|
|
 | |||
|
|
|
|
| |||
This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 71-year-old man, whose wife died 6 months previously, presents with foot pain from diabetic neuropathy, poor sleep, lack of energy, and increasing frustration about his inability to "keep his diabetes under control." On examination, he also notes lack of interest in usual activities, decreased appetite, a weight loss of 4.5 kg (10 lb) over the past 3 months, and intermittent thoughts
The Clinical Problem
Strategies and Evidence
Screening
Evaluation
Management
Psychotherapy
Exercise Programs
Pharmacologic Management
Electroconvulsive Therapy
Treatment Follow-up
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
Address reprint requests to Dr. Unützer at Box 356560, Seattle, WA 98195, or at unutzer@u.washington.edu.
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved. |
Previous
