Collaborative Care

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It is in the treatment of the patient with disabling medical illness that the internist or the primary care doctor and the psychiatrist find their most critical common ground. After 25 years of adult psychiatry office practice, my relocation to Charleston, S.C., from Washington, D.C., introduced me to the doctors and patients of the Adult Primary Care Clinic. Many of these patients had multiple illnesses, took multiple medications, and often had adjustment issues that went unidentified. In this group, I found major depressions1 and serious anxiety disorders2,3 in addition to adjustment problems.4

Prim Care Companion J Clin Psychiatry 2005;7(2):70-71