Key features of depression and its management in general practice.

 
"..I'm not like I was before.."

Which of the following questions are true of treatment for major depression?
1. Patients with major depression should be managed, in part, with supportive psychotherapy provided by their general practitioner.
2. Cognitive behavioural therapy (CBT), may be considered as first-line treatment in patients with first onset major depression.
3. Psychotherapy alone is recommended as a first-line treatment in patients presenting with a recurrent episode of major depression
4. Most patients with major depression should be treated with a combination of antidepressant medications and some form of psychotherapy.
5. The criterion for antidepressant use is evidence of impaired function in work or relationships.
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2. Cognitive behavioural therapy (CBT), may be considered as first-line treatment in patients with first onset major depression.

Author's answer: True

More formal psychotherapies such as cognitive-behavioural therapy (CBT), may be considered as first-line treatment in patients with mild to moderate first onset major depression. Psychotherapy is also an option where the patient is reluctant to take medication and a skilled therapist is available.

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