What therapies do you recommend for patients with limited life expectancy (<3 months) but whose depression is significantly reducing their quality of life?
Answer from: at Academic Institution
I agree with Dr. @Gorby that the first thing we need to do is to make sure that the patient actually meets the criteria for depression rather than demotivation or demoralization. If the patient is depressed, using Ritalin may have an effect in a very short amount of time, although there isn't great ...
I generally use duloxetine, as many of these patients also have pain or neuropathy. Unfortunately, the effects are not immediate. It’s been reported that ketamine is useful in these situations, but I do not have access to it. I practice in Texas and may now certify patients for medical cannabi...