By Linda Gask
ABC of tension and Depression is a realistic consultant to the overview, remedy and administration of sufferers with anxiousness and melancholy as they in most cases found in fundamental care.
It starts off with an creation to perspectives at the figuring out of hysteria and melancholy. the subsequent chapters conceal how nervousness and melancholy found in varied sufferer teams similar to childrens and children, adults, older humans and through antenatal/postnatal sessions. It then addresses nervousness and melancholy as comorbidities with persistent sickness, and inside unique populations and settings.
The recommendations for therapy and administration of tension and melancholy are thought of with suggestions on whilst referral to secondary care should be acceptable and the present top perform in mental treatments, drug remedy and social interventions. situations are used to demonstrate the complexities of handling sufferers with nervousness and depression.
The identify concludes with a major bankruptcy on practitioner well-being.
ABC of tension and Depression is a pragmatic source all common practitioners and kin physicians operating with sufferers with anxiousness and depressive issues. it's also correct for basic healthiness care pros who're a part of scientific groups treating sufferers with anxiousness and melancholy, and stipulations the place nervousness and melancholy are universal comorbidities, in addition to psychologists, counsellors, social employees, and clinical and nursing students.
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Additional resources for ABC of Anxiety and Depression
5 Bridie’s story Maria receives a telephone call from her sister-in-law in Australia, informing her that her oldest brother, John, had a stroke and died in the night. John’s wife is crying and obviously upset at the shock. Maria ends the call and sits alone, wondering how she will tell her mother, Bridie, who has never really got over the death of her son, Frank. For the first few weeks Bridie is inconsolable. The family cannot not find the money to fly to Australia for the funeral. John’s wife says she can pay, but Bridie isn’t really well enough to go, so the family decide to all stay at home.
Anxiety and depression in people from ethnic minority groups Anxiety and depression are the most common psychiatric illnesses amongst all ethnic groups. A high prevalence of depression has been reported amongst ethnic minorities living in developed countries. Research evidence for this high prevalence and associated risk factors mainly derives from people of South Asian origin residing in the UK and those of Spanish and Afro-Caribbean ancestry in the USA. This high prevalence of depression is also associated with reportedly higher episodes of self-harm and completed suicide amongst specific age groups amongst these ethnic minorities.
A full description of drug interactions can be found in the British National Formulary (see Chapter 11). A patient with depression who has not responded to treatment, or with severe life-threatening depression, should be referred to secondary care mental health services for further assessment and treatment as with any depression. When assessing Hanif, the GP needs to assess the severity of his depression, the functional impact it is having on his LTC as well as his beliefs regarding the management options.
ABC of Anxiety and Depression by Linda Gask