: A Review of the Evidence, Potential Mechanisms and Implications. Nutrients. 2018 May 9;10(5):584. doi: 10.3390/nu10050584. PMID: 29747386; PMCID: PMC5986464.
²⁵ Swardfager W, Herrmann N, Mazereeuw G, Goldberger K, Harimoto T, Lanctôt KL. Zinc in depression: a meta-analysis. Biol Psychiatry. 2013 Dec 15;74(12):872-8. doi: 10.1016/j.biopsych.2013.05.008. Epub 2013 Jun 24. PMID: 23806573.
²⁶ Lai J, Moxey A, Nowak G, Vashum K, Bailey K, McEvoy M. The efficacy of zinc supplementation in depression: systematic review of randomised controlled trials. J Affect Disord. 2012 Jan;136(1-2):e31-e39. doi: 10.1016/j.jad.2011.06.022. Epub 2011 Jul 27. PMID: 21798601.
²⁷ Mao JJ, Li QS, Soeller I, Xie SX, Amsterdam JD. Rhodiola rosea therapy for major depressive disorder: a study protocol for a randomized, double-blind, placebo- controlled trial. J Clin Trials. 2014 Jun 20;4:170. doi: 10.4172/2167-0870.1000170. PMID: 25610752; PMCID: PMC4297663.
²⁸ Keller J, Gomez R, Williams G, Lembke A, Lazzeroni L, Murphy GM Jr, Schatzberg AF. HPA axis in major depression: cortisol, clinical symptomatology and genetic variation predict cognition. Mol Psychiatry. 2017 Apr;22(4):527-536. doi: 10.1038/mp.2016.120. Epub 2016 Aug 16. PMID: 27528460; PMCID: PMC5313380.
²⁹ Amsterdam JD, Panossian AG. Rhodiola rosea L. as a putative botanical antidepressant. Phytomedicine. 2016 Jun 15;23(7):770-83. doi: 10.1016/j.phymed.2016.02.009. Epub 2016 Feb 24. PMID: 27013349.
³⁰ Bangratz M, Ait Abdellah S, Berlin A, Blondeau C, Guilbot A, Dubourdeaux M, Lemoine P. A preliminary assessment of a combination of rhodiola and saffron in the management of mild-moderate depression. Neuropsychiatr Dis Treat. 2018 Jul 13;14:1821-1829. doi: 10.2147/NDT.S169575. PMID: 30034237; PMCID: PMC6049049.
³¹ Hausenblas HA, Saha D, Dubyak PJ, Anton SD. Saffron (Crocus sativus L.) and major depressive disorder: a meta-analysis of randomized clinical trials. J Integr Med. 2013 Nov;11(6):377-83. doi: 10.3736/jintegrmed2013056. PMID: 24299602; PMCID: PMC4643654.
³² Han JS. Acupuncture and endorphins. Neurosci Lett. 2004 May 6;361(1-3):258-61. doi: 10.1016/j.neulet.2003.12.019. PMID: 15135942.
³³ Sun H, Zhao H, Ma C, Bao F, Zhang J, Wang DH, Zhang YX, He W. Effects of electroacupuncture on depression and the production of glial cell line-derived neurotrophic factor compared with fluoxetine: a randomized controlled pilot study. J Altern Complement Med. 2013 Sep;19(9):733-9. doi: 10.1089/acm.2011.0637. Epub 2013 May 6. PMID: 23647408; PMCID: PMC3768227.
³⁴ Khamba B, Aucoin M, Lytle M, Vermani M, Maldonado A, Iorio C, Cameron C, Tsirgielis D, D’Ambrosio C, Anand L, Katzman MA. Efficacy of acupuncture treatment of sexual dysfunction secondary to antidepressants. J Altern Complement Med. 2013 Nov;19(11):862-9. doi: 10.1089/acm.2012.0751. Epub 2013 Jun 21. PMID: 23790229.
³⁵ Embong NH, Soh YC, Ming LC, Wong TW. Revisiting reflexology: Concept, evidence, current practice, and practitioner training. J Tradit Complement Med. 2015 Sep 28;5(4):197-206. doi: 10.1016/j.jtcme.2015.08.008. PMID: 26587391; PMCID: PMC4624523.
