Abdullah, Fa’iza and Kamaluzaman, Qamarul Azwan and Yatim, Yusnita (2023) Major depressive disorder in the adolescent – barriers to managing adolescent mental health problems at primary care. In: The 16th Putrajaya International Conference on Children, Women, Elderly, and Person with Disabilities 2023, Putrajaya. (Unpublished)
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Abstract
Aims/Background: Major Depressive Disorder (MDD) among adolescents is increasing, and it is an important health problem leading to high-risk behaviors and suicide. Therefore, early identification is vital for immediate intervention. The primary care team acts as an intermediator in managing major depression, whereby parents and school officials play an essential role in achieving optimum recovery. This case report aims to acknowledge the importance of biopsychosocial support and unveil the barriers faced in managing adolescent MDD in primary care. Methodology: This was a case of a female adolescent aged 14 years old, diagnosed with MDD after a comprehensive psychological assessment. She had visited the clinic a few times prior to the diagnosis for other acute problems, but MDD has never been picked up. She has been co-managed by specialists at the primary care and hospital psychiatry clinics. Her initial management included two weekly clinic follow-ups for clinical monitoring and counselling sessions with trivial improvement. Following an intensive approach comprising patient-family counselling, frequent school visits, patient self-empowerment, and regular hospital psychiatric clinic follow-ups for psychotherapy sessions has shown a significant improvement in her mental health condition. Her mood is elevated; she shows interest in daily activities and can focus on classes. Results: This case exhibited a high commitment to dealing with MDD in adolescents. We found four critical challenges in managing her: 1) To pick up the diagnosis of MDD earlier for immediate intervention. 2)Poor compliance with medication and defaulted follow-up. 3)Psychosocial issues related to the illness, such as personal and social stigma, lead to embarrassment and despair. 4)Poor family support with high academic expectations and inadequate school monitoring. Conclusion: This case highlighted the importance of a multidisciplinary team approach and good psychosocial support, primarily parental care, school officials’ assistance, and peer group acceptance, to overcome barriers such as early diagnosis, patient compliance, personal and social stigma, and psychosocial support in managing mental health illness among adolescents toward achieving optimum care and recovery
| Item Type: | Conference or Workshop Item (Poster) |
|---|---|
| Uncontrolled Keywords: | Major Depressive Disorder, Adolescent, Multidisciplinary approach, Barriers |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RZ Other systems of medicine |
| Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): | Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011) |
| Depositing User: | SR NUR FARHANA LATFI |
| Date Deposited: | 11 Apr 2023 15:00 |
| Last Modified: | 11 Apr 2023 15:00 |
| URI: | http://irep.iium.edu.my/id/eprint/104199 |
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