Psych consult or admission if high risk of suicide
Consider consult with psychiatric team in other cases, particularly if severe symptoms and patient not already plugged into psych care
Pharmacologic agents (typically not started in ED due to need for monitoring and adjustment)
Antidepressants can take up to 8 weeks to reach maximum effect, so discuss expectations to ensure adherence.
SSRIs (citalopram, fluoxetine, paroxetine, sertraline)
SNRIs (duloxetine, venlafaxine, milnacipran)
Serotonin modulators (trazodone)
Atypical (bupropion, mirtazapine)
TCAs (amitriptyline, clomipramine, desipramine, doxepin, imipramine, nortriptyline, trimipramine)
MAOIs (isocarboxazid, phenelzine, selegiline)
Cognitive Behavioral Therapy and Interpersonal psychotherapy have been shown to be effective in treating<unk>  in adolescents.
Antidepressants can take up to 8 weeks to reach maximum effect, so discuss expectations to ensure adherence.
SSRIs (citalopram, fluoxetine, paroxetine, sertraline)
SNRIs (duloxetine, venlafaxine, milnacipran)
Serotonin modulators (trazodone)
Atypical (bupropion, mirtazapine)
TCAs (amitriptyline, clomipramine, desipramine, doxepin, imipramine, nortriptyline, trimipramine)
MAOIs (isocarboxazid, phenelzine, selegiline)
Depression
Organic causes
Personality disorders
Delirium
Alcohol use disorder
Dementia
Acute psychosis
Overdose