By vgreene, 4 October, 2020 Check drug use esp sedatives interferon alpha varenicline 3 OTC other psychoactive substances eg caffeine nicotine
By vgreene, 4 October, 2020 Assess psychiatric comorbidities3 substance use anxiety PTSD may uarr depression complicate tx 1 darr cognitive fxn mania hypomania
By vgreene, 4 October, 2020 R O secondary MDD causes 1 3 hypothyroidism 1 3 B12 deficiency syphilis pain 1 dementia delirium Parkinson dz stroke connective tissue dz 3 other chronic dz1 3
By vgreene, 4 October, 2020 R/O persistent depressive disorder (aka dysthymia),<sup>APA</sup> subsyndromal depression, bipolar disorder (if misdiagnosed, antidepressants alone may destabilize pt),<sup>ICSI</sup> other specified depressive disorder, unspecified depressive disorder,<s
By vgreene, 4 October, 2020 Criterion C Episode not attributable to physiological effects of substance or another condition1
By vgreene, 4 October, 2020 Criterion B: Sx cause significant distress or functional impairment<sup>1</sup>
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
By vgreene, 4 October, 2020 Diminished ability to think, concentrate, or indecisiveness, nearly every day
