Clinical case study
Depression: tailoring initial treatment and re-examining the options
Depression treatment should be tailored to the individual patient. Meet two different patients with depression. How would you progress their initial care?
This activity has been accredited for 2 (Category 2) points in the RACGP QI & CPD Program for the 2017 - 2019 triennium (activity number 92227). This activity has been approved for Mental Health CPD.
This activity has been accredited for 1 core points in the ACRRM PD Program for the 2017 - 2019 triennium (activity code: 7907).
Recognised for the Practice Incentives Program Quality Prescribing Incentive (PIP QPI)
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.
By completing this case study you will be able to:
- develop management plans in collaboration with patients who have depression
- suggest non-pharmacological interventions first-line for mild and moderate depression when these can be as or more effective than antidepressant medicines
- select and trial a suitable antidepressant considering both medicine and patient characteristics, when starting pharmacological treatment
- employ strategies to improve patient adherence to treatment
- implement a systematic approach to starting and assessing treatment for depression, in line with current guidelines.