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Psychotherapy Casebook

Collaborative Care

Dean Schuyler, MD

Published: April 1, 2005

Article Abstract

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It is in the treatment of the patient with disabling medical illness thatthe internist or the primary care doctor and the psychiatrist find theirmost critical common ground. After 25 years of adult psychiatry officepractice, my relocation to Charleston, S.C., from Washington, D.C., introducedme 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 toadjustment problems.4

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Volume: 7

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