Depression and Anxiety

INTRODUCTION This chapter, in my opinion, is born out of necessity. A few years ago, we designed and opened a treatment-resistant depression program at our institution. It became readily apparent that finding patients with “just” depression and without comorbidities was almost impossible. We screened and diagnosed most patients who ultimately had findings consistent with comorbid anxiety and depression and found that we were more uniformly treating this comorbidity. We ultimately opened an anxiety program as well. A literature search at the time suggested that Tucker et al. (1) had found similar results when they studied and compared their two specialty clinics, one for anxiety and one for depression.