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Nov 2019

Treatment of Adult Major Depressive Disorder (MDD) Tool

Introduction

Major depressive disorder (MDD) is the most prevalent depressive disorder and approximately 7% of Canadians meet its diagnostic criteria every year. 

This tool is designed to support primary care providers in the treatment of adult patients (≥ 18 years) who have MDD. The tool covers treatment options, which involves psychotherapy and/or pharmacotherapy, as well as complementary and alternative options. 

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Appendices

To supplement the tool, we have developed appendices for clarity and assistance. Click below to download each appendix.


Information

About the Tool

The Treatment of Adult Major Depressive Disorder (MDD) Tool was developed to guide primary care providers in creating a treatment plan for their patient while keeping in mind various considerations including patient goals and preferences, clinical features, comorbid conditions and special patient populations. 

The tool emphasizes a “stepped-care approach” to treatment which encourages providers to consider the least intrusive form of care before progressing to more intensive care if needed. 

In order to guide difficult discussions regarding the diagnosis and treatment of MDD, we’ve included talking points throughout the tool to emphasize a stigma-free and empathetic approach. 

The Treatment of Adult Major Depressive Disorder (MDD) Tool was developed using the Centre for Effective Practice’s (CEP’s) integrated knowledge translation approach. This approach ensures that providers are engaged throughout the development processes through the application of user-centered design methodology. Clinical leadership of the resource was provided by Dr. Mark Silverman. End users and clinical experts were also engaged to provide feedback.

The MDD Tool is one of several clinical tools developed as part of the Knowledge Translation in Primary Care Initiative. This multi-year initiative is a collaboration between the Centre for Effective PracticeOntario College of Family Physicians (OCFP), and Nurse Practitioners’ Association of Ontario (NPAO). Funded by the Ministry of Health and Long-Term Care, this initiative supports primary care providers with the development of a series of clinical tools and health information resources. Learn more about the Knowledge Translation in Primary Care Initiative (KTinPC).

Clinical Lead

  • Dr. Mark Silverman

    MD, CCF

    Mark Silverman has been practicing as a family doctor for over 35 years. Since 1990, over half his work has been a GP-focused psychotherapy practice. 

    He is a long-standing certificant member of MDPAC (Medical Psychotherapy Association of Canada) and of CMHN (Collaborative Mental Health Network).

    With extensive and eclectic training and his many years of experience, he focuses most of his psychotherapy practice working with depression and anxiety.

Clinical Working Group

  • Cindy Pritchard, Nurse practitioner
  • Jose Silveira, Psychiatrist
  • Mireille St-Jean, Family physician
  • Colin Wilson, Family physician


Thank you to all of our members for their work!

Feedback

We also sought target end user input to inform the content and people with lived experiences, and would like to thank these individuals for their time.



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