Treatment of depression in general practice.

Abstract

In the management of depression only two forms of the condition need consideration: psychotic depression (usually severe) requiring treatment with antidepressants, ECT or both; and 'other' depressions, for which psychotherapy is the treatment of first choice. The selection of therapy depends on the personality integration of, and the stresses on, the patient. General practitioners are encouraged to understand and use crisis intervention and supportive therapy techniques. If the depression does not respond to these techniques within a few weeks the diagnosis should be reviewed for physical illness, psychosis and drug abuse. Trial of antidepressant drug therapy may be warranted before referral.