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Chronic depression and anxiety in primary care: approaches to liaison

Published online by Cambridge University Press:  02 January 2018

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Much attention has focused on prompt, accurate identification and treatment of depression and anxiety in primary care settings. Less is known about what to do when treatment is unsuccessful or the initial opportunity to intervene is missed. The long-term prognosis of depression and anxiety in primary care settings is not good: half of sufferers experience a relapsing remitting course and a quarter become chronic. There is also a relationship between chronicity and high service utilisation. The label “heartsink” has sometimes been applied to these patients, often pejoratively.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1995 

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