title: [Update on Current Care Guideline: Depression].
abstract: Treatment of depression is based on comprehensive diagnostic, clinical and psychosocial evaluation. Brief psychotherapies (cognitive, interpersonal, psychodynamic or problem-solving) are effective in mild to moderate depression; antidepressants in mild to severe, and electroconvulsive therapy in severe or psychotic. Combining antidepressants and psychotherapy is more effective than either alone. After the acute phase, antidepressants should be continued for six months to prevent relapses, and maintenance treatment considered after three lifetime episodes. Primary care is responsible for treatment of mild to moderate depressions; developing psychiatric consultation services and use of nurse case managers are recommended.
authors.forename: Erkki
authors.initials: E
authors.lastname: Isometsä
authors.forename: Elina
authors.initials: E
authors.lastname: Kinnunen
authors.forename: Teija
authors.initials: T
authors.lastname: Kivekäs
authors.forename: Hannu
authors.initials: H
authors.lastname: Koponen
authors.forename: Jarmo
authors.initials: J
authors.lastname: Lappalainen
authors.forename: Olavi
authors.initials: O
authors.lastname: Lindfors
authors.forename: Mauri
authors.initials: M
authors.lastname: Marttunen
authors.forename: Sami
authors.initials: S
authors.lastname: Pirkola
authors.forename: Pekka
authors.initials: P
authors.lastname: Jousilahti
authors.forename: Arja
authors.initials: A
authors.lastname: Tuunainen
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003863:Depression / Q000628:therapy*; D004565:Electroconvulsive Therapy; D006801:Humans; D011320:Primary Health Care; D011613:Psychotherapy; D012008:Recurrence; D013997:Time Factors
chemical_list: D000928:Antidepressive Agents