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Less is More – Possible Option in the Treatment of Depression

Elizabeta Dadić-Hero ; Primary Health Centre, Primorsko-goranska county, Rijeka, Croati
Rajna Knez ; Department of Psychiatry, University Hospital Centre Rijeka, Rijeka, Croatia
Jelena Rebić ; Department of Psychiatry, University Hospital Centre Rijeka, Rijeka, Croatia

Puni tekst: engleski pdf 96 Kb

str. 1207-1209

preuzimanja: 194



Depression is an illness of modern society, which affects population of different age. Etiological factors differ, and
frustration factors as a cause of depression are multiplying. Each new episode presents diffi culties, both for patients and
psychiatrists. Despite the increasing number of antidepressants we use in treatment, it is sometimes hard to notice an
effi cient antidepressant in an optimal-effi cient dose. In resistant cases we apply combinations of psychopharmacs, and
the choice of the same depends on the leading symptoms. We will present the case of a 67-year old patient where a depressive
episode (in the terms of a reccurent major depressive disorder) lasts for one year. During this period she was treated
as outpatient and inpatient with several antidepresants in combinations with other psychopharmacotherapeutical drugs.
Despite regular treatment, mental state was worsening. Clinical presentation was indicating developing of dementia
(behavior, cognition outges), which we excluded through diagnostic process. Psychopharmacological combinations (antidepresants,
mood stabilizators, antypschotics, anxsiolotix) were not effi cant. Progression of simptoms leads to rehospitalisation.
In further treatmen, we followed the principle «Less is more» which resulted with an expected and satisfactory

Ključne riječi

antidepressants, dementia, depression, pharmacotherapy, treatment

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