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cce_psychiatry_major depressive disorder (social (family support, family…
cce_psychiatry_major depressive disorder
history
patient
collateral history
admit? risk?
Form 1, 2, 3
investigations
(CBC, LFTRFT, TFT) blood
urine toxicology
CT brain
physical examination
neurological
SOL
endocrine
thyroid
general
vitals, self-harm, substance
psychological
cognitive behavioral therapy
close suicide watch
psychoeducation
social
family support, family counselling
medical social worker
occupational therapist: functional rehabilitation
community psychiatric nurse
community: ICCMW
biological
antidepressant
v 3 episodes v functional impairment: 2 years
first: 6-9 months (full dose, gradual decrease)
relapse: 4-6 months (effective dose)
SSRi (
fluroxetine
, paroxetine, sertraline, citalopram), TCA (
nortipyline
)
insomnia
benzodiazepine
pregnant antidepressants