Advanced Search

FOCUS, VOL. 3, No. 1

CLINICAL SYNTHESIS | January 01, 2005

Quick Reference For Major Depressive Disorder

FOCUS 2005;3:13-13.

View Author and Article Information

Article

Tables

text A A A

The tables in this section are reprinted with permission from Dubovsky SL, Dubovsky AN: Concise Guide to Mood Disorders, Washington, DC, American Psychiatric Press, 2002.

Table 1. Characteristics of Effective Psychotherapy for Depression

View Large | Add to My POL

Time-limited treatment

Explicit rationale for treatment, shared by patient and therapist

Active and directive therapist

Focus on current problems

Emphasis on changing current behavior

Self-monitoring of progress

Involvement of significant others

Expression of cautious optimism

Problems divided into manageable units with short-term goals

Homework assignments

Table 2. Questions for Evaluating Inadequate Antidepressant Response

View Large | Add to My POL

Are the dose and duration of treatment adequate?

Is the patient taking the medication?

Is a medical illness contributing to treatment resistance?

Is the patient taking a medication or substance that is interfering with the antidepressant?

Is the patient truly depressed?

Are psychotic symptoms present?

Is the depression bipolar?

Are psychosocial issues being ignored?

Has the patient’s family been involved in treatment?

Table 3. Agents Used to Augment Antidepressant Therapy in Unipolar Depression

View Large | Add to My POL

Lithium

Stimulants

Carbamazepine

Buspirone

Triiodothyronine (T₃)

Gabapentin

Atypical antipsychotic drugs

SSRI—tricyclic antidepressant combination

Mirtazapine-venlafaxine combination

MAOI—tricyclic antidepressant combination

SSRI=selective serotonin reuptake inhibitor; MAOI=monoamine oxidase inhibitor

Table 1. Characteristics of Effective Psychotherapy for Depression

View Large | Add to My POL

Time-limited treatment

Explicit rationale for treatment, shared by patient and therapist

Active and directive therapist

Focus on current problems

Emphasis on changing current behavior

Self-monitoring of progress

Involvement of significant others

Expression of cautious optimism

Problems divided into manageable units with short-term goals

Homework assignments

Table 2. Questions for Evaluating Inadequate Antidepressant Response

View Large | Add to My POL

Are the dose and duration of treatment adequate?

Is the patient taking the medication?

Is a medical illness contributing to treatment resistance?

Is the patient taking a medication or substance that is interfering with the antidepressant?

Is the patient truly depressed?

Are psychotic symptoms present?

Is the depression bipolar?

Are psychosocial issues being ignored?

Has the patient’s family been involved in treatment?

Table 3. Agents Used to Augment Antidepressant Therapy in Unipolar Depression

View Large | Add to My POL

Lithium

Stimulants

Carbamazepine

Buspirone

Triiodothyronine (T₃)

Gabapentin

Atypical antipsychotic drugs

SSRI—tricyclic antidepressant combination

Mirtazapine-venlafaxine combination

MAOI—tricyclic antidepressant combination

SSRI=selective serotonin reuptake inhibitor; MAOI=monoamine oxidase inhibitor

References

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.

Submit a Comments

Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field

Comment Author(s)*(if multiple authors, separate names by comma)

Example: John Doe

Affiliation & Institution*

Comment Title*

Comment*

Cancel

Print
PDF
E-mail

Recipient(s) will receive an email with a link (good for 72 hours) to 'Quick Reference For Major Depressive Disorder' and do not need to have FOCUS: The Journal of Lifelong Learning in Psychiatry account to access the content.
Your Name:*
Example: John Doe

Email Address:* CC Me:
Enter your valid email address. Example: jdoe@example.com

Recipient's Email Address:*
Separate multiple email address with semi-colons (up to 5).

Subject:* 's FOCUS: The Journal of Lifelong Learning in Psychiatry: 'Quick Reference For Major Depressive Disorder'
Subject for your email.

Message:
(Optional, message will truncate at 1000 characters)

Processing your request... Please Wait...

Copyright © in the material you requested is held by The American Psychiatric Association (unless otherwise noted). This email ability is provided as a courtesy, and by using it you agree that you are requesting the material solely for personal, non-commercial use, and that it is subject to The American Psychiatric Association's Terms of Use. The information provided in order to email this topic will not be used to send unsolicited email, nor will it be furnished to third parties. Please refer to The American Psychiatric Association's Privacy Policy for further information.

Copyright © American Psychiatric Association. All rights reserved.
Share
Get Citation

Quick Reference For Major Depressive Disorder. FOCUS: The Journal of Lifelong Learning in Psychiatry. 2005 Jan;3(1):13-13.

Download citation file:

RIS (Zotero)

EndNote

BibTex

Medlars

ProCite

RefWorks

Reference Manager

Copyright © American Psychiatric Association. All rights reserved.
Reprints