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Use of antidepressant medication following acquired brain injury: concise guidance

Lynne Turner-Stokes and Ron MacWalter a multidisciplinary Guideline Development Group convened by the British Society of Rehabilitation Medicine and the British Geriatrics Society, in association with the Royal College of Physicians, London
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DOI: https://doi.org/10.7861/clinmedicine.5-3-268
Clin Med May 2005
Lynne Turner-Stokes
King's College London
Regional Rehabilitation Unit, Northwick Park Hospital
Roles: Herbert Dunhill Chair of Rehabilitation, Director
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Ron MacWalter
Stroke Studies Centre, Ninewells Hospital and Medical School, Dundee
Roles: Consultant Physician and Honorary Reader
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Abstract

Depression is increasingly recognised as a common sequel to acquired brain injury and the use of antidepressant medication in this context has increased markedly over recent years. However, these drugs are not without side effects – some of them serious – and they should not be used without proper evaluation and monitoring. This set of concise guidance was developed jointly by the British Society of Rehabilitation Medicine, the British Geriatrics Society and the Royal College of Physicians, to guide clinicians working with people who have brain injury of any cause (ie stroke, trauma, anoxia, infection etc). The guidance covers (a) screening and assessment of depression in the context of brain injury, (b) issues to consider and discuss with the patient and their family before starting treatment, and (c) proper treatment planning and evaluation – including planned withdrawal at the end of treatment.

Key Words
  • antidepressive agents
  • brain injuries
  • depression
  • practice guidelines
  • © 2005 Royal College of Physicians
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Use of antidepressant medication following acquired brain injury
Lynne Turner-Stokes, Ron MacWalter
Clinical Medicine May 2005, 5 (3) 268-274; DOI: 10.7861/clinmedicine.5-3-268

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Use of antidepressant medication following acquired brain injury
Lynne Turner-Stokes, Ron MacWalter
Clinical Medicine May 2005, 5 (3) 268-274; DOI: 10.7861/clinmedicine.5-3-268
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