 Key features of depression and its management in general practice. |
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"..I'm not like other people.." |
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1. Fatima should be investigated in order to exclude organic illness. |
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2. A personality disorder may present in this way. |
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3. Prescribed drugs may be the cause of this presentation. |
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4. Alcohol and substance abuse should be excluded. |
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5. Domestic violence may present in this way. |
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1. Fatima should be investigated in order to exclude organic illness.
Author's answer: True
In any new presentation of depression it is important to first consider and exclude an organic medical illnesses. Depression may follow acute infection, particularly influenza, and is a recognised feature of a number of illnesses including hypothyroidism and chronic fatigue syndrome. In older people it is associated with cardiovascular and cerebrovascular disease.