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Depression: schism in contemporary psychiatry

Published Online:https://doi.org/10.1176/ajp.132.6.629

The author decribes an experience in his own family involving the initial unsuccessful treatment of a depressed patient. The patient failed to respond to psychotherapeutic and drug treatment on an outpatient basis and in three hospitals; in a fourth hospital he improved dramatically after a series of ECT treatments and remained without depressive symptoms. The author stresses the importance of psychiatrists keeping an open mind about various treatment approaches.

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