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Citalopram Plus Methylphenidate Better Than Either Alone for Geriatric Depression - ...

Nov 1, 2015 - Combined treatment with citalopram plus methylphenidate provided faster improvement of depression symptoms in older patients with unipolar depression. Combined treatment was also more likely than either medication alone to lead to remission of depression at four weeks and 16 weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1101/p820.html

Antidepressants for the Treatment of Insomnia in Patients with Depression - FPIN's ...

Nov 1, 2011 - There is no single antidepressant or class of antidepressants that is most effective for the treatment of insomnia in patients with depression. The use of antidepressant medications can have a positive impact on sleep physiology, but does not seem to improve subjective ratings of sleep ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1101/od1.html

Are Some Antidepressants Safer than Others Regarding Suicide Risk? - POEMs - American ...

Jul 1, 2015 - Mirtazapine (Remeron) and venlafaxine are associated with higher rates of completed suicide in primary care patients. Rates of suicide attempts and completion are similar with the use of selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0701/p52a.html

Depression in Later Life: A Diagnostic and Therapeutic Challenge - American Family ...

May 15, 2004 - Depression in elderly persons is widespread, often undiagnosed, and usually untreated. The current system of care is fragmented and inadequate, and staff at residential and other facilities often are ill-equipped to recognize and treat patients with depression. Because there is no ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2375.html

Diagnosis and Treatment of Premenstrual Dysphoric Disorder - American Family Physician

Oct 1, 2002 - From 2 to 10 percent of women of reproductive age have severe distress and dysfunction caused by premenstrual dysphoric disorder, a severe form of premenstrual syndrome. Current research implicates mechanisms of serotonin as relevant to etiology and treatment. Patients with mild to ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1001/p1239.html

Off-Label Applications for SSRIs - American Family Physician

Aug 1, 2003 - Selective serotonin reuptake inhibitors (SSRIs) are widely used because of their safety, tolerability, and demonstrated efficacy across a broad range of clinical conditions. Medical literature supports the use of SSRIs for the treatment of many conditions outside of the indications ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p498.html

Psychosocial and Psychological Interventions for Preventing Postpartum Depression - ...

Jun 1, 2014 - A range of prevention strategies can reduce the risk of postpartum depression, but more study is needed to determine which interventions are most effective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0601/p871.html

Collaborative Care for Depression and Anxiety - Cochrane for Clinicians - American ...

Apr 1, 2014 - The collaborative care model is effective for treating adults with depression and/or anxiety using a multiprofessional approach to patient care, a structured management plan, scheduled patient follow-ups, and enhanced interprofessional communication.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0401/p524.html

Second-Generation Antidepressants for Depression in Adults - Implementing AHRQ ...

Nov 15, 2013 - What are the comparative effectiveness and adverse effects of second-generation antidepressants for treating depression in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2013/1115/p687.html

Evaluation and Treatment of Patients with Suicidal Ideation - American Family Physician

Mar 15, 1999 - Suicidal ideation is more common than completed suicide. Most persons who commit suicide have a psychiatric disorder at the time of death. Because many patients with psychiatric disorders are seen by family physicians and other primary care practitioners rather than by psychiatrists, it...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1500.html

Efficient Identification of Adults with Depression and Dementia - American Family ...

Sep 15, 2004 - Family physicians must decide how to screen for depression or dementia and which patients to screen. Mental health questionnaires can be helpful. In practice-based screening, questionnaires are administered to all patients, regardless of risk status. In case-finding screening, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1101.html

APA Releases Guidelines on Treatment of Patients with Major Depressive Disorder - ...

May 15, 2011 - The American Psychiatric Association (APA) recently updated its guideline on the treatment of major depressive disorder. The new evidence-based guideline summarizes recommendations on the use of antidepressants and other drug therapies; psychotherapy, including cognitive behavior ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0515/p1219.html

Vilazodone (Viibryd) for the Treatment of Depression - STEPS - American Family Physician

Aug 15, 2013 - The available evidence does not support the routine use of vilazodone in the treatment of depression. It is significantly more expensive than generic alternatives and is no more effective for moderate to severe depression than selective serotonin reuptake inhibitors or tricyclic ...

