Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care

Major Depressive Disorder (MDD) among adolescents is an important health problem among adolescents and leads to high-risk behaviours and suicide. Given the increasing prevalence of MDD among adolescents, early identification is vital for immediate intervention. The primary care team is an important...

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Main Authors: Abdullah, Fa’iza, Kamaluzaman, Qamarul Azwan, Yatim, Yusnita, Mat Nor, Mohd Basri
Format: Article
Language:English
Published: Zes Rokman Resources 2023
Subjects:
Online Access:http://irep.iium.edu.my/104525/1/104525_Major%20Depressive%20Disorder.pdf
http://irep.iium.edu.my/104525/
https://www.ijcwed.com/issue/international-journal-for-studies-on-children-women-elderly-and-persons-with-disabilities-vol-18-january-2023/
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Institution: Universiti Islam Antarabangsa Malaysia
Language: English
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spelling my.iium.irep.1045252023-04-28T08:16:53Z http://irep.iium.edu.my/104525/ Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care Abdullah, Fa’iza Kamaluzaman, Qamarul Azwan Yatim, Yusnita Mat Nor, Mohd Basri R Medicine (General) RA Public aspects of medicine RZ Other systems of medicine Major Depressive Disorder (MDD) among adolescents is an important health problem among adolescents and leads to high-risk behaviours and suicide. Given the increasing prevalence of MDD among adolescents, early identification is vital for immediate intervention. The primary care team is an important intermediator in managing MDD, whereby parents and school officials play pivotal roles in achieving optimum recovery. This case report aims to acknowledge the importance of biopsychosocial support and unveil the barriers faced in managing adolescent MDD in primary care. This was a case of a female adolescent aged 14 years old, diagnosed with MDD after a comprehensive psychological assessment. She had previously visited the clinic several times for other acute problems before MDD was diagnosed. She has been co-managed by primary care and hospital psychiatry clinic specialists. Her initial management included two weekly clinic follow-ups for clinical monitoring and counselling sessions with trivial improvement. Her mental health condition was significantly improved after an intensive approach comprising patient-family counselling, school visits, patient self-empowerment, and hospital follow-ups for psychotherapy sessions. Furthermore, her mood improved, evident in her interest in daily activities and focus on classes. Despite the busy schedules of primary care doctors, a high commitment is required for the successful management of MDD in adolescents and overcoming its challenges. Primary care plays an important role in employing a multidisciplinary team approach to coordinate care with the family and school and improve psychosocial support and peer group acceptance. Barriers could be addressed to catalyse the diagnostic process, reduce personal and social stigma, and enhance self-empowerment and compliance in achieving the most favourable care and recovery. Zes Rokman Resources 2023-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/104525/1/104525_Major%20Depressive%20Disorder.pdf Abdullah, Fa’iza and Kamaluzaman, Qamarul Azwan and Yatim, Yusnita and Mat Nor, Mohd Basri (2023) Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care. International Journal for Studies on Children, Women, Elderly and Disabled, 18. pp. 72-79. E-ISSN 0128-309X https://www.ijcwed.com/issue/international-journal-for-studies-on-children-women-elderly-and-persons-with-disabilities-vol-18-january-2023/
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic R Medicine (General)
RA Public aspects of medicine
RZ Other systems of medicine
spellingShingle R Medicine (General)
RA Public aspects of medicine
RZ Other systems of medicine
Abdullah, Fa’iza
Kamaluzaman, Qamarul Azwan
Yatim, Yusnita
Mat Nor, Mohd Basri
Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care
description Major Depressive Disorder (MDD) among adolescents is an important health problem among adolescents and leads to high-risk behaviours and suicide. Given the increasing prevalence of MDD among adolescents, early identification is vital for immediate intervention. The primary care team is an important intermediator in managing MDD, whereby parents and school officials play pivotal roles in achieving optimum recovery. This case report aims to acknowledge the importance of biopsychosocial support and unveil the barriers faced in managing adolescent MDD in primary care. This was a case of a female adolescent aged 14 years old, diagnosed with MDD after a comprehensive psychological assessment. She had previously visited the clinic several times for other acute problems before MDD was diagnosed. She has been co-managed by primary care and hospital psychiatry clinic specialists. Her initial management included two weekly clinic follow-ups for clinical monitoring and counselling sessions with trivial improvement. Her mental health condition was significantly improved after an intensive approach comprising patient-family counselling, school visits, patient self-empowerment, and hospital follow-ups for psychotherapy sessions. Furthermore, her mood improved, evident in her interest in daily activities and focus on classes. Despite the busy schedules of primary care doctors, a high commitment is required for the successful management of MDD in adolescents and overcoming its challenges. Primary care plays an important role in employing a multidisciplinary team approach to coordinate care with the family and school and improve psychosocial support and peer group acceptance. Barriers could be addressed to catalyse the diagnostic process, reduce personal and social stigma, and enhance self-empowerment and compliance in achieving the most favourable care and recovery.
format Article
author Abdullah, Fa’iza
Kamaluzaman, Qamarul Azwan
Yatim, Yusnita
Mat Nor, Mohd Basri
author_facet Abdullah, Fa’iza
Kamaluzaman, Qamarul Azwan
Yatim, Yusnita
Mat Nor, Mohd Basri
author_sort Abdullah, Fa’iza
title Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care
title_short Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care
title_full Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care
title_fullStr Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care
title_full_unstemmed Major Depressive Disorder in the adolescent – barriers to managing adolescent mental health problems at primary care
title_sort major depressive disorder in the adolescent – barriers to managing adolescent mental health problems at primary care
publisher Zes Rokman Resources
publishDate 2023
url http://irep.iium.edu.my/104525/1/104525_Major%20Depressive%20Disorder.pdf
http://irep.iium.edu.my/104525/
https://www.ijcwed.com/issue/international-journal-for-studies-on-children-women-elderly-and-persons-with-disabilities-vol-18-january-2023/
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