When to refer

• Uncertainty about diagnosis

• Inpatient care obviously necessary

• Severe depression

• Inability to cope at home

• Psychotically depressed (with delusions or hallucinations)

• Substantial suicide risk

• Failure of response to routine antidepressant therapy

• Associated psychiatric or physical disorders

• Difficult problem in the elderly—where diagnosis including 'dementia' is doubtful

• Children with apparent major depression

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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