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Late-Life Depression in the Primary Care Setting: toward a patient-centered future 

Late-Life Depression in the Primary Care Setting: toward a patient-centered future
Chapter:
Late-Life Depression in the Primary Care Setting: toward a patient-centered future
Author(s):

Marsha Wittink

, Paul Duberstein

, and Jeffrey M. Lyness

DOI:
10.1093/med/9780199796816.003.0028
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date: 22 October 2020

The primary care setting is critical for recognizing and addressing a wide range of depression symptoms in late-life. However, multiple factors discourage older adults and their primary care physicians from taking a proactive role in addressing depression. In this chapter, we explain the limitations of a biomedical approach to depression care, which emphasizes particular treatments but ignores fundamental behaviors, namely communication and decision-making, that are vital to patient-centered treatment outcomes. We introduce an alternative approach to patient-centered mental health care that leverages recent developments in communication and decision-making and is consistent with the legitimization of patients as decision makers with expertise in their own circumstances.

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