PMID: 8614180Mar 1, 1996Paper

Management of depression in the outpatient office

The Medical Clinics of North America
W H Salazar

Abstract

Current practice suggests that primary care physicians are in the best position to identify initially and treat depression in the ambulatory setting. Educating primary care physicians about depression is essential for identifying and adequately caring for depressed patients. Depression is commonly seen and easily treated in primary care settings. A structured, consistent approach to the depressed patient is essential and should include patient education; eliciting information about symptoms; clinical observation about the examination; a history of previous psychiatric episodes; family history of affective disorders; history from relatives, other providers, or other clinics if necessary; aggressive use of medication alone or in combination with psychotherapeutic techniques; and appropriate referral. Depression is associated with significant suffering and disability and increased utilization of health care services. Depressed patients can present with a variety of somatic and cognitive symptoms. Primary care physicians should be alert for denial and minimization of symptoms as well as for the presence of stigmatization. The biologic, psychological, and social aspects of depression should be expanded on as needed according to the ...Continue Reading

Citations

Feb 19, 2002·Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association·J A Mullaney
May 4, 2012·The Journal of Nervous and Mental Disease·Sean H YutzyBrooke S Parish
Oct 17, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Bernardo NgAlvaro Camacho
Mar 5, 2003·Journal of the American Academy of Nurse Practitioners·L Kathleen SekulaVincent Gianetti
Jun 21, 2005·Journal of Psychosomatic Obstetrics and Gynaecology·Lauren D HillJay Schulkin

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