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Med Clin North Am. 2014 Sep;98(5):981-1005. doi: 10.1016/j.mcna.2014.06.013.

Major depression.

Author information

1
Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, Box 359896, 325 9th Avenue, Seattle, WA 98104, USA. Electronic address: sbentley@u.washington.edu.
2
Department of Medicine, Division of General Internal Medicine, Roosevelt General Internal Medicine Clinic, University of Washington Medical Center, 4245 Roosevelt Way North East, Seattle, WA 98105.
3
Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, Box 359896, 325 9th Avenue, Seattle, WA 98104, USA.

Abstract

Major depression is a common, disabling condition seen frequently in primary care practices. Non-psychiatrist ambulatory providers are increasingly responsible for diagnosing, and primarily managing patients suffering from major depressive disorder (MDD). The goal of this review is to help primary care providers to understand the natural history of MDD, identify practical tools for screening, and a thoughtful approach to management. Clinically challenging topics like co-morbid conditions, treatment resistant depression and pharmacotherapy selection with consideration to side effects and medication interactions, are also covered.

KEYWORDS:

Diagnosis; Major depression; Management; Pharmacotherapy; Primary care

PMID:
25134869
DOI:
10.1016/j.mcna.2014.06.013
[Indexed for MEDLINE]
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