Log in with your email address username.


Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

Difficult-to-treat depression

This is a republished version of an article previously published in MJA Open

What can GPs do when a patient with depression does not get better?

Depression remains a leading cause of distress and disability worldwide. In the 1997 Australian National Survey of Health and Wellbeing, 7.2% of people surveyed had experienced a mood (affective) disorder in the previous 12 months.1 Those affected reported a mean of 11.7 disability days (when they were “completely unable to carry out or had to cut down on their usual activities owing to their health”) in the previous 4 weeks. There was also evidence of substantial undertreatment: only 35% of people with a mental health problem had a mental health consultation during the previous 12 months. Of those with a mental health problem, 27% (ie, three-quarters of those seeking help) saw a general practitioner. In the 2007–08 Australian National Health Survey, not much had changed: 12-month prevalence rates were 4.1% for depression, 1.3% for dysthymia and 1.8% for bipolar disorder.2 These disorders were associated with significant disability, role impairment, and mental health and substance use comorbidity.…