Challenges in management: Depression with multiple  physical co–morbidities; a case report

Sujit Kumar Kar; Amit Khanna; Om Prakash; Abhilove Kamboj

Volume : III, Issue : V, May - 2013

Challenges in management: Depression with multiple physical co–morbidities; a case report

Sujit Kumar Kar, Amit Khanna, Om Prakash, Abhilove Kamboj

Abstract :

Depression is a leading cause of morbidity and mortality in psychiatry. Presentation of depression varies in different age groups. Clinical presentation of depression gets colored in the presence of physical co–morbidities making its diagnosis as well as management a big challenge. In this case report, an elderly male patient suffering from major depressive disorder presented along with physical co–morbidities like diabetes mellitus, hypertension and right bundle anch block. The patient had negligible response to conventional treatment approach and finally his depression got improved significantly with the combination of Mirtazapine and Escitalopram.