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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3. Psychotherapy alone is recommended as a first-line treatment in patients presenting with a recurrent episode of major depression.

Author's answer: False

Psychotherapy alone is not recommended as a first-line treatment in patients presenting with either a recurrent episode of major depression or an initial episode with moderate to severe depression or with melancholia or psychotic features.

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