[Treatment of depressive patients in private practice--empirical results, health political and social conditions and recommendations].
Although depression and symptoms of depression belong to the most common disorders in private practice, affected patients are not always diagnosed as early as possible in Germany and often not sufficiently treated. In order to improve the care for persons with depression it is necessary that family doctors are prepared to guide these patients with empathy, treat them adequately pharmacologically both in respect to the depression and to all other somatic aspects and to refer them in time to specialists for psychiatry, psychosomatic medicine or psychotherapy. Political and social conditions that have pathogenic effects should be changed and the shortage of psychotherapy needs to be overcome. In future, the integrated care in ambulant and clinical settings will probably be successful, first trials and test setups have shown good results.
Goesmann
Cornelia
C
info@baek.de
Bühren
Astrid
A
Neuy-Bartmann
Astrid
A
D000928:Antidepressive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003866:Depressive Disorder / Q000175:diagnosis / Q000628:therapy*; D004645:Empathy; D005194:Family Practice; D005858:Germany; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D009313:National Health Programs; D011331:Private Practice; D011613:Psychotherapy; D012017:Referral and Consultation; D012924:Social Conditions; D013001:Somatoform Disorders / Q000175:diagnosis / Q000628:therapy