Patients may be receiving inadequate treatment

doi:10.1136/bmj.312.7029.512b

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Alan Currie,
Ann Ryman

Senior registrar Senior registrar Department of Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP

EDITOR,—Christopher Dowrick and Iain Buchan suggest that neither diagnosis nor disclosure of depression in general practice has an appreciable impact on outcome and that detection should be seen simply as a marker of severity.1 It is well recognised that there is appreciable unidentified psychiatric morbidity in primary care,2 and Dowrick and Buchan's paper reinforces this point. Two other …