Clinical Intelligence
An evidence-based first consultation for depression: nine key messages
Bruce Arroll, Weng Yee Chin, Fiona Moir and Christopher Dowrick
British Journal of General Practice 2018; 68 (669): 200-201. DOI: https://doi.org/10.3399/bjgp18X695681
Bruce Arroll
Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.
PhD, FRNZCGP (Distinguished)Roles: Professor
Weng Yee Chin
Department of Family Medicine and Primary Care, Bau Institute of Medical and Health Sciences Education, University of Hong Kong, Hong Kong.
MD FRACGPRoles: Assistant professor
Fiona Moir
Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.
PhDRoles: Senior lecturer
Christopher Dowrick
University of Liverpool, Liverpool, UK.
BA, MSc, MD, FRCGPRoles: Professor of primary medical care
In this issue
An evidence-based first consultation for depression: nine key messages
Bruce Arroll, Weng Yee Chin, Fiona Moir, Christopher Dowrick
British Journal of General Practice 2018; 68 (669): 200-201. DOI: 10.3399/bjgp18X695681
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- Top
- Article
- 1. DEPRESSION IS COMMON IN PRIMARY CARE BUT MANY PATIENTS MAY NOT RECEIVE A MENTAL HEALTH DIAGNOSIS
- 2. HOW IMPORTANT IS IT TO HAVE A DIAGNOSIS OF DEPRESSION OR ANXIETY VERSUS ‘BEING HEARD AND UNDERSTOOD’?
- 3. DIFFERENTIATING PSYCHOLOGICAL DISTRESS FROM DEPRESSION CAN BE VERY CHALLENGING, PARTICULARLY ON THE FIRST VISIT
- 4. MOST PATIENTS WITH DEPRESSION PRESENT WITH SOMATIC SYMPTOMS, SO OPEN THE CONSULTATION BY INCLUDING MENTAL ALONGSIDE PHYSICAL HEALTH
- 5. RULE OUT DEPRESSION BY USING TWO QUESTIONS AND EXPLORE FURTHER IF THERE IS A POSITIVE RESPONSE
- 6. ONE-OFF HIGH DEPRESSION SCORES DO NOT NECESSARILY SIGNIFY MAJOR DEPRESSION AND ARE LIKELY TO BE LOWER AT THE NEXT VISIT
- 7. CONSIDER NON-DRUG INTERVENTIONS FIRST
- 8. THINK VERY CAREFULLY BEFORE COMMENCING ANTIDEPRESSANT MEDICATION ON THE FIRST VISIT
- 9. SEE THE PATIENT AGAIN IN 1 WEEK (IF POSSIBLE) AND CONSIDER PHONING THEM BETWEEN VISITS
- Acknowledgments
- Notes
- REFERENCES
- Info
- eLetters
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