<prompt> Depression in elderly is treated with?ImipramineDothiepinFluoxetineMianserine  <response>: Ans. c. Fluoxetine. Ref. Psychiatry by Niraj Ahuja, 5th ed., 78Newer anti-depressants like SSRI fluxetine, sertraline, citalopram, mitrazepam, and venlafexine have very little cholinergic effects, side effects and hence safer drugs to use in elderly, especially with heart diseases and BMP. Educational points: Grief BereavementDepression Pathological GriefDefinition- Sadness Tearfullness- sleep, Appetite Interest- Sadness Tearfulness- sleep, Appetite InterestSymptoms- Wax Wane- Shame guilt less common- Threaten suicide less often- Symptoms can last one year- Usually return to baseline level of Functioning within 2 months- Pervasive Unremitting- Shame guilt are common- Threaten suicide more often- Symptoms continue one year- Patients do not return to baseline level of functioningTreatmentSupportive PsychotherapyAntidepressant 5SRI Post partum BluesBaby BluesPost partumDepressionPostpartumPsychosisOccur afterAny babyThe 2nd babyThe 1st babyBegins after birthUp to 2 weeksWithin 1 monthWilthin 1 monthThoughts of hurting the babyNo. Mother cares about the babyYesYesSymptomsMild depressionSevere DepressionSevere Depression Psychotic symptomsTreatmentNo Treatment necessaryAntidepressantsAntidepressants Mood Stabilizers or Antipsychotics 