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Refer for
psychotherapy if
patient preference or
add cognitive
behavioural office
skills to antidepressant
medication
Depressed
Mood
Offer Antidepressant
Medication
Antidepressant
Treatment Appropriate
Choice of Antidepressant
Consider:
Not tolerated
Lower
dose.,
Switch to a
different
class
Ineffective
Adequate trials of 2
medications not
effective or not
tolerated
-Emergent situation
developing (psychosis,
suicidal intent)
-Diagnostic dilemma
-Significant comorbidity
Refer :
Mental Health Services or
Emergency services if
patient in imminent danger
to self or other
May 2009
Not all medications listed are eligible for coverage under the No-Charge Psychiatric Medication Program (Plan G).
Coverage information is provided on the BC PharmaCare website at www.health.gov.bc.ca/pharme/outgoing/plangtable.html.
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