NPS key messages on depression

Depression is a common problem in primary care, ranking second after hypertension among the chronic problems most frequently seen by Australian general practitioners during 2010–11.^1,2

The NPS program Depression — challenges in primary care covers current guidance for health professionals on managing depression.

Key messages

• Assess the severity of depressive symptoms to inform treatment decisions.
• Consider non-drug treatments first in minor or mild depression and alongside antidepressants in more severe depression.
• Consider an antidepressant for moderate-to-severe major depressive disorder.
• Assess the specific risks of antidepressants in older people (> 65 years), including comorbidities, drug interactions and reduced clearance.
• Advise patients what to expect from antidepressant treatment.
  

Read NPS News 78 for in-depth information about selecting an antidepressant, non-response to antidepressant treatment, physical exercise for depression, and other topics.

NPS Prescribing Practice Review 58 gives practical advice for health professionals and the supporting evidence.