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Related Concept Videos

Antidepressant Drugs: MAOIs and Other Agents01:23

Antidepressant Drugs: MAOIs and Other Agents

Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs01:28

Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs

Tricyclic Antidepressants (TCAs), including Desipramine (Norpramin), Imipramine (Tofranil), Clomipramine (Anafranil), and Amitriptyline (Elavil), inhibit serotonin and norepinephrine reuptake and also block other receptors. They are used for depression, pain conditions, and insomnia. Common adverse effects include anticholinergic effects, sedation, orthostatic hypotension, and weight gain. They have a narrow therapeutic window and so require plasma-level monitoring. Abrupt discontinuation can...
Antidepressant Drugs: Overview01:25

Antidepressant Drugs: Overview

Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
Drug Therapy01:28

Drug Therapy

The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
Depression: Overview01:18

Depression: Overview

Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...

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Related Experiment Video

Updated: May 14, 2026

Network Pharmacology and Validation of the Antidepressant Mechanisms of Qiangzhifang in a Chronic Restraint Stress-induced Depression Rat Model
08:15

Network Pharmacology and Validation of the Antidepressant Mechanisms of Qiangzhifang in a Chronic Restraint Stress-induced Depression Rat Model

Published on: June 6, 2025

Depression Updates and Selective Serotonin Reuptake Inhibitor Management.

Matteo Leveroni1, Shane Jones1, Samuel Bell2

  • 1UCI Family Health Center, 800 N. Main Street, Santa Ana, CA 92701, USA; University of California- Irvine Department of Family Medicine, 200 S. Manchester Avenue, Suite 835, Orange, CA 92868, USA.

Primary Care
|May 12, 2026
PubMed
Summary
This summary is machine-generated.

Routine screening and evidence-based treatments like selective serotonin reuptake inhibitors (SSRIs) are crucial for managing depression in primary care, especially for adolescents. Effective management improves symptom reduction and remission rates.

Keywords:
AntidepressantDepressionSSRISuicidality

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Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression
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Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression

Published on: January 7, 2019

Related Experiment Videos

Last Updated: May 14, 2026

Network Pharmacology and Validation of the Antidepressant Mechanisms of Qiangzhifang in a Chronic Restraint Stress-induced Depression Rat Model
08:15

Network Pharmacology and Validation of the Antidepressant Mechanisms of Qiangzhifang in a Chronic Restraint Stress-induced Depression Rat Model

Published on: June 6, 2025

Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression
04:29

Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression

Published on: January 7, 2019

Area of Science:

  • Primary Care Medicine
  • Psychiatry
  • Adolescent Health

Background:

  • Depression is a growing public health concern, particularly in primary care settings and among adolescents.
  • Routine screening for depression is supported by evidence, showing benefits in remission and symptom reduction for adults and perinatal populations.

Purpose of the Study:

  • To review the evidence supporting depression screening in primary care.
  • To discuss effective first-line treatments for depression, including psychotherapy and pharmacotherapy.
  • To highlight the role of primary care clinicians in managing depression.

Main Methods:

  • Literature review of evidence supporting depression screening.
  • Analysis of first-line treatment efficacy for depression.
  • Discussion of selective serotonin reuptake inhibitors (SSRIs) as preferred pharmacotherapy.

Main Results:

  • Psychotherapy and pharmacotherapy demonstrate similar efficacy in reducing depressive symptoms.
  • Selective serotonin reuptake inhibitors (SSRIs) are effective outpatient antidepressants, superior to placebo.
  • SSRIs are generally safe across various patient groups, including pregnant, breastfeeding, and geriatric individuals, but require careful selection.

Conclusions:

  • Primary care plays a vital role in the individualized, evidence-based management of depression.
  • Routine screening and appropriate treatment selection are key to improving patient outcomes.
  • Clinicians must consider patient-specific factors when prescribing antidepressants like SSRIs.