Depression in Primary Care
10.21215/kjfp.2020.10.6.401
- Author:
Jinyoung SHIN
1
Author Information
1. Department of Family Medicine, Konkuk University School of Medicine, Seoul, Korea
- Publication Type:Review Article
- From:
Korean Journal of Family Practice
2020;10(6):401-406
- CountryRepublic of Korea
- Language:English
-
Abstract:
Depression is a commonly encountered condition in the primary care that indicates low mood, loss of energy, sadness, loss of pleasure, sleep disorders or poor appetite, fatigue, and poor concentration. Of all the patients visiting the primary care, screening tests should be considered for the high-risk group and diagnosed using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The purpose of treatment should be to assess and prevent the risk of suicides and administer medications, psychotherapy, and counseling to alleviate depression and restore daily life. Antidepressants are selected based on the comorbidities, side effects, and preferences of patients. These should be administered for a sufficient duration, followed by gradual reduction of the dosage and subsequent discontinuation of the drug. Counseling or psychotherapy may be considered for the treatment of depression. Primary care physicians should be skilled for screening, diagnosis, treatment, and counseling. Efficient treatment of depression in the primary care requires collaboration with the caregivers, psychiatrists, and nurse practitioners for assistance in its management.
