Depression can be defined as a state of low mood and aversion to activity that can affect a person’s thought, behavior, feelings and physical well-being, meanwhile, anxiety is a normal reaction to stressor that helps us deal with a difficult situation by prompting us to cope with it (Kaikini, Dhande, Patil, & Kadam, 2013). If anxiety becomes excessive, it may fall under the classification of an anxiety disorder. According to WHO, anxiety and depression will be the second largest cause of disability worldwide by 2020 (Kaikini et al., 2013).
During medical history interview with the patient, I will inquire how long has her symptoms been going on. If it had been two weeks or more, her symptoms would be classified under Major Depressive Episode according to DSM-5 criteria. Major depressive disorder is diagnosed if at least 5 of the …show more content…
It is based on the premise that patients who are depressed exhibit the “cognitive triad” of depression, which includes a negative view of themselves, the world, and the future (Halverson, 2015). CBT for depression typically includes behavioral strategies, as well as cognitive restructuring for the purpose of changing negative automatic thoughts and addressing maladaptive schemas. Evidence has supported the efficacy of the use of CBT and prevention of relapse.
As the patient’s primary care provider, I will try to manage the patient’s depression and anxiety in the primary care setting. If I felt like I exhausted all my options in treating the patient and no improvement has taken place, I will refer the patient to a psychiatrist to better manage the patient. Other circumstances where I will consult the psychiatrist if the patient exhibits more severe symptoms and a more intense level of care is needed such as patient’s with suicidal ideation, psychosis, mania, or severe decline in physical health.
During medical history interview with the patient, I will inquire how long has her symptoms been going on. If it had been two weeks or more, her symptoms would be classified under Major Depressive Episode according to DSM-5 criteria. Major depressive disorder is diagnosed if at least 5 of the …show more content…
It is based on the premise that patients who are depressed exhibit the “cognitive triad” of depression, which includes a negative view of themselves, the world, and the future (Halverson, 2015). CBT for depression typically includes behavioral strategies, as well as cognitive restructuring for the purpose of changing negative automatic thoughts and addressing maladaptive schemas. Evidence has supported the efficacy of the use of CBT and prevention of relapse.
As the patient’s primary care provider, I will try to manage the patient’s depression and anxiety in the primary care setting. If I felt like I exhausted all my options in treating the patient and no improvement has taken place, I will refer the patient to a psychiatrist to better manage the patient. Other circumstances where I will consult the psychiatrist if the patient exhibits more severe symptoms and a more intense level of care is needed such as patient’s with suicidal ideation, psychosis, mania, or severe decline in physical health.