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To the Editor: The Clinical Crossroads on treatment-resistant depression by Dr Salzman¹ describes a 60-year-old woman with this diagnosis. The initial presentation noted that Ms A has refused further psychotherapy and consultation "and is applying for long-term disability." However, there is no further discussion of this issue.

I would be interested in Salzman's opinion about the interaction between seeking disability and this patient's diagnosis. I would also like to know his advice for a physician who is requested to supply information pertaining to the patient's ability to work and how that might affect this patient's care.

Financial Disclosures: None reported.

John Blossom, MD
jblossom@fresno.ucsf.edu
Department of Family and Community Medicine
University of California, San Francisco
Fresno

1. Salzman C. A 60-year-old woman who has felt sad for much of her life. JAMA. 2006;295:318-323. FREE FULL TEXT

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2006;296:167.

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