By vgreene, 4 October, 2020 Measurement based care MBC Incorporate MBC eg PHQ 9 in initial assessment
By vgreene, 4 October, 2020 Labs Test for secondary causes of MDD Check TSH CBC chem profile B12 pregnancy screen tox panel as clinically indicated Give uarr consideration to lab tests esp if 1st major depressive episode occurs 40 yo for older pts in general if presence of sx that a
By vgreene, 4 October, 2020 Physical exam Focused exam as indicated by review of systems 3 R O depression secondary to other causes eg hypothyroidism vit B12 deficiency syphilis pain chronic dz 1
By vgreene, 4 October, 2020 Refer to emergent inpt care for stabilization 1 Likelihood of lifetime suicide attempt 5x greater for MDD pts 2 follow local state federal regulations mandates
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
