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A 47-Year-Old Man With Chronic Depression
Frederick Goodwin, MD
JAMA. 1996;275(6):479-485.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Dr Delbanco:
Mr N is a 47-year-old man who has struggled with depression for approximately 15 years. Divorced from his first wife and now separated from his second, he is the father of two teenaged children. He works for a local human service institution and receives private managed care health insurance through his employer.
At 32 years of age, Mr N sought marriage counseling with his first wife. After his marriage ended, he continued with individual counseling; a diagnosis of depression was established, and he began taking an antidepressant he believes to have been imipramine. In 1980, he moved to Massachusetts and was denied coverage for individual psychotherapy by his new health plan. He was offered group counseling but after three meetings found it an inappropriate setting for his problems.
Between 1983 and 1984, Mr N felt markedly worse and quit his job. During this time his divorce became final.
. . . [Full Text PDF of this Article]
Footnotes
Dr Goodwin is Professor of Psychiatry and Director of the Center on Neuroscience, Behavior, and Society, George Washington University, Washington, DC.
This conference took place at the Psychiatry/Psychology Grand Rounds of the Beth Israel Hospital, Boston, Mass, on October 10, 1995.
Reprint requests to Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY339, Boston, MA 02215 (Ms Walzer).
Clinical Crossroads at Boston's Beth Israel Hospital is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Janet Walzer, MEd, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.
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