What can they do about Treatment-Resistant Depression?
1. Be sure they diagnosed the depression properly, subtype of depression 2. Exclude somatic illness 3. Exclude comorbid psychiatric illness 4. Evaluate antidepressant treatment for compliance, tolerabillity, duration, and dosage. If necessary optimize by increasing dosage or extending the duration. 5. Switch to an other antidepressant if previous measures failed 6. Augment the antidepressant 7. After cessation of all antidepressants start a monoamine oxidase inhibitor 8. Reconsider diagnoses and use Electroconvuslive therapy 9. Don’t forget cognitive therapy, Interpersonal psychotherapy, running therapy, family therapy.
