2. • About one in four adults
suffer from a diagnosable
mental disorder in a given year
• 70% of primary care visits
stem from psychosocial issues
3. • Most patients with mental
health issues access the health
system through primary care
• Most primary care physicians
lack the time or have not been
trained to address the range of
psychosocial issues presented
4. • Clinical depression is often
undiagnosed and undertreated
because symptoms go
unrecognized in the context of
multiple physical problems
5. • No biological tests confirm major depression
• Other disorders need to be ruled out before
diagnosing major depressive disorder, but the
differential diagnoses list is long
6. • It is estimated that 80%
of depression cases go
undiagnosed and
untreated
9. I cannot teach anybody
anything, I can only make them
think .
― Socrates
10. Narrative Setting
• Research shows the
human brain has a
natural affinity for
narrative construction,
remembering facts more
accurately if encountered
in a story than in a list
• This program
challenges physicians to
gather information in
order to make
meaningful decisions in
real-life depression care
Carey, B (2007) This is your life (and How you Tell it). New York Times. Melanie Green http://www.unc.edu/”mcgreen/research.html
11. Compelling Story Line
• Effective cases tell
compelling stories and
focus on key issues
• Major depression
affects twice as many
women as men, is
most prevalent in
women before
menopause, and is
more common in
obese women
• Lissette: a 47 year old
perimenopausal
woman with a BMI of
34
12. Built on Dialogue
• Effective cases use
the characters’
dialogue to tell the
story
• Diagnosing
depression is an
evaluative notion,
usually created via the
process of dialogue
13. Interactive
• Studies show
interactivity –
mutual action
between the learner,
the learning system,
and the learning
material – has a
strong effect on
learning (Stanford
1990)
14. Unfolds Over Time
Six Months • Effective case
After Major Depressive studies unfold over
Disorder Diagnosis
time
• The median duration
of major depression is
23 weeks and often
requires ongoing
medical care to
achieve remission and
prevent relapse
15. Active Discovery
• Effective case
studies place learners
in a simulated situation
and help them acquire
the decision-making
and critical-thinking
skills needed
• Depression
management requires
active discovery,
analysis, interpretation
and problem-solving
16. Branching Diagnosis
Dysthymia
of Content Bipolar Disorders
Hyperphagia Comorbidities
Posttraumatic Stress
• Effective cases Differential Diagnosis Anxiety Disorders
provide an active
role in the learning
process Patient Compliance Patient Education
• Diagnosing and
treating depression Exercise Therapy
can take a path of
exploration over
time and must be Intervention Informed Consent
individualized to
each patient
Pharmacotherapy Psychotherapy Combination therapy
17. Guided Exploration
• Effective cases
clearly state and
illuminate the
dilemma without
resolving it
• Depression
management often
takes a collaborative
or integrated
approach
18. Goal Alignment
• Effective cases
closely align with
OBJECTIVES: overall instructional
At the end of this online enduring material,
participants should be able to: objectives
• Demonstrate how objective and subjective complexity • As depression
indicators can be used for major depressive disorder care
in women remains largely
• Show the importance of developing individualized underrecognized
treatment plans for MDD patients that is driven by data,
evidence-based guidelines and patient input
and undertreated,
• Manage MDD patients with a broad range of treatment continuing
strategies education can
• Emphasize a collaborative multidisciplinary approach to
patient management improve effective
management
19. Mastery
The experience of
being competent,
of achieving
something
20. Mastery
Continuing
education
credits awarded
to maintain
licensure
21. Behavior-Changing
• Effective cases
lead to behavior
change
• Changing behavior
in depression is
critical as half of
patients do not
receive
recommended levels
of care
• Assessing
commitment to
change vs. actual
change in practice
22. “Education is not the filling of a
pail, but the lighting of a fire.”
- W.B. Yeats
23. Questions
or comments,
email:
threcme@outlook.com
to experience the case, please visit:
www.mddinwomen.com
