Abstract: The case presented here reflects the characteristic psychiatric symptoms of vascular depression and its impact on daily life. Below, we discuss the epidemiology, clinical features, and radiographic markers of vascular depression as well as how it may relate to risk for suicide in later life. Our intention for this summary is to help illustrate the clinical features of age-related vascular disease and how it affects depression and cognition. A range of treatment strategies are then described that may be beneficial for vascular depression and may provide insights on innovations in the approach to this condition.
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The participant will recognize the radiographic markers, clinical features, and treatment options for patients with vascular depression.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Duration: 1 hour
Begin Date: December 1, 2018
End Date: November 30, 2020
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive credit.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Title: Perspectives on the Management of Vascular Depression
Authors: Warren D. Taylor, M.D., Susan K. Schultz, M.D., Vanessa Panaite, Ph.D., David C. Steffens, M.D., M.H.S.
Affiliations: From the Center for Cognitive Medicine, Department of Psychiatry, Vanderbilt University Medical Center, Nashville, Tenn. (W.D.T.); the Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Nashville (W.D.T.); the Center of Innovation on Disability and Rehabilitation Research, VA Health Services Research and Development Service, James A. Haley Veterans Hospital, Tampa, Fla. (S.K.S., V.P.); the Department of Psychiatry and Behavioral Sciences and the Department of Psychology, University of South Florida, Tampa (S.K.S., V.P.); and the Department of Psychiatry, University of Connecticut Health Center, Farmington (D.C.S.).
Disclosures: The authors report no financial relationships with commercial interests.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP); Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
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