³⁶ Soheili M, Nazari F, Shaygannejad V, Valiani M. A comparison the effects of reflexology and relaxation on the psychological symptoms in women with multiple sclerosis. J Educ Health Promot. 2017 Apr 19;6:11. doi: 10.4103/jehp.jehp_166_14. PMID: 28546976; PMCID: PMC5433640.
³⁷ Bahrami T, Rejeh N, Heravi-Karimooi M, Tadrisi SD, Vaismoradi M. The Effect of Foot Reflexology on Hospital Anxiety and Depression in Female Older Adults: a Randomized Controlled Trial. Int J Ther Massage Bodywork. 2019 Aug 30;12(3):16-21. PMID: 31489059; PMCID: PMC6715326.
³⁸ Sharma H. Meditation: Process and effects. Ayu. 2015 Jul-Sep;36(3):233-7. doi: 10.4103/0974-8520.182756. PMID: 27313408; PMCID: PMC4895748.
³⁹ MacKenzie MB, Kocovski NL. Mindfulness-based cognitive therapy for depression: trends and developments. Psychol Res Behav Manag. 2016 May 19;9:125-32. doi: 10.2147/PRBM.S63949. PMID: 27274325; PMCID: PMC4876939.
⁴⁰ Carpena MX, Tavares PS, Menezes CB. The effect of a six-week focused meditation training on depression and anxiety symptoms in Brazilian university students with 6 and 12 months of follow-up. J Affect Disord. 2019 Mar 1;246:401-407. doi: 10.1016/j.jad.2018.12.126. Epub 2018 Dec 26. PMID: 30597302.
⁴¹ Alsaraireh FA, Aloush SM. Mindfulness Meditation Versus Physical Exercise in the Management of Depression Among Nursing Students. J Nurs Educ. 2017 Oct 1;56(10):599-604. doi: 10.3928/01484834-20170918-04. PMID: 28972629.
⁴² Sathyanarayanan G, Vengadavaradan A, Bharadwaj B. Role of Yoga and Mindfulness in Severe Mental Illnesses: A Narrative Review. Int J Yoga. 2019 Jan-Apr;12(1):3-28. doi: 10.4103/ijoy.IJOY_65_17. PMID: 30692780; PMCID: PMC6329226.
⁴³ Young SN. How to increase serotonin in the human brain without drugs. J Psychiatry Neurosci. 2007 Nov;32(6):394-9. PMID: 18043762; PMCID: PMC2077351.
⁴⁴ Bridges L, Sharma M. The Efficacy of Yoga as a Form of Treatment for Depression. J Evid Based Complementary Altern Med. 2017 Oct;22(4):1017-1028. doi: 10.1177/2156587217715927. Epub 2017 Jun 30. PMID: 28664775; PMCID: PMC5871291.
⁴⁵ Prathikanti S, Rivera R, Cochran A, Tungol JG, Fayazmanesh N, Weinmann E. Treating major depression with yoga: A prospective, randomized, controlled pilot trial. PLoS One. 2017 Mar 16;12(3):e0173869. doi: 10.1371/journal.pone.0173869. PMID: 28301561; PMCID: PMC5354384.
⁴⁶ Apóstolo JL, Kolcaba K. The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Arch Psychiatr Nurs. 2009 Dec;23(6):403-11. doi: 10.1016/j.apnu.2008.12.003. Epub 2009 Mar 27. PMID: 19926022.
⁴⁷ Onieva-Zafra MD, García LH, Del Valle MG. Effectiveness of guided imagery relaxation on levels of pain and depression in patients diagnosed with fibromyalgia. Holist Nurs Pract. 2015 Jan-Feb;29(1):13-21. doi: 10.1097/HNP.0000000000000062. PMID: 25470476.
⁴⁸ Sloman R. Relaxation and imagery for anxiety and depression control in community patients with advanced cancer. Cancer Nurs. 2002 Dec;25(6):432-5. doi: 10.1097/00002820-200212000-00005. PMID: 12464834.
⁴⁹ Field TM. Massage therapy effects. Am Psychol. 1998 Dec;53(12):1270-81. doi: 10.1037//0003-066x.53.12.1270. PMID: 9872050.
⁵⁰ Rapaport MH, Schettler PJ, Larson ER, Carroll D, Sharenko M, Nettles J, Kinkead B. Massage Therapy for Psychiatric Disorders. Focus (Am Psychiatr Publ). 2018 Jan;16(1):24-31. doi: 10.1176/appi.focus.20170043. Epub 2018 Jan 24. PMID: 31975897; PMCID: PMC6519566.
