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Managing Depression in Primary Care

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Pharmacotherapy of Depression

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Abstract

The need to manage depression more effectively in primary care is well established. Major depressive disorder is a common, chronic but episodic and costly condition for which primary care physicians provide the majority of care (1). Among nonpsychotic patients, symptom composition and severity differs little from adults presenting to psychiatrists (2). Patients who have chronic medical conditions such as diabetes or ischemic heart disease with concomitant major depression have poorer outcomes than do those without depression. In spite of its frequency and importance, recognition, evaluation, and management in primary care is often less than optimal, with up to 50% of depressed patients going unrecognized. In this chapter, we will focus on aspects of managing care of depression in primary care settings necessary.

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  1. Department of Psychiatry, Boston University School of Medicine, 85 East Newton Street, Boston, MA, USA

    Peggy Johnson

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  1. Larry Culpepper
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  1. School of Medicine, Div. Psychiatry, Boston University, Harrison Ave. 720, Boston, 02118, Massachusetts, USA

    Domenic A. Ciraulo

  2. School of Medicine, Dept. Pharmacology &, Tufts University, Harrison Ave. 136, Boston, 02111, Massachusetts, USA

    Richard Irwin Shader

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Culpepper, L., Johnson, P. (2011). Managing Depression in Primary Care. In: Ciraulo, D., Shader, R. (eds) Pharmacotherapy of Depression. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-435-7_10

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