The use of cognitive behavioral therapy in the treatment of resistant depression in adolescents.

Major depressive disorder often begins in adolescence, is chronic and recurrent, and heightens an individual's risk for major depressive disorder in adulthood. Treatment-resistant depression is a problem for a significant minority of adolescents. Few studies have examined treatments for treatment-resistant depression among adolescents, and even fewer have examined the use of cognitive-behavioral therapy as a monotherapy or in combination with pharmacological treatments.

How best to manage treatment-resistant depression?

Should you augment the treatment regimen with lithium, thyroxin, or an atypical antipsychotic? This review will help you decide.

Reminder cards and immunization rates among Latinos and the rural poor in Northeast Colorado.

Objective: Immunization rates are static in the United States. Risk factors for not being up to date (UTD) include ethnicity and lower socioeconomic status. Reminder cards increase immunization rates in urban settings.