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Fitzgerald Health Education Associates, Inc., December 2014 fhea.com
Psychiatric Consult
Advanced Pathophysiology for NPs and
Advanced Practice Clinicians—Online
Earn 45 Contact Hours—Online!
•
New to the profession or brushing up on pathophysiology? Our course
will meet your needs
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Presented by highly acclaimed clinician-educators, Dr. Margaret A.
Fitzgerald and Dr. Sally K. Miller
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Updated and reviewed annually to ensure up-to-date content
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Advanced Pathophysiology
Fitzgerald Health Education Associates, Inc.
Counseling
Counseling should be at the forefront of your
recommended treatment plan for depression in
older adults. The effectiveness of counseling in the
treatment of mild to moderate depression has been
shown to be equivalent to the effectiveness of
medication,
5
and the effects of counseling can be
longer lasting than those of antidepressant
medication alone. Counseling is particularly effective
for older adults with depression stemming from
grief, difficulty with role adjustment (eg, retirement,
disability), and relationship-oriented issues.
•
References
1. Cipriani A, Furukawa TA, Salanti G, et al. Comparative efficacy
and acceptability of 12 new-generation antidepressants: a multi-
ple-treatments meta-analysis. Lancet. 2009; 373:746-758.
2. American Psychiatric Association. Practice guideline for the
treatment of patients with major depressive disorder, third edi-
tion, 2010. http://psychiatryonline.org/pb/assets/raw/sitewide/
practice_guidelines/guidelines/mdd.pdf. Accessed December
18, 2014.
3. Food and Drug Administration. Drug Safety Communication.
Revised recommendations for Celexa (citalopram hydrobromide)
related to a potential risk of abnormal heart rhythms with high
doses. Updated August 24, 2011. http://www.fda.gov/Drugs
/DrugSafety/ucm297391.htm. Accessed December 18, 2014.
4. Public Citizen's Health Research Group. Worst pills, best pills.
Ten rules for safer drug use. http://www.worstpills.org/public/
page.cfm?op_id=48. Accessed December 18, 2014.
5. DeRubeis RJ, Siegel GJ, Hollon SD. Cognitive therapy vs. med-
ications for depression: treatment outcomes and neural mecha-
nisms. Nat Rev Neurosci. 2008:9:788-796.
Dr. Teresa " Tess" Judge-Ellis is an Associate Lecturer
for Fitzgerald Health Education Associates, Inc.
Her clinical practice, FNP/PMHNP, is at Winfield
Community Clinic in Winfield, IA, and PMHNP at
Meadowlark Psychiatric Services, North Liberty, IA.
Dr. Judge-Ellis is Associate Clinical Professor at Uni-
versity of Iowa School of Nursing in Iowa City, IA.