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Part III.

Abstract

Executive Summary

Overview

Chapter 1 - Guideline Development and Methodology

  Rationale for Guideline Developement-The Cost of Depression
  Methodological Background
  Specific Methodological Strategies
  Review of the Literature
  Meta-Analysis

Chapter 2 - Guideline: Aims of Treatment

  Benefits and Harms of Treatment
  Medications
  Psychotherapy
  Combination of Medication and Psychotherapy
  Electroconvulsive Therapy
  Clinical Management
  Improving Adherence to Treatment
  Measuring Outcome
  Declaring a Treatment Response or Failure
  Switching Versus Augmenting Treatments

Chapter 3 - Guideline: Strategic Planning for Acute Phase Treatment

  Objectives of Acute Phase Treatment
  Indiccations for Acute Phase Treatment
  Treatment Selection
  Selection of Medication
  Selection of Psychotherapy Alone
  Selection of Combined Treatment
  Select of ECT
  Treatment Refusal

Chapter 4 - Guideline: Acute Phase Management with Medication

  Indications for Acute Phase Medication
  Evidence of Efficacy
  Antidepressant Medication Selection
  Frequency of Visits
  Medication Dosage Adustments
  Antidepressant Drug Blood Levels
  Failure to Respond
  Continue Medication
  Switch Medication
  Augment Medication
  Add Psychotherapy
  Obtain a Consultation

Chapter 5 - Guideline: Acute Phase Management with Psychotherapy

  Obejectives and Indications
  Evidence for Efficacy
  Cognitive Therapy
  Behavioral Therapy
  Interpersonal Psychotherapy
  Martial Therapy
  Brief Dynamic Psychotherapy
  Factors Affecting Response to Psychotherapy
  Selection of a Psychotherapy
  Frequency of Visits
  Failure to Respond

Chapter 6 - Acute Phase Management with Medication and Psychotherapy

  Objectives and Indications
  Evidence of Efficacy
  Selection of a Combined Treatment
  Frequency of Visits
  Dosage Adjustments
  Failure to Respond

Chapter 7 - Guideline: Acute Phase Management with ECT

Chapter 8 - Guideline: Special Situations

  The Suicidal Patient
  Geriatric Depression
  Seasonal Depression
  Depression and Other Nonpsychiatric Medical Disorders
  Depression and Other Psychiatric Disorders

Chapter 9 - Guideline: Continuation and Maintenance Treatment Options

  Objectives and Indications for Continuation Treatment
  Objectives and Indications for Maintenance Treatment
  Continuation/Maintenance Phase Management with Medication
  Evidence of Efficacy
  Frequency of Visits
  Medication Dosage Adjustments and Antidepressant
  Symptom Breakthrough
  Discontinuation of Medication
  Continuation/Maintenance Phase Management with Psychotherapy
  Cognitive Therapy
  Behavioral Therapy
  Interpersonal Psychotherapy
  Marital Therapy
  Brief Dynamic Psychotherapy
  Factors Affecting Decisions about Continuation/Maintenance
  Frequency of Visits
  Symptom Breakthrough
  Continuation/Maintenance Phase Management with the Combination of Medication and Psychotherapy
  Evidence of Efficacy
  Discontinuation of Treatment
  A Second Opinion or Referral
  Primary Care Practitioners
  Patients and Families
  Consultations with Mental Health Care Professionals

References

Acronyms

Glossary

Contributors



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