Rifkin A
Department of Psychiatry, Mount Sinai Services, City Hospital Center, Elmhurst, NY 11373.
Postgrad Med. 1988 Feb 1;83(2):111-4, 117-8. doi: 10.1080/00325481.1988.11700140.
Treatment of major depression can in most cases be handled by the primary care physician who is willing and able to take the time. The minority of patients who pose particular problems in diagnosis or treatment should be referred to a psychiatrist. Primary care physicians are encouraged to regard major depression as being as much within their scope as other common disorders. After pharmacotherapy and office counseling, some patients may need psychotherapy to help them alter patterns of thinking and interaction that contribute to depression.
在大多数情况下，愿意且有时间的初级保健医生可以处理重度抑郁症的治疗。少数在诊断或治疗中存在特殊问题的患者应转诊给精神科医生。鼓励初级保健医生将重度抑郁症视为与其他常见疾病一样在其职责范围内的疾病。经过药物治疗和门诊咨询后，一些患者可能需要心理治疗来帮助他们改变导致抑郁的思维和互动模式。
