Indian Journal of Private Psychiatry

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VOLUME 14 , ISSUE 1 ( January-June, 2020 ) > List of Articles

Original Article

Depression in Clinical Practice: A Retrospective Case Record Analysis

Anil K Agarwal

Keywords : Depression, Natural history, Psychiatric clinic

Citation Information : Agarwal AK. Depression in Clinical Practice: A Retrospective Case Record Analysis. Ind J Priv Psychiatry 2020; 14 (1):1-5.

DOI: 10.5005/jp-journals-10067-0049

License: CC BY-NC 4.0

Published Online: 11-12-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aims and objectives: The aim of this study is to study the natural course of depression in a private clinic setting. Materials and methods: The records of all patients suffering from depression excluding bipolar and schizoaffective disorders diagnosed according to DSM IV were scrutinized from November 1, 2017, to October 31, 2018. Observations: A total of 702 patients were diagnosed as suffering from depression. Nearly 13% had a change in diagnosis of bipolar disorder or obsessive-compulsive disorder (OCD) and other conditions. Nearly 80 patients\' records were not adequate, and therefore, only 528 patients were taken for detailed study. All these patients were analyzed for various clinical details. Many patients suffering from depression require a change of diagnosis mainly to bipolar disorder and OCD. Depression is generally a chronic recurring illness, but the pattern of recurrences is variable. More men seek treatment, while depression is more common in females. Similarly, more young people seek treatment while depression is more common in the elderly. The number of chronic patients increased with age. Most patients came to the clinic only when they were feeling worse and discontinue treatment as soon as they get better. Resistant depression requires reevaluation of diagnosis and reassessment of psychosocial factors.


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