Depression in the chronically ill needs separate treatment

Article Abstract:

Depression in chronically ill patients should be diagnosed and treated. Symptoms of depression such as fatigue or poor appetite in persons with chronic disease may be attributed to the illness or ignored as an inevitable and natural consequence of the illness. However, diagnosis and treatment can improve health, quality of life, and compliance and cooperation with treatment regimens. The criteria laid out in the Diagnostic and Statistical Manual of Mental Disorders distinguish major depression from temporary discouragement or depressive symptoms. Depression is best treated with medication. Psychotherapy may also help.

Chronically ill

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Assessing and Managing Depression in the Terminally Ill Patient

Article Abstract:

Doctors should be especially alert to signs of psychological distress in terminally ill patients and their families. Many terminally ill patients develop feelings of hopelessness, helplessness, worthlessness, guilt, and suicidal thoughts. Psychostimulants are useful and are usually well tolerated. Selective serotonin reuptake inhibitors and tricyclic antidepressants can also be used. Psychological counseling can also help dying patients and their families cope.

Terminally ill persons, Terminally ill, Grief

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Treating depression in diabetic patients: is there an alternative to medications?

Article Abstract:

Treatment of depression in diabetic patients can improve their glycemic control. Depression in diabetics is associated with poorer blood glucose control and a higher rate of diabetic complications. Both medication and cognitive behavioral therapy are effective in treating depression. Cognitive therapy also helps patients develop coping skills and improved self-esteem.

Editorial, Evaluation, Diabetics, Diabetes, Diabetes mellitus, Antidepressants, Cognitive therapy

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