1. Step 9
1.1. Review session 2
1.2. mechanism flow chart
1.2.1. work pressure
1.2.1.1. six months
1.2.2. daughter problem
1.2.3. history of similar problem
1.2.4. family history
1.2.5. excluded organic reaons (normal invstigation)
1.2.6. fatgue
1.2.7. consider suicide
1.3. 20 minutes
2. Step 10
2.1. Management
2.1.1. goals
2.1.1.1. prevent complication
2.1.1.1.1. CVS
2.1.1.1.2. suicide
2.1.1.2. restore normal activity
2.1.1.3. reliefe stressors
2.1.1.4. complience
2.1.1.5. reliefe fatgue symptoms
2.1.2. hospitalization in sever cases
2.1.3. management
2.1.3.1. non-pharma
2.1.3.1.1. psychotherapy
2.1.3.1.2. education
2.1.3.1.3. family issues
2.1.3.1.4. sleep
2.1.3.1.5. life style modification
2.1.3.1.6. others
2.1.3.2. pharma
2.1.3.2.1. SSRIs
2.1.3.2.2. bupropion
2.1.3.2.3. trucyclic antidepressint
2.1.3.2.4. MAOI
2.1.3.2.5. follow up
2.1.3.2.6. avoid opiouds
2.1.3.2.7. paracetamol
2.1.3.2.8. alternative
2.2. Prevention
2.2.1. no sure way to prevent depression
2.2.2. reduce stressors
2.2.2.1. as early as possible
2.2.3. regular check up
2.2.4. excercise
2.2.5. healthy diet
2.2.6. relegion
2.2.7. social education
2.2.8. encourge the role of family physicion
2.2.8.1. all the doctors
2.2.9. couping skills
2.2.9.1. without illict drugs
2.2.10. sleep and free time