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| 09:15 - 09:30 | Welcome and Introduction
Meeting Chair: Dr Sarah Jarvis, FRCGP, GP and GP Trainer, London
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| 09:30 - 10:00 | Recognition and Diagnosis of Depression
Dr Sarah Jarvis, FRCGP, GP and GP Trainer, London
• Epidemiology
• Principles of patient diagnosis & assessment: understanding thresholds of depression
• Role of communication
• Understanding and interpreting DSM-IV
• Applying screening / severity tools, scales and scores |
| 10:00 - 10:45 | Goals of Therapy
Dr Sarah Jarvis, FRCGP, GP and GP Trainer, London
• Social functioning
• Remission - Returning patients to normal functioning
• Residual symptoms and the necessity of stepped care
• Suicide risk assessment: principles and practice
• Meeting the needs of QOF |
| 10:45 - 11:00 | Coffee Break
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| 11:00 - 11:30 | The Importance of Somatic and Painful Symptoms
Dr Tom Brown, Consultant Liaison Psychiatrist, Western Infirmary, Glasgow
• Diagnosing depression in patients initially presenting with somatic symptoms
• ‘Asking’ the right questions of patients with aches and pains
• Discriminating between painful and non-painful somatic symptoms
• Painful symptoms do not have to be part of an underlying comorbid physical illness |
| 11:30 - 12:00 | Comorbid Disease
Dr Tom Brown, Consultant Liaison Psychiatrist, Western Infirmary, Glasgow
• Understand the principles of treating depression in the context of comorbid disease
• The interplay between depression and chronic physical health problems |
| 12:00 - 12:30 | Depression - More than just mood symptoms
Dr Morgan Haldane, Consultant Psychiatrist , Oxleas NHS Foundation Trust, London and Honorary Lecturer at the Institute of Psychiatry, King’s College London
• The biochemistry of mood change – cause and effect
• Models of drug action in management of depression
• The evidence for structural and functional changes in depression |
| 12:30 - 13:00 | Understanding Antidepressant Drug Choices
Dr Morgan Haldane, Clinical Lecturer, Institute of Psychiatry, King’s College London and Consultant Psychiatrist, South London and Maudsley NHS Foundation Trust
• Starting antidepressant medication: what to consider before you reach for the Px pad
• Benefits of choosing an SNRI
• SSRIs and other 1st-line drug choices
• 2nd-line drug choices and switching
• Adverse effects and contraindications
• Combining medications
• Switching between classes
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| 13:00 - 14:00 | Lunch
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| 14:00 - 14:45 | Cognitive Behavioural Therapy and Behavioural Activation
Dr Caroline Dollery, GP, Danbury Medical Centre, Essex
• Understanding the components of Cognitive Behavioural Therapy and their use in depression
• Behavioural activation: interactive group exercise
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| 14:45 - 15:15 | Psychosocial and Organisational Aspects of Management and Treatment
Dr Caroline Dollery, GP, Danbury Medical Centre, Essex
• This session looks more directly at practical models of care that might be developed and implemented locally, working with available resources.
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| 15:15 - 15:30 | Coffee Break
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| 15:30 - 16:00 | Interactive Case Studies
Dr Sarah Jarvis, FRCGP, GP and GP Trainer, London
• A series of clinical cases that illustrate and support the days learning points, focusing on aspects of depression that present routinely in the primary care setting. Discussion based, with only case histories and backgrounds provided in hard copy.
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| 16:00 - 16:30 | Panel & Audience Discussion
• Interactive Q & A that will be a forum for all practical, novel, controversial and poorly understood issues in primary care management of depression
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| 16:30 - 16:45 | Finish and Close
Dr Sarah Jarvis, FRCGP, GP and GP Trainer, London
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