AUTHOR=Abdel-Wahab Momtaz , Okasha Tarek , Shaheen Mostafa , Nasr Mohamed , Molokheya Tarek , Omar Abd ElNasser , Rabie Menan A. , Samy Victor , Hamed Hany , Ali Mohamed TITLE=Clinical Guidelines of the Egyptian Psychiatric Association for the Management of Treatment-Resistant Unipolar Depression in Egypt JOURNAL=Frontiers in Psychiatry VOLUME=13 YEAR=2022 URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.797150 DOI=10.3389/fpsyt.2022.797150 ISSN=1664-0640 ABSTRACT=Background

Major depressive disorder (MDD) is a public health burden that creates a strain not only on individuals, but also on the economy. Treatment-resistant depression in the course of major depressive disorder represents a clinically challenging condition that is defined as insufficient response to two or more antidepressant trails with antidepressants of the same or different classes that were administered at adequate daily doses for at least 4 weeks.

Objective/Hypothesis

To develop a treatment guideline for Treatment Resistant Depression (TRD).

Methodology

Experts in the field gathered and reviewed the available evidence about the subject. Then, a series of meetings were held to create recommendations that can be utilized by Egyptian psychiatrists.

Results

The guidelines provide recommendations in various clinical settings. It evaluates different situations, such as patients at risk of resistance, those with resistance and recommends strategies to resolve the clinical case.

Conclusion

The consensus guidelines will improve the outcomes of patients, as they provide recommendations across various domains that are of concern for the practicing psychiatrist.