Author/Editor		Fuerst-Koren, Tita
Title		Vloga psihiatra in zdravnika družinske medicine pri zdravljenju bolnikov z depresijo
Translated title		The role of general practitioners and psychiatrists in the treatment of depressed patients
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 40, št. Suppl 1
Publication year		2001
Volume		str. 107-12
Language		slo
Abstract		Two classifications of unipolar depressive disorders are presented. A good classification is helpful in diagnosing depression. General practitioners have an important role in recognizing and treating patients with depression. Depressive disorders are insufficiently recognized in everyday practice which is why the importance of education is stressed. In cooperation with a psychiatrist, a general practitioner can treat most patients with minor depression. Only patients with major forms should also be managed by psychiatrists. A few therapeutic guidelines are listed. Selective serotonin reuptake inhibitors have become drugs of first choice. In comorbidity as insomnia, anxiety and psychotic symptoms, additional treatment is necessary.
Summary		Prikazani sta dve klasifikaciji depresij v ožjem pomenu. Dobro razvrščanje namreč že pomaga pri diagnozi depresivne motnje. Zdravnik družinske medicine ima pomembno vlogo pri odkrivanju in zdravljenju depresije. Poudarjen je pomen izobraževanja, saj je delež odkritih in primerno zdravljenih bolnikov nezadosten. Ob sodelovanju s psihiatrom lahko vodi večino bolnikov z lažjo ali zmerno depresivno motnjo. Bolniki s hudo depresivno epizodo ali depresivno epizodo s psihotičnimi simptomi pa naj bi bili vodeni tudi pri psihiatru. Podanih je nekaj napotkov za zdravljenje. Zdravila prvega izbora so selektivni zaviralci privzema serotonina. Ob spremljajočih težavah, kot so nespečnost, anksioznost in psihotični simptomi, pa je nujno dodatno zdravljenje.
Descriptors		DEPRESSIVE DISORDER FAMILY PRACTICE