American Family Physician : STEPS

https://www.aafp.org/afp/2013/0815/p263.html

Approaching the Suicidal Patient - American Family Physician

Nov 1, 2003 - The suicide of a patient can be devastating to the family and to the family physician. The patient's death may shake the physician's confidence, undermine any willingness to work with patients with a mental illness, and provoke professional and legal review. In an attempt to help the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1814.html

Exercise Effective for Depression in Older Patients - POEMs - American Family Physician

Dec 15, 2013 - An organized exercise program for older patients, which may include strength training, endurance training, or both, may be helpful for some patients with symptoms of depression. The results will not be striking, but exercise is an option for patients willing to participate.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1215/od2.html

Depression in Children and Adolescents - American Family Physician

Nov 15, 2000 - Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents. The clinical spectrum of the disease can range from simple sadness to a major depressive or bipolar disorder. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2297.html

Antidepressants: Update on New Agents and Indications - American Family Physician

Feb 1, 2003 - A number of antidepressants have emerged in the U.S. market in the past two decades. Selective serotonin reuptake inhibitors have become the drugs of choice in the treatment of depression, and they are also effective in the treatment of obsessive-compulsive disorder, panic disorder, and...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p547.html

Depression in Children and Adolescents - Clinical Evidence Handbook - American Family ...

Dec 15, 2012 - What are the effects of pharmacological and psychological treatments for depression in children and adolescents? What are the effects of combination and complementary treatments for depression in children and adolescents? What are the effects of treatments for refractory depression in ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/1215/p1138.html

Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary ...

Sep 15, 2002 - Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care physicians, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0915/p1001.html

Management of Bipolar Disorder - American Family Physician

Sep 15, 2000 - Bipolar disorder most commonly is diagnosed in persons between 18 and 24 years of age. The clinical presentations of this disorder are broad and include mania, hypomania and psychosis. Frequently associated comorbid conditions include substance abuse and anxiety disorders. Patients with...

American Family Physician : Article

https://www.aafp.org/afp/2000/0915/p1343.html

Differentiating Grief and Depression in Patients Who Are Seriously Ill - Editorials - ...

Aug 1, 2012 - Differentiating between grief and depression in a patient who is seriously ill is important because the management strategies for each condition are different. It can be difficult to distinguish between depression and grief because they have overlapping symptoms (i.e., sadness, crying, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0801/p232.html

Integrating Cognitive Behavioral Therapy into Management of Depression - Editorials - ...

Apr 1, 2012 - Cognitive behavioral therapy (CBT) is a well-established, scientifically proven treatment for patients with depression. For family physicians to take full advantage of this treatment, they must be able to understand the nature and application of CBT; access professional resources that ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0401/p686.html

Antidepressant Use During Pregnancy - FPIN's Clinical Inquiries - American Family ...

May 15, 2011 - There are no studies that have shown any antidepressant to be absolutely safe for use during any stage of pregnancy. The use of selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants (TCAs) during pregnancy does not increase the risk of congenital malformations or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0515/p1211.html

Antidepressants for Initial Treatment of Depression - AFP Journal Club - American ...

May 15, 2010 - Which antidepressants should be used for the initial treatment of depression? This quality multiple-treatment meta-analysis gives physicians a good starting point for choosing an antidepressant. Sertraline and escitalopram should be considered first-line agents whereas bupropion, ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2010/0515/p1205.html

Identifying and Managing Preparatory Grief and Depression at the End of Life - American...

Mar 1, 2002 - Grief and depression present similarly in patients who are dying. Conventional symptoms (e.g., frequent crying, weight loss, thoughts of death) used to assess for depression in these patients may be imprecise because these symptoms are also present in preparatory grief and as a part of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0301/p883.html

Assessment and Treatment of Depression Following Myocardial Infarction - American ...

