Revision Date: March 2016
This guideline, Depression, Adults in Primary Care, summarizes evidence-based practices for screening, diagnosis, treatment, and follow up of adult patients with depression in primary care.
The purpose of this guideline is to assist primary care in developing systems that support effective assessment, diagnosis and ongoing management of initial and recurrent major depression and persistent depressive disorders in adults age 18 years and over, and assist patients to achieve remission of symptoms, reduce relapse and return to previous level of functioning. This guideline does not address the pediatric population. Diagnoses with significant overlap of symptoms outside the scope of this guideline include anxiety disorder, adjustment disorder and bipolar disorder.
Use the hyperlinks in the tables below to go directly to the different pages of the guideline. Use the buttons on each page to easily navigate within the guideline.
- Diagnosis and Characterize Major Depression/Persistent Depressive Disorder with Clinical Interview
- Is Patient Safe to Self and/or Others?
- Use Organization's Protocol if Available to Assess and Minimize Suicide Risk/Involve Mental Health Specialists
- Assess for the Presence of Substance Use Disorder or Psychiatric Comorbidity if Suspected
- Discuss Treatment Recommendations
- Major Depressive Disorder Treatment Recommendation 1
- Major Depressive Disorder Treatment Recommendation 2
- Pure Dysthymia Treatment Recommendation
- Chronic Major Depression Treatment Recommendation
- Behavioral Activation
- Appropriate Physical Activity
- Comprehensive Treatment Plan with Shared Decision-Making
- Establish Follow-Up Plan
- Has Patient Reached Remission?
- Continuation and Maintenance Treatment Duration Based on Episode
- If Patient is Not Improving on Initial Treatment, Utilize Stepped Care Approach