PHRM 311 Lecture Notes - Lecture 6: Fluoxetine, Insomnia, Trazodone
Document Summary
(cid:1010)(cid:856) therape(cid:437)(cid:415)c(cid:400) of major depre(cid:400)(cid:400)i(cid:448)e di(cid:400)order (cid:894)par(cid:410) (cid:1006)(cid:895) Time needed for bene t from most interven(cid:415)ons (cid:894)o(cid:332)en several weeks(cid:895) A long list of well-tolerated and poten(cid:415)ally e ec(cid:415)ve medica(cid:415)ons. Other alterna(cid:415)ves (cid:894)ect, vns, rtms, bright light therapy(cid:895) Best evidence for success comes from mul(cid:415)faceted interven(cid:415)ons. Goal(cid:400) : remission of symptoms, prevent suicide, and restore normal func(cid:415)oning. Ideally, the acute phase nishes once (cid:400)(cid:455)mp(cid:410)om remi(cid:400)(cid:400)ion i(cid:400) achie(cid:448)ed (cid:894)goals of therapy achieved(cid:895) Ini(cid:415)al evalua(cid:415)on (cid:894)medical/family/psychiatric history, previous hospitaliza(cid:415)ons, suicide a(cid:425)empts(cid:895) Psychotherapies are as e ec(cid:415)ve as medica(cid:415)ons for mild-moderate depression. Other alterna(cid:415)ves (cid:894)ect, vns, rtms, bright light therapy(cid:895) reserved for speci c cases or treatment resistance. Combina(cid:415)on of psychotherapy (cid:1085) medica(cid:415)ons has superior e cacy than meds alone. Web-based cbt can be equally e ec(cid:415)ve to therapist-delivered cbt. Remember: cost (cid:1085) barriers to access services exist! Nice updates periodically, edits in (cid:1006)(cid:1004)(cid:1005)(cid:1013) and (cid:1006)(cid:1004)(cid:1006)(cid:1004) Canadian network for mood and anxiety treatments (cid:894)canmat(cid:895) (cid:1006)(cid:1004)(cid:1005)(cid:1010)
