TABLE 3.

Alumni’s assessment and intervention.

	A1	A2	A3	A4	A5
First response	Being “stuck” because of more societal factors. Insomnia, eating problems, inactivity	Life phase problems. Logical questions on this age. Little later: depressive complaints	Complaints could fit a depression but they do not necessarily have to. Assessment is based on presentation, complaints and impression	Depression. When nothing happens, she will be in crisis in no time	“Quite” depressed not a “starting” depression
Diagnose	Depressive complaints. Could be or could become a depression. Uses NHG standards as a tool, not to diagnose	Suspicion of depressive complaints. Does not diagnose it herself. Instead, the PN-MH or the psychologist diagnose. Thinks the GP is only for an estimation	Needs to know more to diagnose	Depression according to the NHG standards and DSM. Already or very soon when nothing happens	Using the NHG standards for depression globally, only clearly for prescribing antidepressants
Action	Consult with PN-MH, job coach, social worker, or a psychologist when she wants	A questionnaire for the degree of severity of the complaints. Normalizing. Starting consultation at the PN-MH.	Assess the degree of severity him/herself or by the PN-MH. Psychologist is also an option	Start antidepressants. Refer to psychiatry, until that time consultation with the PN-MH to bridge the gap	Possibly an indication for the psychiatry
Other	Thinks that on a societal level there needs to be more attention for life phase problems	When it meets the DSM criteria for depression it is a depression. Also when there is a huge impact on life on the short term. Reluctant with antidepressants. Argues for more alternatives of the medical domain	Does not use the NHG standards to diagnose. Only sometimes to start with antidepressants	“Better to overstate than to understate.” This participant experienced a patient who committed suicide after she already referred this patient to psychiatry	Psychiatry is a sluggish system. More preferable is a consultation with the PN-MH or the psychologist. Prefers therapy over prescribing antidepressants