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Common Mental Disorders Depression - New Zealand Doctor

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3.6 Clinical features of common mental disorders in young people/<br />

rangatahi/tamariki..............................................................................................34<br />

3.7 Reaching a diagnosis................................................................................. 38<br />

3.8 Determining severity and when to refer........................................................ 39<br />

3.9 From assessment to management............................................................... 40<br />

4 Management of depression in young people/rangatahi/tamariki.......... 43<br />

4.1 Clinical management................................................................................. 45<br />

4.2 Specific interventions: review of the evidence................................................ 49<br />

5 Recognition and assessment of common mental disorders<br />

in adults/pakeke................................................................................. 55<br />

5.1 Psychosocial assessment of adults/pakeke.................................................... 56<br />

5.2 Targeted screening of high-risk groups........................................................ 57<br />

5.3 Further assessment where there is concern................................................... 59<br />

5.4 Assessment tools: evidence review............................................................... 61<br />

5.5 Reaching a diagnosis................................................................................. 63<br />

5.6 Determining severity and when to refer........................................................ 64<br />

5.7 From assessment to management............................................................... 66<br />

6 Management of depression in adults/pakeke....................................... 67<br />

6.1 Clinical management................................................................................. 69<br />

6.2 Prevention of relapse or recurrence............................................................. 79<br />

6.3 Specific interventions: evidence review......................................................... 80<br />

7 Special issues: women with mental disorders in the antenatal<br />

and postnatal period........................................................................... 91<br />

7.1 <strong>Mental</strong> disorders in the antenatal and postnatal period................................. 93<br />

7.2 Screening of women in the antenatal and postnatal period............................ 94<br />

7.3 Screening and assessment tools: evidence review......................................... 95<br />

7.4 Further assessment where there is concern................................................... 97<br />

7.5 Management of antenatal and postnatal depression..................................... 98<br />

7.6 Specific interventions: evidence review....................................................... 103<br />

8 Special issues: older adults/koroua/kuia............................................ 109<br />

8.1 Psychosocial assessment of older adults/koroua/kuia.................................. 111<br />

8.2 Assessment tools for older adults: evidence review...................................... 111<br />

8.3 Assessing an older adult with cognitive impairment..................................... 112<br />

8.4 Management of depression...................................................................... 113<br />

8.5 Interventions for depression in older adults/koroua/kuia: evidence review..... 115<br />

8.6 <strong>Depression</strong> with dementia......................................................................... 116<br />

ii<br />

Identification of <strong>Common</strong> <strong>Mental</strong> <strong>Disorders</strong> and Management of <strong>Depression</strong> in Primary Care

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