Mood Disorders: Identification and Management

LECTURE OUTLINE

DEPRESSION IS COMMON

DEPRESSION IS SIGNIFICANT

UNDER-RECOGNITION/
UNDERTREATMENT

BARRIERS TO RECOGNITION

RISK FACTORS FOR MOOD DISORDERS

MAJOR TYPES OF MOOD DISORDERS


MAJOR DEPRESSION
 Four Hallmarks:

DEPRESSED MOOD
Hallmark 1

ANHEDONIA
 Hallmark 2

PHYSICAL SYMPTOMS
 Hallmark 3

PSYCHOLOGICAL SYMPTOMS
 Hallmark 4

DSM-IV CRITERIA FOR MAJOR DEPRESSION

DYSTHYMIA

MINOR DEPRESSION

"Challenge to identify"

"Potential risks from antidepressants"

MENTAL HEALTH REFERRAL

TREATMENT

PHARMACOTHERAPY

MEDICATION GUIDELINES

PROMOTING ADHERENCE

ANTIDEPRESSANTS

ANTIDEPRESSANTS

TRICYCLIC ANTIDEPRESSANTS

ADVANTAGES OF SSRIs AND OTHER NEW AGENTS

SUGGESTED MEDICATION ALGORITHM

MANAGING SSRI SIDE EFFECTS

SSRI SIDE EFFECTS

SIDE EFFECTS 
(OTHER NEW AGENTS)

PSYCHOTHERAPY

PSYCHOSOCIAL INTERVENTIONS
(BY PRIMARY CARE PHYSICIAN)

FOLLOW UP

PARTIAL OR NO RESPONSE