Recognition and diagnosis of depression
Some people had had only one episode of depression, others multiple episodes. For many it had taken years for their depression to be recognised. It...
There are a range of healthcare professionals who can help people with depression. For many people their general practitioner (GP) is the first port of call when seeking help. GPs can prescribe medication, refer you to primary care counselling and psychology services or to a psychiatrist, sign you off work, and some have good counselling skills themselves.
GPs vary greatly in their abilities to help people with depression. People who thought that they had a good GP often said that they had been lucky. Highly regarded GPs had one or more of the following qualities:
People had problems, however, even with very helpful GPs. Being on very familiar terms with a GP can make it harder for some people to discuss difficult issues, such as feelings of despair and suicide. For instance, one female health professional initially pretended she was coping (her GP was also a friend) before her facade crumbled. Some people with depression can find it difficult to deal with the extra attention of a caring GP. And it was thought that even very good GPs can wait too long to refer people to a psychiatrist. Along with the delay in medication taking effect, the time taken for referral can mean many months of distress.
While many people we talked to had an adequate GP, some GPs were considered less skilled in helping depressed people. Some GPs were said to have trouble communicating with patients. One young woman felt patronised by her doctors. As one older man pointed out, some GPs had little understanding of depression, and in some pockets of the UK it was thought GP understanding of depression could be particularly limited. One health professional felt that it is difficult to negotiate with GPs when you have depression because you lack confidence, and depression is not visible. She suggested bringing someone else to the consultation to support you or writing everything down first.
There were many stories about GPs who failed to recognise or diagnose depression. Several people lived with depression for many years without receiving an adequate explanation from their GPs.
Even knowledgeable GPs could fail to communicate about depression in a manner that patients understood. For instance, one woman only found out she had an earlier diagnosis of depression during a subsequent episode.
Some people had had only one episode of depression, others multiple episodes. For many it had taken years for their depression to be recognised. It...
Psychiatrists People can get to see a psychiatrist through a referral from their GP, or if they are in hospital. Common complaints about getting a...