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 DepressionTime-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 1. Characteristics of Effective Psychotherapy for DepressionEnlarge table Table 2. Questions for Evaluating Inadequate Antidepressant ResponseAre 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 2. Questions for Evaluating Inadequate Antidepressant ResponseEnlarge table Table 3. Agents Used to Augment Antidepressant Therapy in Unipolar DepressionLithium |
Stimulants |
Carbamazepine |
Buspirone |
Triiodothyronine (T3) |
Gabapentin |
Atypical antipsychotic drugs |
SSRI–tricyclic antidepressant combination |
Mirtazapine-venlafaxine combination |
MAOI–tricyclic antidepressant combination |
Table 3. Agents Used to Augment Antidepressant Therapy in Unipolar DepressionEnlarge table