determine Forum Guru

Topics: 152 Posts: 335
| | 04/30/06 - 09:23 PM  
 
   
 
|   #1 |
Pt. Diagnosed with dysthymia what is the best treatment :<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> -Psychotherapy -Fluoxetine -Imipramine
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| Rasul Forum Guru
Topics: 56 Posts: 485
| | 05/01/06 - 12:43 AM  
 
   
 
|   #2 |
psychotherapy first, then if no effect- antidepressant
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| determine Forum Guru

Topics: 152 Posts: 335
| | 05/01/06 - 07:27 AM  
 
   
 
|   #3 |
The given answer is fluoxetine. Well it is not a reliable answer sheet, I agree with Rasul.
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| achilles Forum Guru

Topics: 89 Posts: 1,224
| | 05/01/06 - 07:50 AM  
 
   
 
|   #4 |
i actually went for fluoxetine in this patient(maybe luckily). SSRI's are the first line antidepressants and dysthymia must be treated as aggresively as major depression. but interpersonal therapy and cognitive therapy are also very good treatment options !! now what .... is not starting with a drug straight away disadvantageous/harmful to the patient ?? pls give your inputs on this.
___________________ " it's not whether you get knocked down, it's whether you get up" " i have miles to go before i sleep "
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| Rasul Forum Guru
Topics: 56 Posts: 485
| | 05/01/06 - 09:15 AM  
 
   
 
|   #5 |
Just checked- current guidelines for treatment-fluoxetine + psychotherapy.Used to be- psychotherapy first. Dear determine!Don't trust my answers too much- I'm just like you, guys, trying to learn smth new...
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| determine Forum Guru

Topics: 152 Posts: 335
| | 05/01/06 - 09:19 AM  
 
   
 
|   #6 |
in TN, it says principle treatment is psychotherapy too, well who knows they will accept which one as an answer...
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| AAAAA Forum Fanatic
Topics: 156 Posts: 1,991
| | 05/02/06 - 03:39 PM  
 
   
 
|   #7 |
In MCC, it is psychotherapy. also dysmthmia needs more tender loving care, long-term low level depression is more a neurotic life-long low-level depression, I think psychotherapy is better for MCC
___________________ seeking study partner in USMLE, Canadian MCC OSCE examination
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| frank100 Forum Guru
Topics: 48 Posts: 586
| | 08/03/06 - 07:05 PM  
 
   
 
|   #8 |
disthymia
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| Surfer Forum Newbie
Topics: 0 Posts: 22
| | 08/13/06 - 06:05 PM  
 
   
 
|   #9 |
The first line treatment for Dysthymia is insight-oriented individual psychotherapy. Answer 1 is correct.
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