Diagnosis and Management of Late Life Depression: A Guide for the Primary Care Physician

1997 ◽  
Vol 27 (3) ◽  
pp. 269-281 ◽  
Author(s):  
David K. Conn ◽  
Allan B. Steingart

Objective: The purpose of this article is to provide a brief and practical approach for the primary care physician regarding the recognition, diagnosis, and management of depression in elderly patients. Method: Empirical evidence and current recommendations regarding the recognition, diagnosis, and treatment of depression are reviewed as the basis for this approach. Appropriate modifications for geriatric depression are added where indicated. Results: The recommendations are listed by category and briefly explained. Conclusions: It is important to be vigilant for the variety of depressive presentations that occur in older primary care patients. Neurological causes of depression (such as stroke), suicide, and a longer time to recovery are all more frequent concerns in older depressed patients.

CNS Spectrums ◽  
2002 ◽  
Vol 7 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Saena Arbabzadeh-Bouchez ◽  
Andre Tylee ◽  
Jean-Pierre Lépine

ABSTRACTDepression is one of the most prevalent disorders in the general population, causing personal and social disability and impairment. Major studies assessing the diagnosis and management of depression have shown that it is often underdiagnosed and undertreated. A pan-European study aimed at assessing the extent and consequences of depression in six different countries is reported in this article. Different types of depressive profiles are analyzed and their respective management has been compared. The importance of improving diagnosis and treatment of depression is underlined. Appropriate management of depression depends on the recognition of depressive symptoms by patients, their possibility of seeking care, and the ability of the primary care physician to recognize the disorder and prescribe the appropriate medicines. Improvement in all of these fields is necessary.


Author(s):  
Elspeth Wise

For many patients their first presentation to a medical professional with a musculoskeletal complaint is in a primary care setting. They may have as little as 10 minutes to explain their problem, be examined, and have a management plan determined. Quite commonly the musculoskeletal problem may present as an aside—by the way doctor, while I'm here'. All of this presents a challenge to the assessing primary care physician, who may have had little specific training for what makes up a large part of their workload. What training they have had may be inappropriate for their day-to-day job, as it is often secondary care led. The conditions that are classically seen in a secondary care setting and that are emphasized in the medical school curriculum are rarely seen in primary care. Patients also may not necessarily present with the classical symptoms described in textbooks; often it is over time, and with repeated contact, that the diagnosis may become more obvious. This chapter looks at the prevalence data for primary care and discusses the routine workload of a primary care physician.


2018 ◽  
Vol 107 (4) ◽  
pp. 779-784
Author(s):  
Tadanori Hamano ◽  
Asako Ueno ◽  
Tatsuhiko Ito ◽  
Osamu Yamamura ◽  
Masayuki Yamamoto ◽  
...  

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