First Glance

Most patients suffering from depression are first seen by a Family Physician in the community. A FP asking a qualified Psychiatrist for some tips in the management of depression in an outdoor setting is presented.

Anxiety and depression in Acid Peptic diseases
- Dr. Hemant Belsare

Introduction:

Acid peptic diseases are one of the most distressing and commonly seen problems by practicing clinicians. Acid peptic diseases occur due to imbalance in acid and pepsin secretion and include peptic ulcer, gastritis, and Z-E syndrome. Peptic ulcer is the commonest of acid peptic diseases because pepsin was thought to be responsible for the pain in the abdomen which used to progress up to ulcer formation. Hence the name Peptic Ulcer. Later on the fact came to light that it is the hydrochloric acid that is responsible and therefore the terms like Acidity, Hyperacidity came into usage.

Acid peptic disease is a chronic condition causing pain and heartburn. This prolonged duration of physical discomfort is frequently associated with anxiety and depression. And many times the reverse is the case.

1. What are the causes of acid peptic diseases? (etiology)?

2. Do psychological factors also cause acid peptic disease?

3. How to diagnose acid peptic diseases?

4. What are the symptoms??

5. What is the treatment of acid peptic diseases??

6. What is the treatment of associated anxiety & depression??

7. What is the role of Benzodiazepines??

-Dr Nilesh Shah
-Dr Kedar Kale

Q. What are the common clinical guidelines for use of antidepressants?
Q. What are the limitations of conventional antidepressants?
Q. In what way are newer antidepressants better than conventional ones?
Q. Which are the antidepressants available in India?
Q. How does one choose an antidepressant for a particular individual?
Q. What happens when a patient takes an overdose of antidepressants?
Q. What is the addiction potential for antidepressants?

-Dr (Mrs) H S Dhavale

Q. What is Somatization ?
Q. What are the common physical symptoms of anxiety and depression ?
Q. Is stress synonymous to anxiety ?
Q. What is a difference between anxiety and depression ?
Q. How do anxiety and depression affect cardiovascular system ?
Q. How anxiety and depression affect musculo-skeletal system ?
Q. How anxiety and depression affects Gl system ?
Q. How anxiety and depression affect gynaecological system ?
Q. How is anxiety and depression associated with pain ?
Q. What are the treatment modalities of anxiety and depression ?

- Dr Shubhangi R Parkar

Q. What is the course of depression?
Q. Does depression require long term management?
Q. What are the cause of poor outcome and incomplete recovery?
Q. How does one identify partial response?
Q. Sometimes people show improvement in classical depressive conditions but exhibit some other symptoms unlike depression. Is this related to depression ?
Q. Some people seem to have problems of interpersonal adjustment, emotional distress and aggressive or irritable behaviour with dysphoric mood. Will you think of depression in these patients?
Q. How do you prevent these complications arising out of depression?

-Dr Nilesh Shah
-Dr Nikhil Nihalani
-Dr Vidya Krishnan

Q. How is anxiety and depression related to cardiovascular diseases?
Q. What are the criteria for diagnosis of depression with cardiovascular diseases?
Q. What are the mechanisms of depression induced cardiovascular diseases?
Q. How can anxiety and depression affect the course of cardiovascular diseases?
Q. How does correct management of depression affect cardiovascular diseases?
Q. What are the steps involved in the management of this co-morbidity?
Q. How can compliance with treatment be increased?
Q. What are cardiac side effects of antidepressant drugs and which are the cardiovascular drugs that produce depressive features?