Depressive Erkrankungen in der hausärztlichen Versorgung

Depressive disorders are among the most common mental illnesses in general practice. Due to the context, patients often initially present with somatic complaints. In addition to getting a grasp of complaints, severity, and suicidality, diagnostics should also include determining levels of performance and social participation. Important comorbidities include anxiety disorders and obesity; important differential diagnoses are dementia and bipolar disorders. Treatment options include psychotherapy and psychopharmacotherapy, flanked by psychosocial support. The selection of a specific therapeutic strategy depends on the severity of depression and comorbidities. Suicidality is a common and significant complication of depressive disorders. When dealing with suicidality, informed and conjoint decision making is key. Various tested interventions are available.