To bring together principles of management from evidence based guidelines with taxonomy of depression developed in a general practice setting.
The taxonomy was developed after a series of studies including an observational study of GPs and their patients discussing depression. The main national and international guidelines for the treatment of depression were examined and recommendations matched with taxonomy.
GPs consider distress and depression in three steps. In the first step, a change in a group of symptoms and signs is observed. This signals depression or distress. The second step categorizes the syndrome according to whether or not there is an identifiable environmental cause, with the final step categorizing the reactive syndromes according to their most prominent symptoms; either anxiety and worry, or helplessness and hopelessness – called demoralisation in its severe form. A stepped or tiered model of intervention is then described that links with this taxonomy id described.
A resulting guide linking evidence-based treatments with a parsimonious taxonomy of distress and depression is presented.
Selective Serotonin Reuptake Inhibitor (SSRI) medication is widely used as a treatment for mental disorders such as depression, anxiety and obsessive compulsive disorders in Australia and worldwide. It has been demonstrated, however, that SSRIs can negatively impact on sexual functioning and influence all phases of the sexual cycle.
This study explores the possibility of developing an assessment instrument based on self-report sufficiently sensitive and practically applicable to detect mental illness and need for treatment among asylum seekers. The study was conducted among relatively newly arrived asylum seekers in Norway, 85 adult asylum seekers completed a questionnaire, of these 65 underwent a diagnostic interview.