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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In
considering alternate treatments, which of the following statements
are
true of antidepressants treatment and electroconvulsive therapy
(ECT) in
this context? |
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1.
Grandiose plans are characteristic of bipolar illness, manic phase. |
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2.
Clinical features of mania usually appear gradually over a period
of weeks. |
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3.
Episodes of mania may be mild and of short duration. |
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4.
The depressive phases of bipolar disease are identical to
major depressive illness. |
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5. Omar should be considered for prophylactic treatment. |
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5.
Omar should be considered for prophylactic treatment.
Author's
answer: True
Prophylactic
treatment following treatment of an acute episode should be considered
in a patient having two or more previous episodes of either mania or
depression. The frequency and severity of episodes, the age of the patient,
concurrent medical illness and compliance need to be taken into account.
Treatment may be time-limited (3 to 5 years) or indefinite depending
on previous illness history, response to medication, age of the patient
and tolerability of the medication.
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