According to the guideline, there is a strong recommendation that the first-line treatment for patients with severe depression is a combination of antidepressants and referral to behavioral health for evidence-based psychotherapy (NGC, 2012). Examples of antidepressant that can be used include selective serotonin reuptake inhibitor (SSRI) I will prescribe fluoxetine (Prozac) 20mg PO bid
Since antidepressants are expected to yield some positive result within the first week or two of use and produce full benefits by the second to third months (Parekh, 2017). The first follow-up appointment should be in a month for re-evaluation and if no obvious improvement, patient should be referred to a psychiatrist
Since antidepressants are expected to yield some positive result within the first week or two of use and produce full benefits by the second to third months (Parekh, 2017). The first follow-up appointment should be in a month for re-evaluation and if no obvious improvement, patient should be referred to a psychiatrist