Boyce Philip, Ma Cassandra
Specialty of Psychiatry, Westmead Clinical School, Sydney Medical School, Faculty of Medicine and Health, University of Sydney.
Aust Prescr. 2021 Feb;44(1):12-15. doi: 10.18773/austprescr.2020.064. Epub 2021 Feb 1.
A biopsychosocial and lifestyle approach should be used when managing depression. Many patients seen in primary care do not require drug therapy Evidence-based treatments such as psychological therapies and antidepressant drugs are effective for depression. All patients should receive education about depression Shared decision making with the patient is critical if an antidepressant is prescribed. The choice of antidepressant depends on its efficacy and tolerability, the depressive presentation, patient preference and drug interactions.
在治疗抑郁症时应采用生物心理社会和生活方式的方法。在初级保健中就诊的许多患者不需要药物治疗。循证治疗，如心理治疗和抗抑郁药物，对抑郁症有效。所有患者都应接受有关抑郁症的教育。如果开了抗抑郁药，与患者共同决策至关重要。抗抑郁药的选择取决于其疗效和耐受性、抑郁表现、患者偏好以及药物相互作用。
