In message <[log in to unmask]>, [log in to unmask] writes
>Objectively someone
>has or does not have a true clinical depression.
Isn't this part of the problem? Suppose they have one of these
situational things - going bankrupt/made redundant,
financial,marital,parental problems, and not re-elected to the ..
whatever. This patient is irritable,depressed,difficulty getting to
sleep and early waking.
1.Is this situational (give a pep talk,say it's all due to the situation
- which the patient already knows - and can't be cured by pills, being
real life situation.Patient knows that - just wants some help to lift
mood/help sleep so can cope better)
2.Depression caused by situation(I'd worry if he/she was euphoric....)
3.Situation caused by depression.
How certain are you of the criteria for diagnosing depression?
> Either it is or it is
>not diagnosed. Now if there is a study in the UK that established that
>massive numbers of truly depressed people have been to their doctors
>with their condition (another important point since I am not talking
>about those who don't go to their doctors) and have not had their
>depression diagnosed, then that contributes to the debate.
If depression is diagnosed,are you saying that it *should,always* be
treated with antidepressants - even if situational -?
Are you talking only about *endogenous* depression?
Mary
--
Mary Hawking
Kingsbury Court Surgery
Church Street
Dunstable
Beds LU5 4RS
tel:01582 601289 (home)
01582 663218 (surgery)
fax:01582 476488 (surgery)
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