 Key features of depression and its management in general practice. |
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"..I'm
not like I was before.."
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| Which of the following questions are true of treatment for major depression? |
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1. Patients with major depression should be managed, in part, with supportive psychotherapy provided by their general practitioner. |
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2. Cognitive behavioural therapy (CBT), may be considered as first-line treatment in patients with first onset major depression. |
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3. Psychotherapy alone is recommended as a first-line treatment in patients presenting with a recurrent episode of major depression |
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4. Most patients with major depression should be treated with a combination of antidepressant medications and some form of psychotherapy. |
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5. The criterion for antidepressant use is evidence of impaired function in work or relationships. |
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1. Patients with major depression should be managed, in part, with supportive psychotherapy provided by their general practitioner.
Author's
answer: True
Patients with major depression benefit from supportive psychotherapy,
much of which can be provided by the primary care physician. Treatment
begins with establishing a strong patient-doctor relationship. A clear,
empathic, hopeful manner helps to forge a therapeutic alliance and facilitates
treatment.
A detailed explanation of the diagnosis combined with reassurance that depression is eminently treatable do much to calm a fearful patient and family. When patients feel hopeless or undeserving, it is useful to point out that these are the characteristic symptoms of depression and they will gradually improve.
Many feel overwhelmed by life stresses. It is important to identify these stresses. Empathic listening and thoughtful comment can help the patient devise strategies for coping.
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