Depression:spectrum from response to a crisis → adjustment disorder → major depressive disorder.
Under-recognized and under-treated.
Good screening tool for all ages with advanced disease is geriatric depression scale.
- useful in patients with short life expectancy
- helpful with neuropathic pain
- helpful with neuropathic pain, insomnia, appetite
- for depression without co-existing pain
- side effects limit use
- supportive psychological and spiritual counseling