Anxiety and Depression

Course Outline

Part 1: Depressive Illness: Overview Patient’s Guide

Chapter 1. Depressive Illnesses

  • Depression Is An Illness
  • Recognizing Serious Depression
  • Clinical Evaluation
  • Suicide
  • Causes of Depression
  • Genetic Factors
  • Biochemical Factors
  • Environment and Other Factors
  • Treatments
  • Drug Therapy
  • Psychosocial Therapy
  • Electroconvulsive Therapy
  • Treatment Choice
  • Mild Episodes
  • Moderate Depressions
  • Severe Depressions
  • Hospitalization
  • Chronic Depressions
  • Childhood Depressions
  • Adolescent Depressions
  • Depression Among The Aged
  • Helping The Depressed Persons
  • Where To Receive Treatment

Chapter 2. Depression In Women

  • A Picture of Depression
  • What is Depression?
  • Types of Depressive Illness
  • Symptoms of Depression and Mania
  • Causes of Depression
  • The Many Dimensions Of Depression In Women
  • Women At Risk
  • Developmental Roles
  • Reproductive Life Cycle
  • Specific Cultural Considerations
  • Depression Is A Treatable Illness
  • Helping Resources
  • Helping Yourself
  • Helping The Depressed Person
  • References

Chapter 3. Depression Is A Treatable Illness: A Patient’s Guide

  • People Who Treat Depression
  • Symptoms of Depression
  • Another Form of Depression
  • Preparing For Your First Visit
  • Severe? Moderate? Mild?
  • Treating Depression
  • Types of Treatment
  • How Treatment Works
  • Choosing a Treatment
  • About Hospitalization
  • If You Have Concerns About Your Treatment.
  • Antidepressant Medicines
  • My Questions About Medicine
  • Feeling Better
  • Psychotherapy
  • Types of Psychotherapy
  • Choosing Psychotherapy
  • Electroconvulsive Therapy
  • Light Therapy
  • Taking Care of Yourself
  • Talking to Others About Depression
  • Your Family and Friends
  • Your Children
  • Weekly Activity Record

Part II. Detection and Diagnosis of Depression

  • Panel Members
  • Abstract
  • Executive Summary
  • Overview

Chapter 1. Guideline Development

  • Background
  • Definition of Depression
  • Literature Reviews and Guideline Development
  • Interpretation of Scientific Literature

Chapter 2. Guideline: Overview of Mood Disorders

  • Major Depressive Disorder
  • Clinical Features and Course
  • Epidemiology
  • Costs of Untreated Major Depressive Disorder
  • Subgroups of Major Depressive Disorder
  • Dysthymic Disorder
  • Costs of Untreated Dysthymic Disorder
  • Depression Not Otherwise Specified
  • Costs of Untreated DNOS
  • Bipolar Disorders
  • Subtypes of Bipolar Disorder
  • Cyclothymic Disorder
  • Mood Disorder in Special Age Populations
  • Children and Adolescents
  • Geriatric Patients

Chapter 3. Guideline: Depression Co-Occurring with Other Psychiatric Conditions

  • Alcohol/Drug Abuse or Dependency
  • Anxiety Disorders
  • Eating Disorders
  • Obsessive-Compulsive Disorders
  • Somatization Disorder
  • Personality Disorders
  • Grief and Adjustment Reactions

Chapter 4. Guideline: Depression Co-Occurring with Other General Medical Disorders

  • Stroke
  • Dementia
  • Diabetes
  • Coronary Artery Disease
  • Cancer
  • Chronic Fatigue Syndrome
  • Fibromyalgia

Chapter 5. Guideline: Depression Associated with Medications

  • Antihypertensives
  • Hormones
  • Histamine-2 Receptor Blockers
  • Anticonvulsants
  • Levodopa
  • Antibiotics
  • Antiarrhythmics

Chapter 6. Guideline: Detection of Depression

  • Clinical Clues
  • Screening Instruments
  • Patient Self-Report Questionnaires
  • Clinician-Completed Rating Scales
  • Differential Diagnosis of Depression
  • Laboratory Tests
  • Psychological Tests
  • Ongoing Clinical Reassessment
  • References
  • Acronyms

Part III. Treatment of Major Depression

  • Abstract
  • Executive Summary
  • Overview

Chapter 1. Guideline Development and Methodology

  • Rationale for Guideline Development-The Cost of Depression
  • Methodological Background
  • Specific Methodological Strategies
  • Review of the Literature
  • Meta-Analysis

Chapter 2. Guideline: Aims of Treatment

  • Benefits and Harms of Treatment
  • Medications
  • Psychotherapy
  • Combination of Medication and Psychotherapy
  • Electroconvulsive Therapy
  • Clinical Management
  • Improving Adherence to Treatment
  • Measuring Outcome
  • Declaring a Treatment Response or Failure
  • Switching Versus Augmenting Treatments

Chapter 3. Guideline: Strategic Planning for Acute Phase Treatment

  • Objectives of Acute Phase Treatment
  • Indications for Acute Phase Treatment
  • Treatment Selection
  • Selection of Medication
  • Selection of Psychotherapy Alone
  • Selection of Combined Treatment
  • Select of ECT
  • Treatment Refusal

Chapter 4. Guideline: Acute Phase Management with Medication

  • Indications for Acute Phase Medication
  • Evidence of Efficacy
  • Antidepressant Medication Selection
  • Frequency of Visits
  • Medication Dosage Adjustments
  • Antidepressant Drug Blood Levels
  • Failure to Respond
  • Continue Medication
  • Switch Medication
  • Augment Medication
  • Add Psychotherapy
  • Obtain a Consultation

Chapter 5. Guideline: Acute Phase Management with Psychotherapy

  • Objectives and Indications
  • Evidence for Efficacy
  • Cognitive Therapy
  • Behavioral Therapy
  • Interpersonal Psychotherapy
  • Martial Therapy
  • Brief Dynamic Psychotherapy
  • Factors Affecting Response to Psychotherapy
  • Selection of a Psychotherapy
  • Frequency of Visits
  • Failure to Respond

Chapter 6. Guideline: Acute Phase Management with Medication and Psychotherapy

  • Objectives and Indications
  • Evidence of Efficacy
  • Selection of a Combined Treatment
  • Frequency of Visits
  • Dosage Adjustments
  • Failure to Respond

Chapter 7. Guideline: Acute Phase Management with ECT

Chapter 8. Guideline: Special Situations

  • The Suicidal Patient
  • Geriatric Depression
  • Seasonal Depression
  • Depression and Other Nonpsychiatric Medical Disorders
  • Depression and Other Psychiatric Disorders

Chapter 9. Guideline: Continuation and Maintenance Treatment Options

  • Objectives and Indications for Continuation Treatment
  • Objectives and Indications for Maintenance Treatment
  • Continuation/Maintenance Phase Management with Medication
  • Evidence of Efficacy
  • Frequency of Visits
  • Medication Dosage Adjustments and Antidepressant
  • Symptom Breakthrough
  • Discontinuation of Medication
  • Continuation/Maintenance Phase Management with Psychotherapy
  • Cognitive Therapy
  • Behavioral Therapy
  • Interpersonal Psychotherapy
  • Marital Therapy
  • Brief Dynamic Psychotherapy
  • Factors Affecting Decisions about Continuation/Maintenance
  • Continuation/Maintenance Phase Management with the Combination of Medication and Psychotherapy
  • Discontinuation of Treatment
  • A Second Opinion or Referral
  • Primary Care Practitioners
  • Patients and Families
  • Consultations with Mental Health Care Professionals
  • References
  • Acronyms
  • Glossary
  • Contributors


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