Psychiatry

Major Depressive Disorder

Questions discussed in this category

How do you approach antidepressant selection in patients with prominent fatigue but minimal mood symptoms?

5 Answers available

How do you treat decreased libido from SSRIs?

Any alternatives to drug holiday, bupropion, sildenafil, and yohimbine?

13 Answers available

When do you choose to switch to antidepressants vs augmentation in treatment-resistant depression?

5 Answers available

How do you approach treatment-resistant depression and anxiety related to menopause refractory to SSRI/SNRIs and hormone replacement therapy?

1 Answer available

How do you view the risk of tardive dysinesia and other side effects in your female patients with treatment-resistant depression who are stable on an atypical antipsychotic?

Given the concern about potential TD in female patients treated with second-generation atypical antipsychotics as an adjunct to antidepressants, are y...

4 Answers available

What is your experience with transcutaneous vagal nerve stimulation for the treatment of anxiety disorders and major depressive disorder?

1 Answer available

How do you approach the use of SSRIs to treat bipolar depression?

How do you balance the benefits of treating depression versus the risk of transition to mania? Do you consider stopping the medication as soon as the ...

10 Answers available

Do you screen for MTHFR polymorphisms in your patients with treatment-resistant depression?

1 Answer available

What are your considerations when treating insomnia in perimenopausal patients with comorbid anxiety or mood disorders?

3 Answers available

How do you support recovery in patients with MDD and AUD experiencing anhedonia and social isolation after losing alcohol-based social networks?

1 Answer available

Would you be comfortable using isotretinoin in a female teenage patient who has a history of depression that is now stable but with a prior suicide attempt two years ago?

7 Answers available

How do you manage emotional blunting due to SSRIs/SNRIs?

7 Answers available

What approaches have you found most helpful for concurrent severe major depressive disorder and alcohol use disorder?

5 Answers available

What strategies have you found helpful to manage SSRI associated night sweats?

4 Answers available

How do you counsel/approach antidepressant use in patients planning to utilize or self-administer psychedelics for chronic PTSD or depression?

With patients increasingly accessing psychedelics through online forums or home-grown sources for chronic PTSD and depression, how should psychiatrist...

1 Answer available

Would you consider over-the-counter dextromethorphan (low dose, slow titration) as augmentation in MDD?

Considering a growing interest in the use of dextromethorphan for depression (Majeed et al., PMID 33682569).

2 Answers available

What do you do when a patient experiences multiple rounds of antidepressant-related tachyphylaxis?

4 Answers available

What varying approaches do you take in suicide risk assessments?

Do you use different approaches in different settings (i.e., the ED vs. outpatient clinic)? Do you use different approaches for chronic vs acute suici...

3 Answers available

How do you approach managing depression symptoms in patients who have had repeated high risk of bleeding?

When do you determine SSRI therapy is unsafe to pursue in such situations?

2 Answers available