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When depression treatment goes nowhere

Current Psychiatry. 2005 August;04(08):73-82
Author and Disclosure Information

Mr. D’s mood symptoms persist after 1 year of therapy. You suspect a medical cause but he can’t afford routine lab tests. How would you get this truck driver on the road to remission?

Related resources

  • WrongDiagnosis.com. Information on differential diagnosis of medical and psychiatric problems. www.wrongdiagnosis.com.
  • Mauksch LB, Tucker SM, Katon WJ, et al. Mental illness, functional impairment, and patient preferences for collaborative care in an uninsured, primary care population. J Fam Pract 2001;50:41-7.
  • Glied S, Little SE. The uninsured and the benefits of medical progress. Health Aff (Millwood) 2003;22:210-9.
Drug brand names
  • Bupropion • Wellbutrin
  • Citalopram • Celexa
  • Dexamethasone • Ciprodex, others
  • Glucophage • Metformin
  • Glyburide • DiaBeta, others
  • Lisinopril • Prinivil, Zestril
  • Lithium • Eskalith, others
  • Quetiapine • Seroquel
  • Sertraline • Zoloft
  • Tranylcypromine •Parnate
Disclosure

Dr. Khan is a speaker for Wyeth Pharmaceuticals.

Dr. Grimsley reports no financial relationship with any company whose products are mentioned in this article or with manufacturers of competing products.