⁵¹ Carabotti M, Scirocco A, Maselli MA, Severi C. The gut-brain axis: interactions between enteric microbiota, central and enteric nervous systems. Ann Gastroenterol. 2015 Apr-Jun;28(2):203-209. PMID: 25830558; PMCID: PMC4367209.
⁵² Ljungberg T, Bondza E, Lethin C. Evidence of the Importance of Dietary Habits Regarding Depressive Symptoms and Depression. Int J Environ Res Public Health. 2020 Mar 2;17(5):1616. doi: 10.3390/ijerph17051616. PMID: 32131552; PMCID: PMC7084175.
⁵³ Wang Y, Ashokan K. Physical Exercise: An Overview of Benefits From Psychological Level to Genetics and Beyond. Front Physiol. 2021 Aug 12;12:731858. doi: 10.3389/fphys.2021.731858. PMID: 34456756; PMCID: PMC8397487.
⁵⁴ Zoladz JA, Pilc A. The effect of physical activity on the brain derived neurotrophic factor: from animal to human studies. J Physiol Pharmacol. 2010 Oct;61(5):533-41. PMID: 21081796.
⁵⁵ Craft LL, Perna FM. The Benefits of Exercise for the Clinically Depressed. Prim Care Companion J Clin Psychiatry. 2004;6(3):104-111. doi: 10.4088/pcc.v06n0301. PMID: 15361924; PMCID: PMC474733.
⁵⁶ Donovan NJ, Blazer D. Social Isolation and Loneliness in Older Adults: Review and Commentary of a National Academies Report. Am J Geriatr Psychiatry. 2020 Dec;28(12):1233-1244. doi: 10.1016/j.jagp.2020.08.005. Epub 2020 Aug 19. PMID: 32919873; PMCID: PMC7437541.
⁵⁷ Franzen PL, Buysse DJ. Sleep disturbances and depression: risk relationships for subsequent depression and therapeutic implications. Dialogues Clin Neurosci. 2008;10(4):473-81. doi: 10.31887/DCNS.2008.10.4/plfranzen. PMID: 19170404; PMCID: PMC3108260.
⁵⁸ Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci. 2008;10(3):329-36. doi: 10.31887/DCNS.2008.10.3/dnutt. PMID: 18979946; PMCID: PMC3181883.
⁵⁹ Vashadze ShV. [Insomnia, serotonin and depression]. Georgian Med News. 2007 Sep;(150):22-4. Russian. PMID: 17984558.
⁶⁰ Daut RA, Fonken LK. Circadian regulation of depression: A role for serotonin. Front Neuroendocrinol. 2019 Jul;54:100746. doi: 10.1016/j.yfrne.2019.04.003. Epub 2019 Apr 16. PMID: 31002895; PMCID: PMC9826732.
⁶¹ Bartolomucci A, Leopardi R. Stress and depression: preclinical research and clinical implications. PLoS One. 2009;4(1):e4265. doi: 10.1371/journal.pone.0004265. Epub 2009 Jan 30. PMID: 19180237; PMCID: PMC2629543.
⁶² Aas CF, Vold JH, Gjestad R, Skurtveit S, Lim AG, Gjerde KV, Løberg EM, Johansson KA, Fadnes LT; INTRO-HCV Study Group. Substance use and symptoms of mental health disorders: a prospective cohort of patients with severe substance use disorders in Norway. Subst Abuse Treat Prev Policy. 2021 Feb 27;16(1):20. doi: 10.1186/s13011-021-00354-1. PMID: 33639969; PMCID: PMC7912462.
⁶³ Evans EA, Sullivan MA. Abuse and misuse of antidepressants. Subst Abuse Rehabil. 2014 Aug 14;5:107-20. doi: 10.2147/SAR.S37917. PMID: 25187753; PMCID: PMC4140701.
⁶⁴ Hunter SB, Watkins KE, Hepner KA, Paddock SM, Ewing BA, Osilla KC, Perry S. Treating depression and substance use: a randomized controlled trial. J Subst Abuse Treat. 2012 Sep;43(2):137-51. doi: 10.1016/j.jsat.2011.12.004. Epub 2012 Feb 1. PMID: 22301087; PMCID: PMC3345298.




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