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Pharmacotherapy in Treatment of Post SCI Depression

For the past 6 weeks, Mrs. Miller has attended 1-2 appointments/week with the psychologist, who has been using cognitive behavioural approach. Despite some initial gains, Mrs. Miller continues to experience significant depressive symptoms which are impacting upon her participation in her ongoing rehabilitation. She wants to get better, but she remains uncertain about whether she wants to go on antidepressant medications. She meets with the physiatrist to further review the potential advantages and disadvantages of taking these medications.
Q20. What evidence is there for pharmacotherapy in the treatment of depression following SCI?
1. The benefits of drug treatment for post-SCI depression are largely extrapolated from studies in non-SCI populations. (Level 4 evidence).
For more information, please see:Cognitive Behavioural Therapy.