Depression Screening Advised for All Adults

The US Preventive Services Task Force (USPSTF) recommends screening for depression in adults. What does this mean for you? The next time you have a doctor's appointment, you may be asked questions about your mental health.

Scope of the Problem

It's been known for a long time that depression is a big problem. According to the National Institute of Mental Health, depression is a leading cause of disability in the US. In a given year, millions of Americans will be diagnosed with a mood disorder (depression, dysthymia, or bipolar).

A number of people with the disorder do not even know they have it. Other symptoms of depression such as irritability, memory or concentration problems, or trouble with relationships may be more obvious.

Depression is often disguised by other problems. It can also affect the recovery of people who have a major illness, major surgery, or a chronic health condition. Although the stigma tied to mental disorders is easing, many who are affected still go undetected or untreated.

Screening Advice

The USPSTF urges primary care doctors to screen all adults for signs of depression and give them appropriate treatment and follow-up care. This is especially important in the elderly, pregnant women, and new mothers (for ).

Depression Questions

According to USPSTF, the following 2 questions are a good place to start:

1. Over the past 2 weeks, have you ever felt down, depressed, or hopeless?
2. Over the past 2 weeks, have you felt little interest or pleasure in doing things?

If your answer is “yes” to either question, contact your primary care doctor for an evaluation. Your doctor may advise completing a more in-depth questionnaire or having a thorough check-up.

Are You at Risk?

Research suggests depression comes from an imbalance of certain brain chemicals. The disorder is more common in people who inherit a tendency for depression or those who are exposed to certain environmental triggers.

If you have symptoms of depression that interfere with your daily routine, contact your doctor. A physical exam and psychological evaluation will be done to determine the cause.

Effective Treatment

Depression is treatable. Antidepressant medicine and counseling are most common steps. They may be used alone or in combination. There are many types of therapy and medicine for depression. Talk openly with your care team to help reach the best plan for you.

You are encouraged to talk to your doctor if you have concerns about your mental health. If you have thoughts of death or suicide, call for emergency medical services right away. With better screening and medical care, the future looks brighter for adults with depression.

Revision Information

• Reviewer: EBSCO Medical Review Board
• Review Date: 04/2020
• Update Date: 07/15/2020