A Systematic Guide for the Management of Depression in Primary Care. General Whichever treatment is offered, patients seem to have a better outcome if given good clear information, especially a leaflet.
Drug treatments Drug treatments are the most readily available and best studied treatment.
You are encouraged to refer to the recent 'Prescribing Points'. Symptomatic improvement occurs first - full restoration of psychosocial function may take several months. Patients tend to think they are addictive and do not work, and often need information and reassurance. A second-line drug should probably be from a different class of antidepressant. Once improved continuation treatment at the same dose for at least 4-6 months should be considered.