Depression management: applying skills in the clinical setting

Primary care and specialist providers face different challenges - and often make different choices when treating a severely depressed patient. To help attendees learn from the experiences of primary care physicians and mental health professionals, and to demonstrate how to incorporate the skills of each, Collins (the internist) and Escobar (the psychiatrist) reviewed two actual cases [the names of the patients have been changed] at the MOOD symposium in Philadelphia. They then advised on their chosen approaches to managing them. Questions from symposium attendees are referred to as audience.