Skip to main content

Depression

Grant M. Reed, DO and Johan Sosa De La Cruz, MD Reviewed 06/2020
 


BASICS

DESCRIPTION

A primary mood disorder characterized by a sustained feeling of sadness and/or decreased interest in all or most activities once enjoyed (anhedonia), which represents a change from p...

DIAGNOSIS

DSM-5 requires the following criteria for Major Depressive Disorder: 
  • Criterion A: ≥5 of the following symptoms present nearly every day during the same 2-week period, with at least 1 of the ...

TREATMENT

American Psychiatric Association (APA) 2010 treatment guideline recommend the following (1)[C]: 
  • Acute Phase (first 3 months of treatment)

    • Full evaluation, including risk to self and others, w...

ONGOING CARE

PATIENT EDUCATION

  • Depression is a common, treatable medical illness and not a character defect.

  • Medications may need to be taken for at least 2–4 weeks before any beneficial effect is noted...

REFERENCES

1
American Psychiatric Association. Practice guideline for the treatment of patients with major depressive disorder. 2010. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidel...

ADDITIONAL READING

SEE ALSO

  • Depression, Adolescent; Depression, Geriatric; Depression, Pediatric; Depression, Postpartum; Depression, Treatment Resistant; Suicide; Suicide, Pediatric

  • Algorithm: Depressi...

CODES

ICD10

  • F32.9 Major depressive disorder, single episode, unspecified

  • F33.9 Major depressive disorder, recurrent, unspecified

  • F34.1 Dysthymic disorder

  • F32.8 Other depressive episodes

  • F33.8 Other recurre...

CLINICAL PEARLS

  • Therapeutic alliance is important to treatment success.

  • Given the high recurrence rates, long-term treatment is often necessary.

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×