Lakshmi Yatham, MBBS, FRCPC, MRCPsych (UK), discusses treatment of depression.
Loading the player...Treatment of Depression Lakshmi Yatham, MBBS, FRCPC, MRCPsych (UK), discusses treatment of depression.
Featuring Dr. Lakshmi Yatham, MBBS, FRCPC, MRCPsych (UK)
Duration: 1 minute, 26 seconds
Approximately 60 percent of patients with depression respond to the first antidepressant that we prescribe, but the other 40 percent don’t respond.
In those situations, we’re trying to figure out what to do next. Some of the strategies that we use are switching patient from one antidepressant to a different antidepressant, perhaps to an antidepressant that belongs to a different class. For those that do not respond to the first antidepressant that we prescribe, we have number of strategies. One strategy would be to switch them to a different antidepressant, to an antidepressant that belongs to a different class. The other option is to add another medication to that antidepressant, and we call that an augmentation strategy.
The medications that we often use to augment are atypical antipsychotics or lithium; those are the two most common strategies. When we do that, another 30 to 50 percent of people respond, so it’s a pretty good strategy.
If you have more questions about how to treat refractory depression, please make sure to speak with you psychiatrist or a family physician.
Local Practitioners: Psychiatrist
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