Key features of depression
and its management in general practice. |
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"..I've
been possessed by the devil"
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this presentation, which of the following statements are true? |
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1.
Omar's delusions are diagnostic of schizophrenia. |
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2.
Psychotic depression occurs in around 10% of people with major
depressive disorders. |
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3.
Auditory hallucinations in this context suggest a diagnosis of
schizophrenia. |
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4.
Omar should be referred to a psychiatrist. |
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5.
Suicidal ideation is an indication for referral to a psychiatrist. |
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5.
Suicidal ideation is an indication for referral to a psychiatrist.
Author's
answer: True
Referral
to a psychiatrist should be considered when the patient has bipolar
disorder, or active suicidal thoughts; when there is no response to
one or two trials of treatment; when there is co-morbid medical, psychiatric,
or substance use disorder; or when there may be a need for ECT (ECT
is effective for patients with psychotic depression or melancholic depression
not responding to antidepressants).
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on any unselected options for feedback.
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