Drs. Schwenk and Leja Reply

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Letter to the Editor

Sir: We appreciate the perceptive comments of Dr. Youssef and agree that depressed physicians may have a unique approach to their work when they become depressed. Physicians may use work as a way to cope with their feelings of inadequacy by working harder and longer and becoming even more dedicated and meticulous in their care. However, it is not clear that this type of depression should be labeled as “hyperfunctioning.”

J Clin Psychiatry 2008;69(10):1661-1662