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EXPLAINING ANTIDEPRESSANT
MEDICATION
DR AYAT ALI, MBBS
CHECKLIST
• Empathy
• Explain depression
• Explain need for medication
• Mechanism of action
• Clinical course
• Other uses of anti-depressants
• S/E
EXPLANATION

• Antidepressants used to increase levels of hormone that control mood.
• Effectiveness of SSRI: About 5-7 in 10 patients with depression improve
within a few weeks of starting treatment with antidepressants.
• But 3-4 out of 10 improve with placebo.
• However this means that SSRIs are almost twice as effective as placebo.
CLINICAL COURSE WITH SSRI
• SSRIs can tale 2-4 weeks to build up its effect and work fully. Some
people stop after 1 week thinking that treatment is not helping.
• Normal course of SSRI may last up to 6 months after symptoms have
stopped.
• Sudden withdrawal may result in the resumption of symptoms.
• Important: To follow instructions re dose as prescribed.
ANTIDEPRESSANTS ARE EFFECTIVE IN TREATING
A NUMBER OF DIFFERENT ILLNESSES:
•Anxiety
•Panic attacks
•OCD
•Chronic pain
•Eating disorders
•PTSD
EXPLAIN SIDE EFFECTS
Minor:

-dirrhoea, nausea , vomiting , headache
-drowsiness
-sexual dysfunction
Suicidal behaviour

-link between SSRIs and feeling suicidal
-advise to see doctor if you become anxious, restless, agitated.
SSRIS ?ADDICTIVE
• Not addictive. Can easily be stopped.
• May experience ‘withdrawal symptoms’ if stopped
suddenly.
• Such symptoms include: anxiety, agitation, dizziness, flulike symptoms, diarrhoea, abdominal cramps, pins &
needles, nausea, mood swings and low mood.
CLOSURE

• Invite questions
• Check patient’s understanding
• Summarises
THANK YOU
Ayat.ali@nhs.net
THANK YOU
Ayat.ali@nhs.net

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PATIENT COUNSELLING: SIDE EFFECTS OF ANTIDEPRESSENTS

  • 2. CHECKLIST • Empathy • Explain depression • Explain need for medication • Mechanism of action • Clinical course • Other uses of anti-depressants • S/E
  • 3. EXPLANATION • Antidepressants used to increase levels of hormone that control mood. • Effectiveness of SSRI: About 5-7 in 10 patients with depression improve within a few weeks of starting treatment with antidepressants. • But 3-4 out of 10 improve with placebo. • However this means that SSRIs are almost twice as effective as placebo.
  • 4. CLINICAL COURSE WITH SSRI • SSRIs can tale 2-4 weeks to build up its effect and work fully. Some people stop after 1 week thinking that treatment is not helping. • Normal course of SSRI may last up to 6 months after symptoms have stopped. • Sudden withdrawal may result in the resumption of symptoms. • Important: To follow instructions re dose as prescribed.
  • 5. ANTIDEPRESSANTS ARE EFFECTIVE IN TREATING A NUMBER OF DIFFERENT ILLNESSES: •Anxiety •Panic attacks •OCD •Chronic pain •Eating disorders •PTSD
  • 6. EXPLAIN SIDE EFFECTS Minor: -dirrhoea, nausea , vomiting , headache -drowsiness -sexual dysfunction Suicidal behaviour -link between SSRIs and feeling suicidal -advise to see doctor if you become anxious, restless, agitated.
  • 7. SSRIS ?ADDICTIVE • Not addictive. Can easily be stopped. • May experience ‘withdrawal symptoms’ if stopped suddenly. • Such symptoms include: anxiety, agitation, dizziness, flulike symptoms, diarrhoea, abdominal cramps, pins & needles, nausea, mood swings and low mood.
  • 8. CLOSURE • Invite questions • Check patient’s understanding • Summarises