By rray, 13 April, 2023 Exclude Patient Type Detail Header No Detail Type Text Detail Text Acupuncture Consider adding acupuncture to antidepressant meds if psychotherapy pharmaco tx exercise St John s wort mono tx aren t acceptable available per APA 4 VA says insufficient evidence for acupuncture as adjunct 1 APA says insufficient evidence for Biofeedback Insufficient evidence to recommend for or against as adjunct tx1 CBT based bibliotherapy suggested as adjunct alternative tx1 Exercise eg yoga tai chi qigong resistance aerobics suggested as adjunct1 Meditation 5 Insufficient evidence to compare SGAs w meditation or yoga per ACP 5 Omega 3 fatty acids Insufficient evidence to recommend as mono tx or combo tx SGA omega 3 fatty acids per APA and ACP 4 5 VA recommends against use of omega 3 fatty acids for tx1 Yoga Consider if psychotherapy pharmaco tx exercise St John s wort not acceptable available per APA 4 effective adjunctive tx to darr sx severity per ICSI 2 insufficient evidence to compare SGAs w yoga or meditation per ACP 5 Insufficient evidence to recommend for against theta burst stimulation 1 S adenosyl L methionine SAMe mono tx tai chi4 Not recommended VNS DBS psilocybin MDMA cannabis other unapproved pharmacologic treatments vitamin D supplements1 Patient Type Detail Header (Long) Self-help/CAM to consider as adjuncts/alternatives: