Resources for Primary Care Treatment of Depression and Anxiety
Primary care providers treat at least 50% of the mental health problems in the U.S.Wells. And have less time to do it than mental health providers. And have little support for their efforts. As a small step toward such support, here are resources developed in collaboration with my local primary care colleagues.
Washington State PCP Resource Center
Oregon Psychiatric Assistance Line for Kids: OPAL-K
- Clues on distinguishing ADHD and bipolar disorder in kids-- before using stimulants;
- ADHD screening tools:
- Your guide to diagnosis of bipolar variations (treatment too, if you can't refer)
Screening Tools ("How many conditions can a GP screen for?" -- BMJ editorial)
Primary Care MoodCheck (better than the MDQ? take a look)
- The McArthur Foundation's PHQ-9 -- simple, visual scoring, no advertising
PHQ-9 scoring guidelines
McArthur Foundation's Depression Management Tool Kit (lower left hand corner of their home page)
- Who should get a PHQ-9? A two-question approach with 97% sensitivity (specificity moot if used as gross screen)Arroll, full text
- MOCA -- the Montreal Cognitive Assessment
Light therapy for seasonal affective disorder
Britain's GP/psychiatry collaboration: extensive guidelines for "Bipolar Spectrum Disorder"