Depression in adolescence Serotonin uptake inhibitors
Nurse Practitioners in primary care are often on the front lines of diagnosing and treating depression. Many medications used to treat depression in adolescents have been studied but only one, Fluoxetine, is currently approved to treat major depression. In addition, there is a preponderance of media attention being focused on the question of how safe these medications are in adolescents and even focusing on those adolescents who have committed suicide while on these medications and overemphasizing the point that these medications may cause suicidality. Certainly, there is cause for concern, but should this concern keep providers from treating depression in adolescents in primary care? This question and the concern that many adolescent patients will go untreated because of fears that have been raised with the initiation of Food and Drug Administration's (FDAs) black box warning labels on all SSRI medications lead to the review of the current research in this manuscript. Discovered in this review of clinical trials was that there are risks and benefits that have to be carefully explored when deciding on when and how to treat this illness. There are risks involved in not treating this illness as well as potential risks in the use of medications. Recommendations for close monitoring, warning signs of problems, patient and family education as well as the need for close collaboration with mental health specialists are outlined to aid practitioners in treating depression in adolescents.
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Details
Title
SSRIs and Adolescent Depression
Creators
Laurie Ann Helms
Contributors
Renee Hoeksel (Advisor)
Awarding Institution
Washington State University
Academic Unit
Research Projects, College of Nursing
Theses and Dissertations
Master of Nursing (MN), Washington State University
Publisher
Washington State University; Spokane, Washington
Identifiers
99900590536401842
Copyright
http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)