Depression and Bipolar Disorder

Apr 1, 2012 Issue
Integrating Cognitive Behavioral Therapy into Management of Depression [Editorials]

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 support effect...

Jan 15, 2012 Issue
Screening for Depression [Article]

In the United States, depression affects up to 9 percent of patients and accounts for more than $43 billion in medical care costs. The U.S. Preventive Services Task Force recommends screening in adolescents and adults in clinical practices that have systems in place to ensure accurate diagnosis, eff...

Nov 15, 2011 Issue
Clinical Vignettes in Geriatric Depression [Article]

The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the diagnosis. Treat...

Oct 15, 2011 Issue
Premenstrual Syndrome and Premenstrual Dysphoric Disorder [Article]

Premenstrual syndrome is defined as recurrent moderate psychological and physical symptoms that occur during the luteal phase of menses and resolve with menstruation. It affects 20 to 32 percent of premenopausal women. Women with premenstrual dysphoric disorder experience affective or somatic sympto...

May 15, 2011 Issue
APA Releases Guidelines on Treatment of Patients with Major Depressive Disorder [Practice Guidelines]

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 therapy; and electroconvulsive therapy (ECT).

May 15, 2011 Issue
Antidepressant Use During Pregnancy [FPIN's Clinical Inquiries]

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 miscarriage.

Oct 15, 2010 Issue
Screening for Depression in Adults: Recommendation Statement [U.S. Preventive Services Task Force]

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.

Oct 15, 2010 Issue
Translating a Guideline into Practice: The USPSTF Recommendations on Screening for Depression in Adults [Editorials]

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.

Oct 15, 2010 Issue
Postpartum Major Depression [Article]

Postpartum major depression is a disorder that is often unrecognized and must be distinguished from “baby blues.” Antenatal depressive symptoms, a history of major depressive disorder, or previous postpartum major depression significantly increase the risk of postpartum major depression. Screening...

Oct 15, 2010 Issue
Screening for Depression in Adults [Putting Prevention into Practice]

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.

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