The purpose of the following Treatment Chart is to provide your doctor or therapist with a record of all treatment you have undergone to manage your depression to date.
Instructions
Prior to your appointment, please complete the Treatment Chart attached to this instruction page. Please provide as much information about the different types of treatment (including psychological interventions such as counselling, or psychotherapy and/or anti-depressant medications, or electro-convulsive therapy - ‘ECT’):
you have had over the years, or are currently undergoing, and
how helpful you think each treatment has been.
To assist you in completing your own Treatment Chart, we have included:
Sample Only TREATMENT CHART Medication Duration Effective? Reason for stopping Commenced
Had been well for some time so stopped taking it
Psychological Sessions Effective? Why stopped Commenced Number of Effective? Why stopped Commenced treatments
This document may be freely downloaded and distributed on condition no change is made to the content. The information in this document is not intended as a substitute for professional medical advice, diagnosis or treatment. Not to be used for commercial purposes and not to be hosted electronically outside of the Black Dog Institute website. Medication Duration Effective? Reason for stopping Commenced Psychological Sessions Effective? Why stopped Commenced Number of Effective? Why stopped Commenced treatments
This document may be freely downloaded and distributed on condition no change is made to the content. The information in this document is not intended as a substitute for professional medical advice, diagnosis or treatment. Not to be used for commercial purposes and not to be hosted electronically outside of the Black Dog Institute website. TREATMENT LIST
This list may help you to remember any treatments you may have tried for depression. The drug name is followed by different brand names.
Antidepressants Mood Stabilisers Sedative-Hypnotics AMITRIPTYLINE / Endep / Tryptanol / Tryptine / Amitrol CARBAMAZEPINE / Tegretol / Teril / Carbium ALPRAZOLAM / Xanax / Kalma / Ralozam CITALOPRAM / Cipramil GABAPENTIN / Neurontin ATIVAN / Lorazepam CLOMIPRAMINE / Anafranil / Placil LAMOTRIGINE / Lamictal BUSPIRONE / Buspar DESIPRAMINE / Pertofran LITHIUM CARBONATE / Lithicarb / Quilonum SR CLOBAZAM / Frisium DOTHIEPIN / Prothiaden / Dothep SODIUM VALPROATE / Epilim / Valpro CLONAZEPAM / Rivotril DOXEPIN / Sinequan / Deptran TOPIRAMATE / Topamax DIAZEPAM / Valium / Ducene / Antenex FLUOXETINE / Prozac /Zactin /Lovan /Auscap /Erocap /Fluohexal Antipsychotics FLUNITRAZEPAM / Rohypnol / Hypnodorm FLUVOXAMINE / Luvox / Faverin AMISULPRIDE / Solian NITRAZEPAM / Alodorm / Mogadon IMIPRAMINE / Tofranil / Melipramine ARIPIPRAZOLE / Abilify OXAZEPAM / Serepax / Murelax / Alepam MIANSERIN / Tolvon / Lerivon / Lumin CHLORPROMAZINE / Largactil STILNOX / Zolpidem MIRTAZAPINE / Avanza / Remeron CLOPIXOL / Clopixol TEMAZEPAM / Normison / Temtabs / Euhypnos / Temaze / Nocturne MOCLOBEMIDE / Aurorix / Arima / Mohexal CLOZAPINE / Clopine / Clozaril ZOPICLONE / Imovane NEFAZODONE / Serzone DROPERIDOL / Droleptan NORTRIPTYLINE / Allegron FLUPENTHIXOL / Fluanxol Depot Psychological Therapies PAROXETINE / Aropax FLUPHENAZINE / Modecate / Anatensol COUNSELLING PHENELZINE / Nardil HALOPERIDOL / Serenace / Haldol Decanoate COGNITIVE BEHAVIOURAL THERAPY SERTRALINE / Zoloft OLANZAPINE / Zyprexa GROUP THERAPY TRANYLCYPROMINE / Parnate ORAP / Pimozide RELATIONSHIP/COUPLES THERAPY NB. Please include any other specific psychological therapies you TRIMIPRAMINE / Surmontil PERICYAZINE / Neulactil
may have had (eg. grief therapy, assertiveness training, gestalt therapy, psychodynamic therapy etc.)
VENLAFAXINE / Efexor / Efexor-XR PROMAZINE / Sparine QUETIAPINE / Seroquel RISPERIDONE / Risperdal THIORIDIAZINE / Aldazine / Melleril THIOTHIXENE / Navane TRIFLUOPERAZINE / Stelazine
This document may be freely downloaded and distributed on condition no change is made to the content. The information in this document is not intended as a substitute for professional medical advice, diagnosis or treatment. Not to be used for commercial purposes and not to be hosted electronically outside of the Black Dog Institute webs ite.
Subdirección General de Atención al Ciudadano y Asistencia a las Víctimas del Terrorismo LEY 10/1990 TÍTULO IX DE LA LEY 10/1990, DE 15 DE OCTUBRE, DEL DEPORTE (en su redacción dada por el artículo 115 de la Ley 53/2002, de 30 de diciembre) PREVENCIÓN DE LA VIOLENCIA EN LOS ESPECTÁCULOS DEPORTIVOS Artículo 60 1. Se crea la Comisión Nacional contra la Violencia en los Espec
COURSE TITLE: Managing the Oral Side Effects of Medication Use COURSE INSTRUCTOR: Ann Eshenaur Spolarich, RDH, PhD COURSE CREDITS: COURSE DATE: ________________________________________________________________________ COURSE DESCRIPTION: The purpose of this course is to review the 20 most commonly prescribed medications taken by clients treated in the oral health care envir