title: Depression: schism in contemporary psychiatry.
abstract: 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.
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003156:Community Mental Health Services; D003631:Day Care, Medical; D003863:Depression / Q000188:drug therapy / Q000235:genetics / Q000628:therapy*; D004565:Electroconvulsive Therapy / Q000193:education; D006760:Hospitalization; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011570:Psychiatry / Q000193:education; D011613:Psychotherapy