Depression as a Chronic Disease: Issues in Maintenance Therapy and Long-term Management

LECTURE OUTLINE

Background

Chronic Major Depression

Other Forms of Chronic Depression

Course of Major Depression

Impact of Depression

Impairment from Chronic Depression

The Five Rs

Two Additional Rs

Phases of Treating an Episode
of Depression

Acute Phase of Treatment

Continuation Phase

Guidelines for Continuation Therapy

Maintenance Phase

Risk Factors for Recurrence

More Risk Factors for Recurrence

Length of Maintenance Therapy

Discontinuation

Counseling in Maintenance

Patient Education in Maintenance

Dysthymia

Diagnosis of Dysthymia

Treatment of Dysthymia

Double Depression

Summary of Main Points