Short course
4.8
Managing depression
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© 1998 MJA
| When to refer
| Consider referral to a psychiatrist when: |
| |
- the patient has bipolar disorder, psychotic depression or active suicidal thoughts
- when there is no response to one or two trials of treatment
- when there may be a need for electroconvulsive therapy (ECT is effective for patients with psychotic depression or melancholic depression not responding to antidepressants).
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| For patients requiring specialised psychological treatments, referral to either a psychiatrist or clinical psychologist may be necessary, the choice depending on factors such as individual therapist skill and the cost of therapy. |
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