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Clinical Practice
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Volume 357:2269-2276 November 29, 2007 Number 22
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Late-Life Depression
Jürgen Unützer, M.D., M.P.H.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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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 . . . [Full Text of this Article]

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.


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