Treatment of chronic depression

Article Abstract:

Some patients with severe chronic depression many benefit from treatment combining an antidepressant drug with psychotherapy. This was the conclusion of a study published in 2000. However, the treatment only lasted for 12 weeks so longer follow-ups may be necessary to determine whether the benefit of combined therapy persists. Also, the effectiveness of psychotherapy depends on the competence of the therapist. It may be difficult to find therapists who can provide short-term psychotherapy.

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Culture and depression

Article Abstract:

In people with depression, culture influences the experience of symptoms, the idioms used to report them, decisions about treatment, doctor - patient interaction, the likelihood of outcomes such as suicides, and the practices of professionals. Physicians must be sensitive to institutional racism and be aware that health care providers can unwittingly convey a sense of stigma to patients.

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Managing depression in medical outpatients

Article Abstract:

Many patients with depression can be treated in a primary care setting. An algorithm for diagnosing depression in primary care patients is presented and appropriate drug therapy and psychotherapy is described.

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