 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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5. The criterion for antidepressant use is evidence of impaired function in work or relationships.
Author's answer: True
All patients with major depression should be considered for antidepressant pharmacotherapy. A useful criterion is evidence of impaired function in their work role or relationships.
Other factors that may suggest the use of antidepressants include incomplete response to psychotherapy alone, a patient request for antidepressants, chronic symptoms (two years or more), previous episodes of depression, a family history of depression, and previous response to antidepressants.
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