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Section 1: Epidemiology of late-life depression and interaction with dementia

(1.1) Section 1: Epidemiology of late-life depression and interaction with dementia

(1.2) Epidemiology of late-life depression and interaction with dementia

(1.3) Reflection
(1.4) Reflection: suggested answers
(1.5) Comment

(1.6) Depression and dementia

(1.7) Comment

(1.8) Audio: case vignette

(1.9) Case vignette: model answer

(1.10) Section 1: Recap

(1.11) Section 1: Summary

 

Section 2: Assessment

(2.1) Section 2: Assessment

(2.2) Essential ingredients in assessing late-life depression

(2.3) Comment

(2.4) Questionnaires for detecting depression

(2.5) The Montgomery Äsberg Depression Rating Scale (MADRS)

(2.6) Investigations: interactive exercise

(2.7) Suggested tests

(2.8) Other tests

(2.9) Reflection

(2.10) Dysexecutive symptoms

(2.11) Grasp reflex testing

(2.12) The Luria hand motor sequencing task (video)

(2.13) Line drawing (video)

(2.14) Verbal fluency: word association (video)

(2.15) Verbal fluency: animal naming (video)

(2.16) Patients lacking capacity to make treatment decisions

(2.17) Electroconvulsive treatment (ECT)

(2.18) Audio: case vignette

(2.19) Case vignette: model answer

(2.20) Section 2: Recap

(2.21) Section 2: Summary

 

Section 3: Clinical presentation

(3.1) Section 3: Clinical presentation

(3.2) Reflection: suggested answer

(3.3) Key symptoms of depression in late life

(3.4) Common presentations and pitfalls

(3.5) Reflection

(3.6) Reflection: suggested answers

(3.7) Who is at risk of suicide?

(3.8) Reflection: suggested answers

(3.9) Vascular depression

(3.10) Clinical features: the structural changes

(3.11) Vascular depression: interactive brain scan

(3.12) Reflection

(3.13) Comment

(3.14) Figure 2: a summary of the interaction between depression and vascular disease

(3.15) Audio: case vignette

(3.16) Case vignette: model answer

(3.17) Section 3: Recap

(3.18) Section 3: Summary

 

Section 4: Planning management

(4.1) Section 4: Planning management

(4.2) Reflection

(4.3) The Pittsburgh phases of treatment

(4.4) The Pittsburgh treatment phases

(4.5) Goals of treatment and treatment options

(4.6) Sources of drug treatment variability in older patients

(4.7) Reflection

(4.8) Comment

(4.9) Choosing an antidepressant for an older person

(4.10) Reflection

(4.11) Reflection: suggested answers

(4.12) Table 2: adverse effects of antidepressants with older patients

(4.13) Non-pharmacological interventions

(4.14) Non-pharmacological interventions

(4.15) Audio: case vignette

(4.16) Case vignette: model answer

(4.17) Section 4: Recap

(4.18) Section 4: Summary

 

Section 5: Improving remission rates

(5.1) Section 5: Improving remission rates

(5.2) Reflection

(5.3) Reflection: suggested answers

(5.4) Strategies to improve the chance of remission

(5.5) Table 3: efficacy of second generation antidepressants in late-life depression: a meta-analysis of the evidence

(5.6) Reflection

(5.7) Length of treatment: comment

(5.8) Stepped care: Table 4

(5.9) Reflection

(5.10) Reflection: suggested answers

(5.11) Antipsychotic drugs

(5.12) Targeting symptoms

(5.13) Which symptoms to target?

(5.14) Use of early combination or augmentation strategies

(5.15) Table 5: comorbidity with depression

(5.16) Audio: case vignette

(5.17) Case vignette: model answer

(5.18) Section 5: Recap

(5.19) Section 5: Summary

 

Section 6: Treatment of resistant depression

(6.1) Section 6: Treatment of resistant depression

(6.2) Reflection

(6.3) Reflection: answers

(6.4) Partial resistance

(6.5) More severe resistance

(6.6) Lithium augmentation

(6.7) Electroconvulsive therapy (ECT)

(6.8) Audio: case vignette

(6.9) Case vignette: model answer

(6.10) Section 6: Recap

(6.11) Section 6: Summary

 

Module summary

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Appendix: transcripts

(1.8) Transcript: case vignette

(2.12) Transcript: the Luria hand motor sequencing task

(2.13) Transcript: line drawing

(2.14) Transcript: verbal fluency – word association

(2.15) Transcript: verbal fluency – animal naming

(2.18) Transcript: case vignette

(3.15) Transcript: case vignette

(4.15) Transcript: case vignette

(5.16) Transcript: case vignette

(6.8) Transcript: case vignette

 

© 2011 Royal College of Psychiatrists