Aug 15, 2001 - Approximately 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression. Major depression is present in 15 to 22 percent of these patients. Depression is an independent risk factor in the development of and mortality associated with ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0815/p641.html

Postpartum Major Depression: Detection and Treatment - American Family Physician

Apr 15, 1999 - Postpartum major depression occurs in approximately one of 10 childbearing women and is considerably underdiagnosed. If left untreated, the disorder can have serious adverse effects on the mother and her relationship with significant others, and on the child's emotional and psychologic ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2247.html

Depression Without Sadness: Alternative Presentations of Depression in Late Life - ...

Sep 1, 1999 - Older adults often deny feeling sad while exhibiting other characteristics of depression. Elderly patients with depression who do not present with sadness often have unexplained somatic complaints and exhibit a sense of hopelessness. Anxiety and anhedonia (a general loss of ability to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p820.html

Seasonal Affective Disorders - American Family Physician

Mar 15, 1998 - Seasonal affective disorder is a pattern of major depressive episodes that occur and remit with changes in seasons. It may be seen in major depressive or bipolar disorders, as described in the Diagnostic and Statistical. Manual of Mental Disorders (DSM-IV). The most recognized form of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1340.html

Screening for Depression in Adults: Recommendation Statement - U.S. Preventive Services...

Oct 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends screening adults for depression when staff-assisted depression care supports are in place to assure accurate diagnosis, effective treatment, and follow-up.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/1015/p976.html

Practical Management of Treatment-Resistant Depression - American Family Physician

Dec 1, 1998 - Patients receiving antidepressant monotherapy may be partially or totally resistant to treatment in 10 to 30 percent of cases. In patients who have experienced only partial treatment results, the clinician should first consider optimizing antidepressant dosage or lengthening therapy. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2059.html

Screening for Depression in Adults - Putting Prevention into Practice - American Family...

Oct 15, 2010 - Case study: C.J. is a 54-year-old man who presents with a request to refill his antihypertensive medication. He reports no problems; his blood pressure is well controlled on his current medication regimen; and his physical examination is unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2010/1015/p985.html

Translating a Guideline into Practice: The USPSTF Recommendations on Screening for ...

Oct 15, 2010 - In 2009, the U.S. Preventive Services Task Force (USPSTF) reaffirmed its support for screening for depression in adults, and expanded on its caveat that screening is effective only if support systems are in place for appropriate treatment of patients with positive screening results.

American Family Physician : Editorials

https://www.aafp.org/afp/2010/1015/p891.html

Depression in Women: Diagnostic and Treatment Considerations - American Family Physician

Jul 1, 1999 - Women experience depression twice as often as men. The diagnostic criteria for depression are the same for both sexes, but women with depression more frequently experience guilt, anxiety, increased appetite and sleep, weight gain and comorbid eating disorders. Women may achieve higher ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p225.html

Effectiveness of Antidepressants Compared with Placebo for Depression in Primary Care -...

Jul 1, 2010 - Tricyclic antidepressants (TCAs) and selective serotonin reuptake inhibitors (SSRIs) are more effective than placebo for the treatment of depression in primary care settings.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0701/p42.html

Screening and Treatment for Major Depressive Disorder in Children and Adolescents: ...

Jul 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends screening adolescents (12 to 18 years of age) for major depressive disorder (MDD) when systems are in place to ensure accurate diagnosis, psychotherapy (i.e., cognitive behavioral or interpersonal), and follow-up.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/0715/p178.html

Which Antidepressant Is Best to Avoid Sexual Dysfunction? - FPIN's Clinical Inquiries -...

May 15, 2004 - Bupropion (Wellbutrin), nefazodone (Serzone), amitriptyline (Elavil), and moclobemide (Manerix, a reversible inhibitor of monoamine oxidase type A not available in the United States) have been shown to cause less sexual dysfunction than selective serotonin reuptake inhibitors (SSRIs).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0515/p2419.html

Screening and Treatment for Major Depressive Disorder in Children and Adolescents - ...

