Clinical Vignette: Management of a Patient with Treatment-Refractory Depression
Mr X is a known case of depressive illness for the last 1 year. He has stopped responding after two different groups of antidepressants were tried and has been labelled as a patient of treatment-resistant depression.
- How will you assess the cause of this resistance?
- Write the treatment algorithm that you will follow for his management?
- If you had to start lithium in this case, what protocol would you follow to start it and how will you monitor it?
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