Abstract

Approximately 1 in 10 primary care patients has major depressive disorder, and its presence is associated with poor health outcomes in numerous medical conditions. Using the case of Mr J, a 52-year-old man with depressive symptoms and several comorbid medical conditions, diagnosis and treatment of depression are discussed. Specific topics include evidence regarding appropriate depression screening and diagnosis, the importance of team-based care, patient self-management, exercise, structured psychotherapy, pharmacotherapy, monitoring of therapy, and indications for referral.

Links

Publisher Full Text

Publisher Full Text

Authors

Whooley MA

Institution

University of California, San Francisco, and Department of Veterans Affairs Medical Center, San Francisco, CA 94121, USA. mary.whooley@ucsf.edu

Source

JAMA : the journal of the American Medical Association 307:17 2012 May 2 pg 1848-57

MeSH

Antidepressive Agents
Depression
Exercise
Fatty Liver
Gastroesophageal Reflux
Humans
Hyperlipidemias
Hypertension
Low Back Pain
Male
Middle Aged
Obesity
Psychotherapy
Referral and Consultation
Self Care
Sleep Apnea Syndromes
Spondylosis

Pub Type(s)

Case Reports
Clinical Conference
Journal Article

Language

eng

PubMed ID

22550199