Abstract
Dizziness is occasionally associated with depression; hence, it is necessary for otolaryngologists to gain a better understanding of depression. In this paper, we describe the interaction of depression and dizziness, and in the next, we will review the clinical practice points regarding depression.
In order to diagnose depression, it is necessary to conduct an appropriate interview, including questions to establish the presence and chronology of specific depressive symptoms. Observation to identify the possible signs of depression is also important. With regard to medications, precautions should be taken particularly with patients receiving selective serotonin reuptake inhibitors (SSRIs), which may cause possible drug interactions and adverse reactions often observed during the period of therapeutic effects. Therefore, SSRIs should be prescribed with caution.
During treatment, a good doctor-patient relationship is essential, and for successful treatment, patients should be kept completely informed about the disease, with some room left for diagnostic doubts. A doctor should assure patients, without making them impatient, that they will not be abandoned and that their condition will improve soon. When patients are referred to a mental health specialist, informed consent should be obtained, considering suicidal tendencies.
Finally, the feasibility of physical therapy for depression has been discussed here. Combined psychological and physical methods for the treatment of dizziness can also aid in ameliorating comorbid depression.
