Depression and comorbid medical illness: Therapeutic and diagnostic challenges.
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| Title: | Depression and comorbid medical illness: Therapeutic and diagnostic challenges. |
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| Authors: | Leon, F. George, Ashton, Adam Keller, D'Mello, Dale A., Dantz, Bezalel, Hefner, Jaye, Matson, Gary A., Montano, C. Brendan, Pradko, James F., Sussman, Norman, Winsberg, Bertrand |
| Source: | Journal of Family Practice. Dec2003 Supplement, Vol. 52 Issue 12, pS19-S33. 15p. |
| Subjects: | Mental depression, Therapeutics, Comorbidity, Primary care, Antidepressants, Family medicine, Anxiety, Cardiovascular diseases |
| Abstract: | This paper addresses comorbidities in patients with depression and provides treatment strategies for clinicians. In children and adolescents, various medical conditions can present as depression. Baseline laboratory studies should be considered to rule out organic components of the illness. Most of the available treatment strategies are based on data derived from studies with adults. Depression in the elderly often goes undiagnosed and untreated. Cognitive impairment can often cloud the differential diagnosis, and depression can simulate dementia. Primary anxiety disorders, as opposed to depression with anxiety, should be considered in choosing an antidepressant. Depression frequently remains undiagnosed and untreated in patients with cardiovascular disease, and only half of the 25 percent correctly diagnosed are ultimately treated for comorbid depression. |
| Database: | Psychology and Behavioral Sciences Collection |
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