Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.
Author Affiliation: Dr Salzman is Professor of Psychiatry, Harvard Medical School, and Director of Education, Massachusetts Mental Health Center, Boston.
DR DELBANCO: A 60-year-old unemployed widow, Ms A has felt sad much of her life. She graduated from high school, has 1 child, was married twice, and used to work as an aide in health care facilities. She lives in urban housing with her mother and has public insurance. For the past 30 years she has received care from a general internist practicing in an urban primary care practice.
Salzman C. A 60-Year-Old Woman Who Has Felt Sad for Much of Her Life. JAMA. 2006;295(3):318-323. doi:10.1001/jama.295.3.318