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Test Recommended duration of treatment and criteria for gradual withdrawal
Agenda
QUESTION 1: WHAT IS THE MAIN OBJECTIVE OF THE ACUTE PHASE OF ANTIDEPRESSANT TREATMENT?
Prevent relapse of depression
Achieve symptomatic remission (50% improvement in symptoms)
Keep the patient symptom-free for years
Eliminar todos los síntomas depresivos
SECOND QUESTION: HOW LONG DOES THE ACUTE PHASE OF ANTIDEPRESSANT TREATMENT USUALLY LAST?
Between 2 and 4 weeks
Between 6 and 12 weeks
Between 6 and 9 months
More than one year
QUESTION 3: WHICH FACTOR DOES NOT INFLUENCE THE DURATION OF ANTIDEPRESSANT TREATMENT?
The severity of the disorder
The number of previous episodes of depression
The patient's level of education
The presence of comorbidities
QUESTION 4: WHEN CAN WITHDRAWAL OF ANTIDEPRESSANT TREATMENT BE CONSIDERED?
After 6 weeks of treatment
When there are no significant depressive symptoms for 6 to 12 months
If the patient has had no symptoms for 2 weeks
After the first partial response to treatment
QUESTION 5: WHICH OF THE FOLLOWING IS AN IMPORTANT CRITERION FOR THE PROGRESSIVE WITHDRAWAL OF TREATMENT?
The patient has been diagnosed with a chronic psychiatric disorder
Functional recovery, such as return to work and stable social relationships
The patient wishes to discontinue treatment without clinical evaluation
The patient has no psychosocial support
QUESTION 6: WHAT IS THE RECOMMENDATION FOR REDUCING THE DOSE OF SSRIs SUCH AS SERTRALINE OR PAROXETINE?
Decrease by 25% every 2 to 3 days
Decrease by 25% every 2 to 3 weeks, evaluating emerging symptoms
Reduce the dose only once a month
No need to reduce the dose if the patient feels well
QUESTION 7: WHAT CAN CAUSE WITHDRAWAL SYNDROME WHEN AN SSRI SUCH AS PAROXETINE IS DISCONTINUED?
Hypotension and headache
Dizziness, irritability, and insomnia
Weight gain and anxiety
Excessive sleepiness
QUESTION 8: IN CASES OF RESISTANT DEPRESSION, WHAT ADDITIONAL TREATMENT CAN BE USED?
Transcranial magnetic stimulation and electroconvulsive therapy (ECT)
Cognitive behavioral therapy without medication
Only new-generation antidepressants
Only physical exercise and psychoeducation
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