These could include, as the authors noted, practitioners’ underdiagnosis of depression in elderly African Americans (in spite of the known similar prevalences of the disorder in these races when assessed in large-scale controlled studies). In fact, there is a growing literature suggesting that this phenomenon occurs in a variety of settings. In two separate studies of patients admitted to geropsychiatric acute inpatient units, Fabrega et al. (2) noted a lower proportion of elderly African Americans diagnosed with mood disorders and higher proportions of elderly African Americans diagnosed with psychotic disorders, and Mulsant et al. (3) found that elderly African American patients were significantly more likely to receive a diagnosis of schizophrenia. Leo et al. (4), in a study examining geropsychiatric consultation, found that African Americans were diagnosed with psychotic disorders and dementia significantly more often and with mood disorders significantly less often than Caucasians. In a large retrospective examination of a group of elderly patients treated within the Veterans Affairs health care system, we found that African Americans were significantly less likely to receive a diagnosis of depression than Caucasians (5); the rate of mood disorder diagnoses in elderly African Americans was less than half that of elderly Caucasians.