How is depression treated in people who have osteoporosis?

Depression is diagnosed and treated by a health care provider. Treating depression can help you manage your osteoporosis and improve your overall health. Recovery from depression takes time but treatments are effective.

At present, the most common treatments for depression include:

• Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative thinking styles and behaviors that may contribute to their depression
• Selective serotonin reuptake inhibitor (SSRI), a type of antidepressant medication that includes citalopram (Celexa), sertraline (Zoloft), and fluoxetine (Prozac)
• Serotonin and norepinephrine reuptake inhibitor (SNRI), a type of antidepressant medication similar to SSRI that includes venlafaxine (Effexor) and duloxetine (Cymbalta).

While currently available depression treatments are generally well tolerated and safe, some medications, including some antidepressants, anticonvulsants, and lithium, can increase your risk for osteoporosis. Certain medications can also increase your risk of falling, which is dangerous if you already have osteoporosis. Talk with your health care provider about side effects, possible drug interactions, and other treatment options that best suit your situation. For the latest information on medications, visit the U.S. Food and Drug Administration websiteExternal Link: Please review our disclaimer.. Not everyone responds to treatment the same way. Medications can take several weeks to work, may need to be combined with ongoing talk therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results. But treatment can be effective.

Osteoporosis treatment may include medications that slow or stop bone loss or build new bone. Exercise is an important part of osteoporosis treatment, particularly activities in which you support your weight on your feet. These activities help to strengthen bones⁷ and muscles that can prevent falls.⁸ These activities can also boost your mood and treat your depression. Your health care provider can recommend exercises that are right for you.

More information about depression treatments can be found on the NIMH website. If you think you are depressed or know someone who is, don’t lose hope. Seek help for depression.

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