Harold Alan Pincus, MD; Herbert Sacks, MD
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Pincus HA, Sacks H. Depression and Primary Care. Ann Intern Med. 1997;127:654. doi: 10.7326/0003-4819-127-8_Part_1-199710150-00022
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Published: Ann Intern Med. 1997;127(8_Part_1):654.
TO THE EDITOR:
Dr. Kroenke, in his recent editorial , clearly and sensitively lays out the crux of the issue of the role of primary care physicians in diagnosing and treating depression. On the one hand, depression is common, costly, and disabling; it is also poorly detected and treated in primary care settings. On the other hand, the diagnosis of depression, particularly in persons with comorbid general medical conditions, is complex, takes time, and often requires more frequent observation and follow-up. Recognizing and treating depression in primary care is also complicated by the fact that primary care physicians have many other conditions knocking on their doors. They must attend to the full array of medical problems that their patients manifest or might manifest, from neurologic symptoms to cardiovascular disorders to dermatologic problems, and at the same time they must implement the latest recommendations for prevention. In other words, there is no free lunch.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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