A Holistic Self-learning Approach for Young Adult Depression and Anxiety Compared to Medication-Based Treatment-As-Usual

Community Ment Health J. 2021 Feb;57(2):392-402. doi: 10.1007/s10597-020-00666-9. Epub 2020 Jun 23.

Abstract

A package of biopsychosocial services for young adults experiencing psychological distress was evaluated and compared to usual outpatient psychiatric care. Young adults (18-25) with moderate-to-severe symptoms of depression and/or anxiety (n = 26) were enrolled in a 13-week intervention consisting of nutritional coaching and multi-vitamin supplements, weekly educational and peer support groups, and a modest financial stipend to engage with physical or expressive activities. A comparison group (n = 13) continued with their usual medication-based outpatient care. Program participants reported significantly improved depression, anxiety, severity of distress, overall quality of life, and empowerment over 4 months, with progress maintained or further improved at 2-month follow-up. No evidence of change on any outcome was observed for comparison group participants. Although long-term impacts on mental health trajectories and reliance on psychotropic medications remain unknown, a holistic self-learning approach is a viable alternative to standard outpatient psychiatric care for young adults.

Keywords: Anxiety; Depression; Holistic; Program evaluation; Psychological distress; Young adults.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety / drug therapy
  • Anxiety Disorders / drug therapy
  • Depression* / drug therapy
  • Humans
  • Psychotherapy
  • Quality of Life*
  • Young Adult