Depression

[2011 update]

Introduction to this self-study CME activity

Purpose

Depression is common, under diagnosed and under treated.  Its presentation, functional impact and responsiveness to treatment are quite different in primary care than psychiatric practice.  New therapeutic agents have substantially increased the likelihood of treating depression successfully while minimizing side effects.  This self-study activity provides practical guidance to primary care clinicians concerning key aspects of care for depression and how to implement that care in practice.  Key aspects of care include:

  • Recognizing depression
  • Treating it aggressively and effectively
  • Prescribing cost-effectively

This update includes:

  • Expanded list of common diagnoses associated with depression.
  • Latest treatment recommendations based on STAR*D data.
  • Updated information on pharmacologic therapy, side effects, and drug availability and costs.
  • Expanded description of psychotherapeutic approaches.
  • Expanded table of guidelines, clinical cues and critical points for the use of all antidepressants, including augmentation therapies

Objectives

Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for the diagnosis and treatment of depressive disorders in adults.

Audience

This self-study activity is appropriate for primary care clinicians and other health care providers providing care for adults with depression.

Authors

Team Leaders

  • Thomas L. Schwenk, MD
    Family Medicine
  • Linda B. Terrell, MD
    General Internal Medicine

Team Members

  • R. Van Harrison, PhD
    Medical Education
  • Marcia A. Valenstein, MD
    Psychiatry
  • Amy L. Tremper, MD
    Obstetrics & Gynecology

Author Disclosures

Neither the team lead, the team members, nor the consultants have financial relationships with commercial companies whose products are discussed in this CME activity.

Other Acknowledgements

UMHS Guidelines Oversight Team

  • Grant M. Greenberg, MD., MA., MHSA
  • R. Van Harrison, PhD

Literature Search Services

  • Taubman Medical Library

Production of Internet Format and Website Maintenance

  • Ellen Patrick-Dunlavey

CME Accreditation and Credit Designation

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This enduring material was released in July 2011, with credit available through June 2014. The activity was reviewed for currency of content in June 2014 and availability of credit extended through June 2017. The activity was reviewed for currency of content in September 2017 and availability of credit extended through August 2020. Continuation of credit from that date depends on a thorough review of the content currency and accuracy.

Method of Participation

  1. View the web pages. You may print the self-study text to read off-line.
  2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
    If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
    If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
  3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
  4. Print the certificate of participation for your personal records.

Method of Participation

  1. View the web pages. You may print the self-study text to read off-line.
  2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
    If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
    If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
  3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
  4. Print the certificate of participation for your personal records.