By vgreene, 4 October, 2020 Consider adverse effects commonly assoc w/ second-gen antidepressants (eg, constipation, diarrhea, dizziness, HA, insomnia, nausea, sexual adverse events, and somnolence)ACP
By vgreene, 4 October, 2020 Counsel that w/o long-term antidepressant tx, major depressive relapses/recurrences occur in 50%-80% of ptsICSI
By vgreene, 4 October, 2020 If neither drug nor psychotherapy acceptable consider bright light tx St John s wort 2 3 exercise 1 2 bibliotherapy non directive supportive tx or psychodynamic tx3
By vgreene, 4 October, 2020 Offer either drug or psychotherapy as initial 1st line tx for uncomplicated MDD both equally efficacious 1 3 Psychotherapy preferred for subclinical sx 2 ICSI recommends psychotherapy drug if mono tx used psychotherapy preferred4
By vgreene, 4 October, 2020 Refer to emergent inpt care for stabilization 1 Follow local state federal regulations mandates
By vgreene, 4 October, 2020 If MDD dx confirmed assess relapse recurrence potential Relapse depressive sx return during same episode ie in acute 6 12wk or continuation 4 9mo phase Recurrence depressive sx return in new distinct episode ie during maintenance phase 1y 6
