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Managing psychiatric disorders in primary care: 1. Depression
1Department of Medicine, University of California, San Francisco, School of Medicine, USA.
Hospital Practice (1995)
|July 8, 2000
Summary
Primary care physicians can effectively manage mild to moderate depression by building strong patient relationships. For severe cases, they should refer patients for specialized psychiatric evaluation.
Area of Science:
- Primary Care Medicine
- Psychiatry
- Mental Health
Background:
- Primary care physicians (PCPs) have established patient rapport.
- PCPS are well-positioned for early mental health interventions.
Purpose of the Study:
- To outline the role of PCPs in managing depression.
- To emphasize therapeutic alliance in primary care mental health.
Main Methods:
- Review of clinical best practices in primary care.
- Emphasis on communication strategies for therapeutic partnerships.
Main Results:
- PCPS can effectively manage mild-to-moderate depression.
- Referral to psychiatry is crucial for severe depression.
Conclusions:
- Building a therapeutic partnership is key before prescribing.
- PCPs play a vital role in the initial management and referral pathway for depression.