| Adolescent Depression Webcast |
| Pharmacological Management Of Adolescent Depression In Primary Care |
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This CME webcast qualifies for 1 hour of Patient Safety CME to help you meet state licensure requirements. Recorded Sept. 16, 2009. Watch this prerecorded webcast on your computer now in Windows Media Format (.wmv). Playing time is 1 hour. |
What are best practices for the assessment and treatment of adolescent depression in primary care?
- identify youth at risk for depression
- diagnose depression in adolescents
- formulate a treatment plan, including indications and contraindications for antidepressants
- best practice for use of antidepressants in depressed adolescents
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Presenter:
David Brent, MD - Academic Chief, Division of Child & Adolescent Psychiatry (WPIC), Endowed Chair in Suicide Studies; Professor of Psychiatry, Pediatrics & Epidemiology, University of Pittsburgh School of Medicine
Background:
This webcast is supported by the Pennsylvania Department of Public Welfare and part of a statewide effort, in which the PAFP Foundation is a partner, aimed at preventing youth suicide. This is an in-depth discussion about medication options in primary care and is a follow up to an earlier teleconference on assessment and treatment.
The May 2009 teleconference (Suicidal Risk in Adolescents - Assessment and Treatment) was sponsored by the American Academy of Pediatrics – PA Chapter. Missed it? Click here to download the slides and MP3 file and listen to the presentation.
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| NEWS | Suicidal Ideation & Antidepressants:
A recent issues of the AAFP’s Family Practice Management includes an article on how to respond to patient misconceptions about antidepressants. One of the questions addresses suicidal ideation - http://www.nxtbook.com/nxtbooks/aafp/fpm_20090506/index.php?startid=15#/20 .
Physicians Hesitant To Prescribe Anti-Depressants for Adolescents;
Youth Suicides On The Rise:
The 2004 issuance of a black box warning for anti-depressants based on the results of trials that suggested a potential link to suicidal ideation in adolescents has been hotly debated. Presenters at the PAFP Foundation’s Skytop CES on March 14 reported that the studies upon which the decision was based didn’t include any deaths. Not surprisingly, however, the number of anti-depressant prescriptions. Unfortunately, CDC data from 2004 shows an 8% increase in the number of youth suicides after a 28% decline between 1990 and 2003 – that was the first increase in 15 years. When asked by the presenter if they were hesitant to prescribe anti-depressants to teenagers and young adults, most physicians in the room raised their hands. Regardless of the controversy, physicians should note that the data on medication vs. psychotherapy suggest they are equally effective in reducing depression and the combination of both seems to be the most effective. In fact, current clinical guidelines suggest starting with psychotherapy and then adding medication if needed.
Follow The Guidelines:
Check out the Guide Lines for Adolescent Depression in Primary Care (GLAD-PC) (http://www.glad-pc.org/). The toolkit (www.glad-pc.org/documents/GLAD-PCToolkit.pdfHTTP://www.glad-pc.org/documents/GLAD-PCToolkit.pdf) includes assessment and management flowcharts, parent questionnaires in English and Spanish, and a youth questionnaire.
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