BMJ 2000;320:1602 ( 10 June )

Letters

Diagnosing and treating depression

    Treatment is often challenging
    Educating family physicians to recognise depression
    Can primary care improve care for depressed patients?
    A holistic approach is recommended
    Learning to look at the illness from both sides
    Author's reply

Treatment is often challenging

The first 150 words of the full text of this article appear below.

EDITOR---On reading Kendrick's article,1 I was reminded of the notion that individuals seek out a field of medicine that suits the workings of their brain and personality. Surgeons tend to be results oriented, enjoy solving concrete problems with concrete answers, and need closure (no pun intended). Internists have a high tolerance for "not knowing," living with uncertainty, and allowing problems to stay open, dynamic, a work in progress. Chronic disease is recognised as the human condition. Family practitioners are willing to tackle any problem to the best of their ability, and they can live with the idea that they need to learn more and more to improve their skills. They tend to find the time to upgrade their knowledge in seminars, journals, and other forms of courses. They are typically not deeply versed in any particular field, psychiatry included.

Depression is a complex illness. Without the sense of . . . [Full text of this article]


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