{"id":268,"date":"2017-03-26T12:23:24","date_gmt":"2017-03-26T12:23:24","guid":{"rendered":"http:\/\/papergp.com\/index.php\/mental-health\/depression\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"depression-2","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/mental-health\/depression-2\/","title":{"rendered":"Depression"},"content":{"rendered":"\n<div class=\"content-box-blue\">\n<h4><strong>Data gathering &#8211; History<\/strong><\/h4>\n<ul>\n<li>Red flags\n<ul>\n<li>Harming self or&nbsp;others<\/li>\n<li>Specific plans<\/li>\n<li>Lack of protective factors<\/li>\n<\/ul>\n<\/li>\n<li>Others<br>\n<ul>\n<li>Low mood | Low energy | Anhedonia<\/li>\n<li>Sleep | Appetite | Confidence | Concentration | Guilt<\/li>\n<\/ul>\n<\/li>\n<li>SH\n<ul>\n<li>Work | Home | Alcohol | Drugs<\/li>\n<\/ul>\n<\/li>\n<li>PMH\n<ul>\n<li>Previous self harm<\/li>\n<\/ul>\n<\/li>\n<li>FH\n<ul>\n<li>Mental health issues<\/li>\n<li>Suicide<\/li>\n<\/ul>\n<\/li>\n<\/ul><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-wide\"\/>\n\n\n\n<div class=\"content-box-blue\">\n<h4><strong>Data gathering &#8211; Examination<\/strong><\/h4>\n<ul>\n<li>Mental State Examination\n<ul>\n<li>Appearance<\/li>\n<li>Behaviour<\/li>\n<li>Speech<\/li>\n<li>Affect, Mood<\/li>\n<li>Thoughts<\/li>\n<li>Perception<\/li>\n<li>Cognition<\/li>\n<li>Insight<\/li>\n<\/ul>\n<\/li><\/ul>\n\n<\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-wide\"\/>\n\n\n\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, TFTs, calcium<\/li>\n<\/ul>\n<\/li>\n\n<li>Explanation\n<ul>\n<li>Feeling low is a normal experience that can affect us all from time to time.<\/li>\n<li>Depression is a more persistent intense type of this and is often accompanied by physical effects such as sleep difficulties, loss of energy<\/li>\n<\/ul>\n<\/li>\n\n<li>Treatment\n<ul>\n<li>Lifestyle\n<ul>\n<li>Exercise<\/li>\n<li>Diet<\/li>\n<li>Sleep hygiene<\/li>\n<\/ul>\n<\/li>\n<li>Psychological\n<ul>\n<li>CBT<\/li>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/online-mental-health-services\/Pages\/introduction.aspx\">Online psychological therapy resources<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Medications\n<ul>\n<li>SSRI<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n<ul>\n<li>Follow up\n<ul>\n<li>Review within 4\/52<\/li>\n<\/ul>\n<\/li>\n<li>Safety net\n<ul>\n<li>CRISIS team, A+E<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-wide\"\/>\n\n\n\n<div class=\"content-box-blue\">\n<h4>SSRI notes<\/h4>\n<ul>\n<li>PPI if elderly\/aspirin\/NSAID<\/li>\n<li>Titrate 4 weekly<\/li>\n<li>Continue at least 6 months after improvement<\/li>\n<li>Stop gradually<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering &#8211; History Red flags Harming self or&nbsp;others Specific plans Lack of protective factors Others Low mood | Low energy | Anhedonia Sleep | Appetite | Confidence | Concentration | Guilt SH Work | Home | Alcohol | Drugs PMH Previous self harm FH Mental health issues Suicide Data gathering &#8211; Examination Mental State &hellip; <a href=\"https:\/\/papergp.com\/index.php\/mental-health\/depression-2\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Depression<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":264,"menu_order":125,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-268","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/268","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=268"}],"version-history":[{"count":12,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/268\/revisions"}],"predecessor-version":[{"id":2358,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/268\/revisions\/2358"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/264"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}