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KMID : 1007420090070020107
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Mood and Emotion
2009 Volume.7 No. 2 p.107 ~ p.109
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Clinical Course and Treatment of First Depressive Episode
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Ko Young-Hoon
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Abstract
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The long-term course of depression has been underestimated because it is considered as an episodic disease. A small number of long-term researches suggested that depression would be a life-long disorder and have the various faces of courses. Although pharmacotherapy, psychotherapy and electroconvulsive therapy are effective treatment modalities for depression, those prospective studies showed that depression is a chronic disorder and the individual with depres- sion has a low rate of recovery and a high rate of relapse. Especially, the symptoms are more chronic in the patients who have not accomplished a recovery within one year from a single episode. Therefore clinicians should pay attention to residual symptoms and resolve these symptoms through the use of precisely timed treatment. Moreover, after remis- sion, patients with depression will continue to benefit from maintenance treatment of antidepressant over a period of 6 month to diminish the risk of relapse.
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KEYWORD
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Depression , First episode, Pharmacotherapy, Psychotherapy
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