What is the Star D protocol?
Level one: SSRI to remission. If HAM-D not at 7 or less, go to level 2
Level two: switch SSRI to bupropion, sertraline, venlafaxine, or CBT OR augment SSRI with bupropion, buspirone, or CBT
Level three: Switch to: mirtazepine or nortriptyline OR augment with lithium, T3, bupropion, sertraline, or venlafaxine