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

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Table of Contents

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

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Categories of Chronic Depression

Depression as a Chronic Problem

Course of Major Depression

Plan for this Session

Depression Care Process

Change Points in a Depressive Episode - the “Five R’s”

Phases of Treating an Episode of Major Depression

Acute Phase of Treatment

Depression Care Process

Severity Tools

Patient Questionnaire - PHQ-9

Continuation Phase

Guidelines for Continuation Therapy

Maintenance Phase

Risk Factors for Recurrence

Risk Factors for Recurrence

Length of Maintenance Therapy

Discontinuation

Psychotherapy in Maintenance

Office Counseling by Primary Care Physician

Patient Education in Maintenance

Dysthymia

Dysthymia

Treatment of Dysthymia

Double Depression

Summary of Main Points

Main Points

Author: Allen Dietrich, MD

Email: Susanna.C.Reed

Home Page: www.depression-primarycare.org

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