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A terrific TED talk that speaks to us about the seriousness of clinical depression, about the importance of accepting treatment, and — most importantly — about hope.
Short items about news that is relevant to clinicians
The sadness that occurs after loosing a loved one can resemble an abnormal or clinical depression — a major depressive episode — in many ways. There is no foolproof or easy way of differentiating between the two and a thoughtful evaluation is needed. This post is not a full discussion of this challenging topic, but the DSM-5 discusses some clinical differences that can be helpful. However, these are written in text of DSM-5 and hard to clearly grasp and remember until broken up into their component parts and put them in a table. I made a table and am sharing it here as a quick tip.
It is now quite common for patients to be seeing a psychiatrist/nurse practitioner and also a therapist. The psychiatrist/ nurse practitioner focuses more on assessment and on prescribing medication. Just like there are excellent prescribers and not-so-great prescribers, there are excellent therapists and not-so-great therapists. It is often hard for the prescribing clinician to evaluate how the therapy is going, what happens during the therapy, and so on. The best thing to do is to speak to the therapist periodically and pay close attention to what the therapist says.
Anyway, talking to therapist is time consuming when you are seeing many patients who have an independent therapist. You can also ask your patient about the therapy. Ask your patient the following three questions…
If a patient comes in on one the newest medications for major depression or bipolar depression OR you need to try your patient on one of them, will you know what is clinically needed or very little? If a drug rep tries to “educate” you about one of the newest antidepressants, will you need that education and not know how to separate the facts from the hype? Or will you be an “up-to-date clinician” who has briefly reviewed key issues and can speak confidently about the medication?
In this interview, I talk about antidepressant-induced excessive sweating (ADIES). Antidepressant-induced excessive sweating (ADIES) can occur with all or almost all antidepressants. The rates for ADIES with different antidepressants reported in the Physician’s Desk Reference (www.pdr.net) vary from 5% to 14% of patients on an SSRI or SNRI.
Five questions about practical issues related to side effects of psychiatric medications…
When encouraging a patient to form a habit – of exercising, for example – here’s a simple technique that you can suggest. It is based on the idea that it is helpful for the person to be able to SEE how she is doing.
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Copyright 2016, Rajnish Mago, MD. All rights reserved. May not be reproduced in any form without express written permission.
Disclaimer: The content on this website is provided as general education for medical professionals. It is not intended or recommended for patients or other laypersons, or as a substitute for medical advice, diagnosis, or treatment. Patients must always consult a qualified health care professional regarding their diagnosis and treatment. Healthcare professionals should always check this website for the most recently updated information.