Depression treatment for patients with complex conditions

摘要

To the Editor: Dr Whooley1 described the diagnosis and treatment of depression in adults with comorbid medical conditions. However, several dimensions of treating depression in these therapeutically challenging patients in primary care require comment.The patient is described as obese with numerous pain problems and treated obstructive sleep apnea (OSA). Although the cardinal symptoms of depression (low mood and anhedonia) are endorsed, the presentation is also one of sleepiness, fatigue, low energy, and a feeling of foggi-ness.