The depressed office patient

Depression is among the most common illnesses seen by the family physician. Untreated, it produces considerable morbidity and occasional mortality. By carefully listening not only to what the patient says, but how he says it, the physician gains valuable diagnostic information. Medication should be tailored to the patient's symptoms and medical background. An adequate dosage must be employed for several weeks to obtain a clinical response. Maintenance therapy is usually needed for six to 12 months.