By Mary A. Whooley, MD. Published in JAMA, May 2, 2012—Vol 307, No. 17.
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.
Link is to full article, available for free.
http://www.u2interactive.com/pdf/JAMAcc2012.pdf
Additional Resources
-
resourceAssociations between trauma exposure and symptoms of depression and anxiety among first, second, and later-generation immigrant college students
-
resourceThe role of maternal postmigration living difficulties in intergenerational trauma transmission among asylum-seeker mother–child dyads
-
resourceA Scoping Review of Family-Based Interventions for Immigrant/Refugee Children: Exploring Intergenerational Trauma
-
resourceUnpacking the Wounds of Cultural Displacement: Trauma, Healing, and Reconciliation in Jhumpa Lahiri’s The Namesake