{"id":1262,"date":"2016-05-31T12:12:53","date_gmt":"2016-05-31T10:12:53","guid":{"rendered":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1262"},"modified":"2016-05-31T12:12:53","modified_gmt":"2016-05-31T10:12:53","slug":"adult-depression-a-step-by-step-guide-to-treatment","status":"publish","type":"post","link":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1262","title":{"rendered":"Adult Depression A step-by-step guide to treatment"},"content":{"rendered":"<p><a href=\"http:\/\/www.modernmedia.co.za\/modernmedicine\/DigitalEditions\/mm1605-may-2016\/index.html\" target=\"_blank\">Adult Depression A step-by-step guide to treatment \u2013 MM1605<\/a><\/p>\n<p>A stepwise approach to the early detection and management of depression,\u00a0guided by severity of presentation and treatment response, encourages more\u00a0timely access to evidence-based treatments, including easily accessed and\u00a0destigmatising e-mental health interventions. Evidence-based treatments\u00a0range from e-mental health apps, psychological therapy and medication to\u00a0neurostimulation.<\/p>\n<p>With the overall similarities in efficacy of antidepressants, the most important\u00a0considerations when initiating pharmacotherapy are tolerability and safety.\u00a0For patients with difficult-to-treat depression, an algorithmic management\u00a0approach with steps that include increasing the antidepressant dose,\u00a0switching antidepressants, augmenting with a non-antidepressant treatment\u00a0and combining antidepressants improves the chance of patient recovery.\u00a0Neurostimulatory treatments such as electroconvulsive therapy and repetitive\u00a0transcranial magnetic stimulation have an expanding role in the evidence based\u00a0treatment of severe depression.<\/p>\n<p><em>Modern Medicine \u2013 May\u00a02016<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adult Depression A step-by-step guide to treatment \u2013 MM1605 A stepwise approach to the early detection and management of depression,\u00a0guided by severity of presentation and treatment&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2},"beyondwords_generate_audio":"","beyondwords_project_id":"","beyondwords_content_id":"","beyondwords_preview_token":"","beyondwords_player_content":"","beyondwords_player_style":"","beyondwords_language_code":"","beyondwords_language_id":"","beyondwords_title_voice_id":"","beyondwords_body_voice_id":"","beyondwords_summary_voice_id":"","beyondwords_error_message":"","beyondwords_disabled":"","beyondwords_delete_content":"","beyondwords_podcast_id":"","beyondwords_hash":"","publish_post_to_speechkit":"","speechkit_hash":"","speechkit_generate_audio":"","speechkit_project_id":"","speechkit_podcast_id":"","speechkit_error_message":"","speechkit_disabled":"","speechkit_access_key":"","speechkit_error":"","speechkit_info":"","speechkit_response":"","speechkit_retries":"","speechkit_status":"","speechkit_updated_at":"","_speechkit_link":"","_speechkit_text":""},"categories":[142,15,13],"tags":[],"class_list":["post-1262","post","type-post","status-publish","format-standard","hentry","category-cns","category-depression","category-psychiatry"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5REYo-km","_links":{"self":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1262","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1262"}],"version-history":[{"count":1,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1262\/revisions"}],"predecessor-version":[{"id":1263,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1262\/revisions\/1263"}],"wp:attachment":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1262"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}