Letter of introduction.
The treatment of depressive disorders in the primary care setting represents both a challenge and an opportunity. The challenge lies in piecing together the largely theoretical intricacies which comprise our current understanding of the mechanisms of depression; the opportunity for the primary care physician then lies in the application of this information to better serve the health care needs of the whole patient: mind and body.
This educational activity has been developed not as a recitation of facts, but rather as an evolving framework of strategies and considerations founded in science and enhanced by the authors' collective 200-plus years experience to form a sound clinical consensus of recommendations for effectively managing depression in the primary care setting. In addition to its educational intent it is hoped that this article will serve as an enduring resource for improved clinical decision making.
We invite you to embark on this educational journey using the case conceptualization to apply some of the clinical milestones you encountered along the way. We hope that you will learn as much from this supplement as we did from each other in creating it.
Dale D'Mello, MD
Department of Psychiatry
Michigan State University