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KMID : 1039620200100060401
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Korean Journal of Family Practice
2020 Volume.10 No. 6 p.401 ~ p.406
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Depression in Primary Care
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Shin Jin-Young
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Abstract
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Depression is a commonly encountered condition in the primary care that indicates low mood, loss of energy, sadness, loss of pleasure, sleep disorders or poor appetite, fatigue, and poor concentration. Of all the patients visiting the primary care, screening tests should be considered for the high-risk group and diagnosed using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The purpose of treatment should be to assess and prevent the risk of suicides and administer medications, psychotherapy, and counseling to alleviate depression and restore daily life. Antidepressants are selected based on the comorbidities, side effects, and preferences of patients. These should be administered for a sufficient duration, followed by gradual reduction of the dosage and subsequent discontinuation of the drug. Counseling or psychotherapy may be considered for the treatment of depression. Primary care physicians should be skilled for screening, diagnosis, treatment, and counseling. Efficient treatment of depression in the primary care requires collaboration with the caregivers, psychiatrists, and nurse practitioners for assistance in its management.
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KEYWORD
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Depression, Primary Health Care, Diagnosis, Antidepressive Agent
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