Stahl Chapter 7: Antidepressants exam questions with complete solution

Stahl Chapter 7: Antidepressants exam questions with complete solution what percentage of symptoms improve with a single antidepressant? - Correct Answers 20-30% Note: this is why we often prescribe multiple together whereas with schizophrenia using just 1 SGA is usually the rule. in general what percentage of improvement is considered a response with antidepressants? what is the goal for tx? - Correct Answers 50% Goal: complete remission of symptoms. - due to the ineffectiveness of antidepressants, if multiple aren't used aggressively and early, remission probably will not ever be reached. what is remission? - Correct Answers asymptomatic for several months what is recovery? - Correct Answers asymptomatic for at least 6 months what is relapse? - Correct Answers depression returns before full remission of sxs or within first several months after remission what is a recurrence? - Correct Answers depression returns after a recovery (after 6 months of being asymptomatic) what are the most common residual sxs to prevent remission and what are the least common? - Correct Answers most common - insomnia - fatigue - painful physical complaints - problems concentrating - lack of interest least common - depressed mood - SI - psychomotor retardation what percentage of pts respond to 1st antidepressant after 3 months vs 2nd vs 3rd vs 4th? - Correct Answers 1st: 33% respond, 67% don't 2nd: 20% respond, 47% don't 3rd: 6-7% res