Clinical CPD topic
Depression: practise, reflect and record
Practise depression through five clinical cases, review the explanations and build a professional learning record. Choose initial combined treatment and medication escalation after inadequate guided self-help according to patient preference.
First published · Sources checked
What you’ll work on
- Choose initial combined treatment and medication escalation after inadequate guided self-help according to patient preference.
- Select appropriate specialist treatment pathways for psychotic depression and adolescent moderate depression.
- Plan staged antidepressant withdrawal with monitoring for withdrawal symptoms and depressive relapse.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A 42-year-old presents to general practice with a first episode of depression causing marked occupational and social impairment. The presentation falls within NICE's more severe depression category and there are no psychotic symptoms, features of bipolar disorder or immediate risks requiring urgent specialist care. After discussing the first-line options, the patient would prefer both structured psychological therapy and antidepressant medication. Which is the most appropriate initial management?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.
- Recommendations | Depression in adults: treatment and management | Guidance | NICEUK source
- Recommendations | Depression in children and young people: identification and management | Guidance | NICEUK source