Depression in the Primary Care Setting

Lawrence T Park; Carlos A Zarate Jr

doi:10.1056/NEJMcp1712493

Depression in the Primary Care Setting

N Engl J Med. 2019 Feb 7;380(6):559-568. doi: 10.1056/NEJMcp1712493.

Authors

Lawrence T Park¹, Carlos A Zarate Jr¹

Affiliation

¹ From the Section on the Neurobiology and Treatment of Mood Disorders, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD.

Abstract

A 45-year-old woman with hypothyroidism that has been treated with a stable dose of levothyroxine presents to her primary care provider with depressed mood, negative feelings about herself, poor sleep, low appetite, poor concentration, and lack of energy. These symptoms began several months ago during a conflict with her partner. Although she has been able to continue with work and life responsibilities, she feels sadness most days and occasionally thinks that she would be better off dead. How would you evaluate and treat this patient?

Publication types

Review

MeSH terms

Antidepressive Agents / therapeutic use*
Combined Modality Therapy
Depression / diagnosis
Depressive Disorder / diagnosis*
Depressive Disorder / drug therapy
Depressive Disorder / therapy*
Depressive Disorder, Major / diagnosis
Depressive Disorder, Major / therapy
Diagnostic and Statistical Manual of Mental Disorders
Female
Humans
Middle Aged
Practice Guidelines as Topic
Primary Health Care*
Psychotherapy*

Substances

Antidepressive Agents

Grants and funding

Z99 MH999999/ImNIH/Intramural NIH HHS/United States