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A 74-year-old male asked:

If a hospital patient is so depressed as to have suicidal ideation but is not well enough for antidepressants then what is the standard procedure?

2 doctor answers5 doctors weighed in
Dr. Susan Arnoult
Family Medicine 25 years experience
Difficult: If the patient is not able to tolerate any anti-depressant medication the only other option available is counseling / psychotherapy. Chronic illness like those listed in the PMH can definitely cause or worsen depression symptoms - getting those health problems under control will help. Addressing diet and sleep issues will also be helpful.
Dr. Laura Yauch
Specializes in Family Medicine
Psychiatrist: Make sure that your treating doctor is aware of the seriousness of the depression so that they can offer some assistance. A consultation with a psychiatrist would be helpful. There may be options for medications despite the issues you mention in "conditions". Counseling may also be of value.

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Last updated Oct 23, 2017

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