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Clinical Case Studies in Long-Term Care Psychiatry Treatment-Resistant Depression and Electroconvulsive Therapy
from Section 2 - Mood Disorders
Published online by Cambridge University Press: 31 October 2024
Major depressive disorder is a serious and life-threatening condition not uncommon to older adults. Only 60-70% of patients respond to an adequate trial of two different antidepressants. Reasonable strategies to address treatment-resistant depression in older adults include adding an antidepressant in another class or adding one or more of many available augmentation agents. When patients have treatment-resistant depression a clinician may need to consider nonpharmacologic therapies for depression such as electroconvulsive therapy or transcranial magnetic stimulation.
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