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March 17, 1989

Denial of the AMA-Endorsed Disability Insurance Program Owing to Marriage Counseling

JAMA. 1989;261(11):1583. doi:10.1001/jama.1989.03420110057018

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To the Editor. —  "Destigmatizing Mental Illness" is the year's theme for the American Psychiatric Association, proclaimed by its president, Paul J. Fink, MD. The effort to divest psychiatric and emotional disorders of sensationalism and to make psychiatric treatments comparable with other medical therapies is an important one for our patients and the medical profession at large. There is no better place to begin than in our own house.For the last year, I have been seeing a professional for marriage counseling. This has been a most valuable and significant endeavor. It has promoted my sense of well-being and cognitive sharpness as much, if not more, than exercise, weight loss, stress management, and other treatments prescribed by physicians for their essentially well and functional patients who wish an added measure of vigor and sophistication about their physical and emotional functioning.I was incredulous when I applied to the American Medical