Depression in primary care. Part 2: Management

  • XV Pereira
  • Zainab AM
Keywords: Depression, antidepressants, psychotherapy

Abstract

The management of depression in the primary care setting should ideally take a biological, psychological, and sociologicalapproach. Antidepressants are the most commonly used biological agents in the treatment of depression. Psychologicaltherapies and psychosocial interventions improve the outcome of treatment when combined with pharmacotherapy.Clinical depression is treatable and thus efforts should be made to alleviate the suffering of patients with depression.

References

Deva MP. Depressive illness – The need for a paradigm shift in its understanding and management. Med J Malaysia. 2006;61(1):4-6.

Walters P, Tylee A. Mood disorders in primary care. Psychiatry. 2006;5(4):138-41.

Remick RA. Diagnosis and management of depression in primary care: a clinical update and review. CMAJ. 2002;167(11):1253-60.

American Psychiatric Association. Practice guideline for the treatment of patients with major depressive disorder. Am J Psychiatry. 2000;157(4 Suppl):1-45.

Young AH, Ferrier IN. Overview of treatment for mood disorders. Psychiatry. 2006;5(6):183-4.

National Institute for Health and Clinical Excellence (NICE). Depression: management of depression in primary and secondary care – NICE guidance. Available from: URL:www.nice.org.uk/CG023.

McAllister-Williams RH, Ferrier IN. Pharmacological management of unipolar affective disorder. Psychiatry. 2006;5(6):189-94.

Hegarty K, Ames D, Anderson J, et al. Use of antidepressant medications in the general practice setting. A critical review. Aust Fam Physician. 2003;32(4):229-34, 236-7.

Clark MS, Smith PO, Payne TJ, et al. FPIN’s clinical inquiries. Psychosocial interventions delivered by primary care physicians to patients with depression. FPINS’s Clinical Inquiries. Am Fam Physician. 2006;74(9):1580-1.

Morris RK, Scott J. Psychological management of mood disorders. Psychiatry. 2006;5(6):185-8.

Herrmann LL, Ebmeier KP. Transcranial magnetic stimulation. Psychiatry. 2006;5(6):204-7.

Malaty W. FPIN’s Clinical Inquiries: St. John’s Wort for depression. Am Fam Physician. 2005;71(7):1375-6.

Diagnostic and management guidelines for mental disorders in primary health care. Ministry of Health, Malaysia. 1998. KKM/MOH/K/ASA/14.98 (GU). BP KK: K.Mental/2/98.

Published
2007-12-31
How to Cite
PereiraX., & AMZ. (2007). Depression in primary care. Part 2: Management. Malaysian Family Physician, 2(3), 4. Retrieved from https://www.e-mfp.org/ojs3/index.php/MFP/article/view/260
Section
Original Articles