Differential Diagnosis and Treatment of Depressive Disorders

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Abstract
Depression as seen in a general medical practice may be recognized as one of three syndromes whose cardinal feature may be (1) physiologic retardation, (2) prolonged, unresolved tension, (3) a schizoid personality disorder overlaid with depressive episodes; or as one of two groups in which it is symptomatic of (1) a neurotic problem in living or (2) an occult organic lesion. While treatment of each of these depressions is still largely empirical, occasionally necessitating a trial of one therapeutic technique and then another, most will respond to the regimens outlined. Of special interest is the differential diagnosis in the many cases within the broad depressive continuum in which the patient first presents with a physical rather than an emotional complaint.

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