AUTHOR=Abdel-Wahab Momtaz , Okasha Tarek , Shaheen Mostafa , Nasr Mohamed , Molokheya Tarek , Omar Abd ElNasser , Rabie Menan A. , Samy Victor , Hamed Hany , Ali Mohamed TITLE=Clinical Guidelines of the Egyptian Psychiatric Association for the Management of Treatment-Resistant Unipolar Depression in Egypt JOURNAL=Frontiers in Psychiatry VOLUME=Volume 13 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.797150 DOI=10.3389/fpsyt.2022.797150 ISSN=1664-0640 ABSTRACT=Background: Major depressive disorder is a public health burden that creates a strain not only on individuals, but also on the economy. Treatment-resistant depression is a condition that results from inadequate response to antidepressant medications. Objective/Hypothesis: To develop a treatment guideline for Treatment Resistant Depression (TRD). Methodology: Experts in the field gathered and reviewed the available evidence about the subject. Then, a series of meetings were held to create recommendations that can be utilized by Egyptian psychiatrists. Results: The guidelines provide recommendations in various clinical settings. It evaluates different situations, such as patients at risk of resistance, those with resistance and recommends strategies to resolve the clinical case. Conclusion: The consensus guidelines will improve the outcomes of patients, as they provide recommendations across various domains that are of concern for the practicing psychiatrist.