Why are SSRIs often chosen as a treatment for depression?
3. Recent study demonstrated 6-month prevalence of depression in post-ACS patients to be ~44% which is the highest for any psychiatric disorder6 ii. Possible reasons for an increased MDD prevalence5,7 1. Worsening health and overall well-being 2. Stress from recent traumatic experience including the cardiovascular event and/or hospital stay 3.
What are selective serotonin reuptake inhibitors (SSRIs)?
Within 6 months of treatment, what do patients (using SSRI's) often exhibit? ... In patients who exhibit depression, selective serotonin reuptake inhibitors (SSRIs) are commonly chosen as a medication for treatment. SSRIs are often chosen because they.
When to start another antidepressant for a 76 year old depressed patient?
These are typical side effects of SSRI's. What is a common side effect of trazodone (antidepressant TCA)? When should trazodone be taken? Trazodone cause profound drowsiness, and should be taken at bedtime. Within 6 months of treatment, what do patients (using SSRI's) often exhibit? weight gain
What information should be included in a past antidepressant evaluation?
On average, patients had 2.9 antidepressant prescriptions with a mean antidepressant supply of 85 days during the 6-month treatment period. The majority of patients in the sample (73%) had fewer than 120 days of antidepressant therapy (mean 54.2 days, s.d.=32.3) in the first 6 months of treatment (<120 days cohort).
What is the first line of antidepressants?
In general, because of the side effect and safety profile, selective serotonin reuptake inhibitors (SSRIs) are considered to be the first line antidepressants. Other preferred options include tricyclic antidepressants, mirtazapine, bupropion, and venlafaxine.
What is the management of depression?
Management of depression involves comprehensive assessment and proper establishment of diagnosis. The assessment must be based on detailed history, physical examination and mental state examinations. History must be obtained from all sources, especially the family.
What is depression in health?
INTRODUCTION. Depression is a common disorder, which often leads to poor quality of life and impaired role functioning. It is known to be a major contributor to the global burden of diseases and according to World Health Organization (WHO), depression is the fourth leading cause of disability worldwide and it is projected that by 2020, ...
What is the goal of acute phase treatment?
The goal of acute phase treatment is to achieve remission, as presence of residual symptoms increase the risk of chronic depression, poor quality of life and also impairs recovery from physical illness. Treatment generally results in improvement in quality of life and better functional capacity.
What are the determinants of psychotherapy?
The major determinants of type of psychotherapy are patient preference and the availability of clinicians with appropriate training and expertise in specific psychotherapeutic approaches. Other clinical factors which will influence the type of psychotherapy include the severity of the depression.
What is maintenance phase treatment?
The goal of maintenance phase treatment is to prevent recurrence of depressive episodes. On an average, 50-85% of patients with a single episode of major depression have at least one more episodes. Therefore, maintenance phase treatment may be considered to prevent recurrence.
What are the areas of assessment?
Area to be covered in assessment include symptom dimensions, symptom-severity, comorbid psychiatric and medical conditions, particularly comorbid substance abuse, the risk of harm to self or others, level of functioning and the socio-cultural milieu of the patient.
Abstract
Patients with depression are often not prescribed antidepressants for an adequate period of time.
METHOD
All data used in this analysis came from the MediPlus UK Primary Care Database, a general practice database containing anonymised, computerised clinical records for almost two million patients in the UK (approximately one million currently active).
RESULTS
A total of 7493 patients were included in the analysis ( Table 2 ). The mean age was 43 years (s.d.=16 years) and the majority of patients were female (72%). Patients had an average of 2.2 non-psychiatric diagnoses during the 6 months prior to initiation with an SSRI antidepressant.
DISCUSSION
Among patients treated for depression with an SSRI, those who remained on their initial SSRI for at least 120 days experienced the lowest risk of relapse or recurrence of depression.
What is the best treatment for depression?
There are four main approaches to treatment— psychotherapy, antidepressant medications, neuromodulation, and lifestyle measures —and all address different facets of the disorder. Chronic and severe depression responds best to a combination of medication and cognitive behavioral therapy (CBT).
How much exercise is needed to prevent depression?
In a major study of nearly 34,000 adults, followed over 11 years, as little as one hour of physical activity per week was found to prevent 12 percent of expected future cases of depression. Other studies show that exercise is an effective preventive measure even in those genetically predisposed to depression.
Why is it important to have a regular sleep routine?
Chief among healthy habits to foster is addressing disturbed sleep, because sleep is so essential for feeling good and affects every system of body and brain. Establishing a regular sleep routine is considered essential, although sleep disturbance may be among the last symptoms of depression to completely resolve.
How does depression affect your life?
The so-called burden of depression is great, as the disorder is a major cause of missed work and poor productivity, and it has a devastating effect on relationships, family life, physical health, and general quality of life. There are four main approaches to treatment— psychotherapy, antidepressant medications, neuromodulation, ...
Why is social contact important?
For example, maintaining social contact is a major source of relief; it acts physiologically, by tempering stress reactivity, and counters the bleakness of depression by providing a source of pleasure .
What is the purpose of psychotherapy?
Psychotherapy is aimed at the roots of depression, the ways people process their thoughts and feelings. Psychotherapy helps people understand the beliefs, feelings, and thoughts that contribute to their depression. It helps people identify the problems that trigger their depression or contribute to its continuation.
How do you know if you are depressed?
Signs that depression is responding include less irritability, increased energy, feeling less overwhelmed, normalization of appetite, improved ability to concentrate, return of libido, and improved sense of self.