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Test Start of treatment: time of action, adherence, and clinical response
Agenda
QUESTION 1: WHAT IS THE PHASE OF DEPRESSION TREATMENT IN WHICH INITIAL SYMPTOMS ARE RELIEVED?
Remission phase
Recovery phase
Acute phase
Fase de mantenimiento
SECOND QUESTION: HOW LONG DOES IT TAKE FOR THE EFFECTS OF ANTIDEPRESSANTS, ESPECIALLY SSRIs, TO BECOME NOTICEABLE?
1-2 weeks
2-4 weeks
4-6 weeks
6-8 weeks
QUESTION 3: WHAT IS MEANT BY “RELAPSE” IN THE TREATMENT OF DEPRESSION?
Return of symptoms after a long period without them
The appearance of new symptoms after remission
Recurrence of symptoms before full recovery
Complete disappearance of symptoms
QUESTION 4: WHICH OF THE FOLLOWING IS A STRATEGY USED IN RESISTANT DEPRESSION TO IMPROVE RESPONSE TO TREATMENT?
Increased dose of the same antidepressant
Exclusive use of psychotherapy
Augmentation strategies such as combining medications
Suspension of all drugs
QUESTION 5: WHICH NEUROMODULATION THERAPY IS THE LEAST INVASIVE AND IS USED IN CASES OF RESISTANT DEPRESSION?
Electroconvulsive therapy (ECT)
Ketamine infusion
Transcranial magnetic stimulation (TMS)
Deep brain stimulation
QUESTION 6: WHAT PERCENTAGE OF PATIENTS WITH DEPRESSION DO NOT ACHIEVE COMPLETE REMISSION AFTER TWO APPROPRIATE TREATMENTS?
0.1
0.2
0.3
0.4
QUESTION 7: WHAT IS ONE COMMON REASON FOR PATIENTS TO DISCONTINUE ANTIDEPRESSANT TREATMENT EARLY?
Side effects such as loss of appetite
Cultural stigmas related to medication use
Too rapid improvement of symptoms
No additional symptoms such as anxiety
QUESTION 8: IN SEVERE CASES OF DEPRESSION, WHAT TYPE OF ADDITIONAL TREATMENT MAY BE CONSIDERED IF OTHER TREATMENTS HAVE NOT BEEN SUCCESSFUL?
Medication alone without psychotherapeutic intervention
Neuromodulation therapies such as TMS and EMT
Increase the dose of SSRI antidepressants
Total suspension of medication
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