Managing depression in primary care.
Singapore Med J
; 58(8): 459-466, 2017 08.
Article
em En
| MEDLINE
| ID: mdl-28848991
ABSTRACT
Major depression is common in the primary care setting. In the final article of this series, we illustrate the approach to the management of depression in primary care. Psychotherapy has been shown to be as effective as antidepressants for mild to moderate major depression. The common myth that antidepressants are addictive should be addressed. Antidepressants should be started at a subtherapeutic dose to assess tolerability, then gradually increased until a minimally effective dose is achieved. Apart from pharmacotherapy and psychotherapy, management of depression should include managing stressors, engaging social and community support, dealing with stigma and discrimination, and managing concomitant comorbidities. A strong therapeutic relationship and empathic listening are important between the primary care physician and patient.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Depressão
Limite:
Humans
Idioma:
En
Revista:
Singapore Med J
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Singapura