Kahn Jeffrey P
WorkPsych Associates, New York, New York, USA.
J Occup Environ Med. 2008 Apr;50(4):396-400. doi: 10.1097/JOM.0b013e31816c0043.
Effective treatment requires understanding of the many possible reasons for employees and patients to complain of "depression."
This process of differential diagnosis includes panic anxiety, thyroid and other medical conditions, as well as several distinct types of depression (including atypical depression and melancholia).
Much of workplace depression care can be delivered by occupational health and mental health professionals. Optimal treatment requires accurate and specific diagnosis, and focused care. And, some cases require urgent psychiatric referral, while less urgent referral is important for some others.
Optimal diagnosis and specific treatment is a cost effective approach that saves money for employers, while helping employees.
有效的治疗需要了解员工和患者抱怨“抑郁”的诸多可能原因。
这种鉴别诊断过程包括惊恐焦虑、甲状腺及其他躯体状况，以及几种不同类型的抑郁症（包括非典型抑郁症和 melancholia）。
职业健康和心理健康专业人员可提供大部分工作场所的抑郁症护理。最佳治疗需要准确而具体的诊断以及针对性护理。而且，一些病例需要紧急精神科转诊，而对另一些病例而言，不那么紧急的转诊也很重要。
最佳诊断和针对性治疗是一种具有成本效益的方法，既能为雇主省钱，又能帮助员工。