Jul 15, 2010 - Case study: A woman brings her two children, a 14-year-old boy and a nine-year-old girl, to your office for a routine checkup. She tells you that her husband has major depression, and she wants to know whether her children should be checked for early signs of depression.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2010/0715/p185.html

Health Issues in Men: Part II. Common Psychosocial Disorders - American Family Physician

Jul 1, 2000 - During screening examinations and, when appropriate, other health-related visits, family physicians should be alert for signs and symptoms of common psychosocial disorders in men. Health issues of concern include alcohol and substance abuse, domestic violence, midlife crisis and ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0701/p117.html

ACP Guideline on Second-Generation Antidepressants for Depression Treatment - Practice ...

Aug 1, 2009 - The American College of Physicians (ACP) released a clinical guideline that gave recommendations for using second-generation antidepressants in the treatment of depressive disorders and accompanying symptoms in adults. Depressive disorders addressed in the guideline include major ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0801/p291.html

Screening Instruments for Depression - Point-of-Care Guides - American Family Physician

Jul 15, 2008 - Although depression is common in the primary care setting, accurate identification of these patients is challenging. A variety of screening instruments for depression have been developed and validated. They range from relatively lengthy and complex instruments, such as the 21-item Beck ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0715/p244.html

Selegiline Transdermal Patch (Emsam) for Major Depressive Disorder - STEPS - American ...

Feb 15, 2008 - Transdermal selegiline is an expensive treatment option for patients with major depressive disorder who have not responded to other antidepressants or who cannot swallow or take oral medications. Based on guidelines from the American Psychiatric Association, MAO inhibitor ...

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0215/p505.html

Aripiprazole as Adjunctive Therapy in Patients with Major Depressive Disorder - AFP ...

Aug 1, 2008 - Does augmentation with aripiprazole help patients with major depressive disorder who have not responded to initial therapy? Adding aripiprazole to SSRIs or SNRIs did not significantly improve depression in this study. However, this study did not compare the study drug with a real-world ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0801/p308.html

GLAD-PC Steering Group Releases Guidelines for the Management of Adolescent Depression ...

Sep 1, 2008 - The Guidelines for Adolescent Depression in Primary Care (GLAD-PC) Steering Group developed the first evidence-based, expert consensus-derived guidelines for the management of adolescent depression by primary care physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0901/p652.html

Depression in Post-MI Patients: An Opportunity for Primary Care - Editorials - American...

Nov 1, 2009 - Advertisement << Previous article Next article >> Nov 1, 2009 Issue Editorials Depression in Post-MI Patients: An Opportunity for Primary Care DONALD E. NEASE, JR., MD, University of Michigan Medical School, Ann Arbor, Michigan Am Fam Physician. 2009 Nov 1;80(9):917. The American...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/1101/p917.html

Practice Guidelines - Aug 15, 2007 - American Family Physician

Aug 15, 2007 - The Centers for Disease Control and Prevention (CDC) has released a report on the racial differences in patients with end-stage renal disease (ESRD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0815/p587a.html

Practice Guidelines - Aug 15, 2007 - American Family Physician

Aug 15, 2007 - New guidelines on the use of selective serotonin reuptake inhibitors (SSRIs) during pregnancy are available from the American College of Obstetricians and Gynecologists (ACOG).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0815/p587.html

Antidepressants in Older Persons - Cochrane for Clinicians - American Family Physician

Nov 1, 2006 - In older persons with depression, three classes of antidepressants are equally effective: selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, and tricyclic-like compounds. More patients taking classic tricyclic antidepressants stopped their medications because of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1101/p1503.html

Psychosocial Interventions Delivered by Primary Care Physicians to Patients with ...

Nov 1, 2006 - Few high-quality studies have been conducted examining the effectiveness of psychosocial interventions performed by primary care physicians for patients with major depression. Two randomized controlled clinical trials (RCTs) found that a psychosocial intervention, specifically ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/1101/p1580.html

Depressive Disorders - Clinical Evidence Handbook - American Family Physician

Jun 1, 2006 - What are the effects of treatments in mild to moderate or severe depression? Which interventions reduce relapse rates? What are the effects of interventions to improve delivery of treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0601/p1999.html

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