The US Preventive Services Task Force (USPSTF) recommends screening for depression in adults. What does this mean for you? The next time you have a doctor's appointment, you may be asked questions about your mental health.
It's been known for a long time that depression is a big problem. According to the National Institute of Mental Health, depression is a leading cause of disability in the US. In a given year, millions of Americans will be diagnosed with a mood disorder (depression, dysthymia, or bipolar).
A number of people with the disorder do not even know they have it. Other symptoms of depression such as irritability, memory or concentration problems, or trouble with relationships may be more obvious.
Depression is often disguised by other problems. It can also affect the recovery of people who have a major illness, major surgery, or a chronic health condition. Although the stigma tied to mental disorders is easing, many who are affected still go undetected or untreated.
The USPSTF urges primary care doctors to screen all adults for signs of depression and give them appropriate treatment and follow-up care. This is especially important in the elderly, pregnant women, and new mothers (for postpartum depression).
According to USPSTF, the following 2 questions are a good place to start:
If your answer is “yes” to either question, contact your primary care doctor for an evaluation. Your doctor may advise completing a more in-depth questionnaire or having a thorough check-up.
Research suggests depression comes from an imbalance of certain brain chemicals. The disorder is more common in people who inherit a tendency for depression or those who are exposed to certain environmental triggers.
If you have symptoms of depression that interfere with your daily routine, contact your doctor. A physical exam and psychological evaluation will be done to determine the cause.
Depression is treatable. Antidepressant medicine and counseling are most common steps. They may be used alone or in combination. There are many types of therapy and medicine for depression. Talk openly with your care team to help reach the best plan for you.
You are encouraged to talk to your doctor if you have concerns about your mental health. If you have thoughts of death or suicide, call for emergency medical services right away. With better screening and medical care, the future looks brighter for adults with depression.
American Psychiatric Association
National Institute of Mental Health
Canadian Mental Health Association
Canadian Psychiatric Association
Depression. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Accessed July 15, 2020.
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Screening for depression in adult. US Preventive Services Task Force website. Available at: http://www.uspreventiveservicestaskforce.org/uspstf/uspsaddepr.htm. Accessed July 15, 2020.
Statistics. National Institute of Mental Health website. Available at: http://www.nimh.nih.gov/health/statistics/index.shtml. Accessed July 15, 2020.
Sui AL, US Preventive Services Task Force (USPSTF), Bibbins-Domingo K, et al. Screening for depression in adults: US Preventive Services Task Force recommendation statement. JAMA. 2016;315(4):380-387.
Last reviewed April 2020 by EBSCO Medical Review Board Last Updated: 7/15/2020