Depression: tailoring initial treatment and re-examining the options

Case study for GPs, pharmacists, nurses

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Now with custom-built versions for each profession

Two different patients with depression. How would you progress their initial care?

Brittany is a 22-year-old university student in her last year of study who is feeling down and having trouble sleeping and concentrating. Brittany’s goal is to concentrate at uni and feel better.

Meanwhile 58-year-old Phil is feeling “flat”  and “detached” 6 weeks after a myocardial infarction. He wants to get back to work.

How will you assess and manage these patients? Is the oral contraceptive pill likely to be contributing to Brittany’s depression? Will antidepressants interact with Phil’s low dose aspirin or statin treatment?

Complete this online case study and you can receive instant feedback on your answers, compare your approach to that of your peers and read expert commentary provided by leading psychiatrist Dr Caryl Barnes.

Customised for your profession

Case study for GPs

Learning outcomes

By completing this case study you will be able to:

  1. Develop management plans in collaboration with patients who have depression.
  2. Suggest non-pharmacological interventions firstline for mild and moderate depression when these can be as or more effective than antidepressant medicines.
  3. Select and trial a suitable antidepressant considering both medicine and patient characteristics, when starting pharmacological treatment.
  4. Employ strategies to improve patient adherence to treatment.
  5. Implement a systematic approach to starting and assessing treatment for depression, in line with current guidelines.

CPD and incentives

This activity has been approved by the RACGP for 2 (Category 2) points for the 2014-2016 triennium (activity ID 38277). This activity has been approved for Mental Health CPD.

This activity has been accredited by ACRRM for 1 Core point for the 2014-2016 triennium (code 4960)

This activity is recognised for the Practice Incentives Program Quality Prescribing Incentive (PIP QPI).

Case study for pharmacists

APC accredited CPD logo

Learning outcomes

By completing this case study you will be able to:

  1. Discuss management plans with patients who have depression.
  2. Outline non-pharmacological interventions for mild and moderate depression that are likely to be as or more effective than antidepressant medicines.
  3. Assess for, and discuss, adverse effects of antidepressants.
  4. Employ strategies to improve patient adherence to treatment with antidepressant medicines.

CPD and incentives

Accreditation number: CX160008. This activity has been accredited for 1 hour of Group 1 CPD (or 1 CPD credit) suitable for inclusion in an individual pharmacist’s CPD plan which can be converted to 1 hour of Group 2 CPD (or 2 CPD credits) upon successful completion of relevant assessment activities.

Our case studies help pharmacists to meet the following competency standards as set out in the National Competency Standards Framework for Pharmacists in Australia 2010:

  • 1.2 Practise to accepted standards
  • 1.3 Deliver 'patient-centred' care
  • 4.2 Consider the appropriateness of prescribed medicines
  • 6.1 Assess primary health care needs
  • 6.2 Deliver primary health care
  • 7.1 Contribute to therapeutic decision making.

Case study for nurses

Learning outcomes

By completing this case study you will be able to:

  1. Develop management plans with patients who have depression.
  2. Outline non-pharmacological interventions for mild and moderate depression that are likely to be as or more effective than antidepressant medicines.
  3. Assess for, and discuss, adverse effects of antidepressants.
  4. Employ strategies to improve patient adherence to treatment with antidepressant medicines.

CPD and incentives

This activity is endorsed by ACN according to our Continuing Professional Development Endorsed Course Standards. It has been allocated 1 CPD hour(s) according to the Nursing and Midwifery Board of Australia – Continuing Professional Development Standard.

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