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Detection and Management of Depression

A fundamental change in healthcare delivery is the necessity for primary care physicians to often identify and provide care for depression. The new role addresses patient needs as most people who seek help for depression first visit their primary care doctors.

Consequently, these professionals, along with mental health professionals and insurers, have been looking for ways to better identify and treat depression.

Depressed patients are often reluctant to bring up the subject with their doctors, so a short but valid screening test could help with detection and diagnosis.

The Harvard Mental Health Letter says doctors might start by asking patients two questions: Over the past two weeks, have you felt down, depressed, or hopeless? Over the past two weeks, have you felt little interest or pleasure in doing what you normally do?

Studies suggest that almost every patient who needs treatment for depression will answer yes to at least one of these questions.

Other new approaches focus on managing the treatment of depressed patients. In one program, for example, a depression care manager provided telephone checkups and a relapse prevention plan, and patients were referred to a psychiatrist if they did not improve.

Nearly half of patients in the program showed a reduction of at least 50% in depressive symptoms, compared with 19% in usual care, and differences persisted even a year after the program ended.

Two general reviews covering dozens of studies have found that depressed patients in management programs are more likely to comply with treatment and more satisfied with the results.

“Thankfully, attitudes toward depression have improved over the last 20 years, which has opened up the possibility for wider use of care management systems,” says Dr. Michael Miller, editor in chief of the Harvard Mental Health Letter.

Source: Harvard Mental Health Letter

Detection and Management of Depression

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Detection and Management of Depression. Psych Central. Retrieved on August 17, 2018, from https://psychcentral.com/news/2006/08/31/detection-and-management-of-depression/233.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.