By vgreene, 4 October, 2020 Check drug use esp sedatives interferon alpha varenicline 1 OTC other psychoactive substances eg caffeine nicotine
By vgreene, 4 October, 2020 Assess psychiatric comorbidities1 substance use anxiety PTSD may uarr depression complicate tx 2 darr cognitive fxn mania hypomania
By vgreene, 4 October, 2020 R O secondary MDD causes 1 2 hypothyroidism 1 2 B12 deficiency syphilis pain 2 dementia delirium Parkinson dz stroke connective tissue dz 1 other chronic dz1 2
By vgreene, 4 October, 2020 R O persistent depressive disorder aka dysthymia 5 subsyndromal depression bipolar disorder if misdiagnosed antidepressants alone may destabilize pt 1 other specified depressive disorder unspecified depressive disorder 1 anxiety somatic conditions etc1
By vgreene, 4 October, 2020 Criterion C Episode not attributable to physiological effects of substance or another condition2
By vgreene, 4 October, 2020 Criterion A: ≥5 sx present during same 2-wk period; at least 1 sx is either (1) depressed mood or (2) loss of interest/pleasure:
By vgreene, 4 October, 2020 Recurrent thought of death, recurrent suicidal ideation w/o a specific plan, or a suicide attempt or a specific plan for committing suicide
