Psychiatric Annals

Case Challenges 

A 52-year-old Man With Long-term Recurrent Depression

Abstract

Editor’s Note: This monthly presentation describes a case of a psychiatric disorder, discusses past treatment attempts, offers options for continuing treatment, and explains the reasons the solution was selected. Submissions of interesting psychiatric case reports are welcomed for this department. Please e-mail soconnor@slackinc.com for further information.

This case is presented by Jan Fawcett, MD, editor of Psychiatric Annals and on faculty at the University of New Mexico School of Medicine, Albuquerque, NM.

PATIENT HISTORY
Mr. S, a 52-year-old man with a distinguished career, appears at your private practice office for an appointment dressed very well, polished and fashionable. He relates a history of very severe recurrent depression for the past 20 to 30 years, with many individual depressive episodes lasting from 3 to 6 months. At times, he says, he became so desperate that he put one of the guns from his gun collection in his mouth. However, he experienced periods of high functioning without depression between these episodes.

Abstract

Editor’s Note: This monthly presentation describes a case of a psychiatric disorder, discusses past treatment attempts, offers options for continuing treatment, and explains the reasons the solution was selected. Submissions of interesting psychiatric case reports are welcomed for this department. Please e-mail soconnor@slackinc.com for further information.

This case is presented by Jan Fawcett, MD, editor of Psychiatric Annals and on faculty at the University of New Mexico School of Medicine, Albuquerque, NM.

PATIENT HISTORY
Mr. S, a 52-year-old man with a distinguished career, appears at your private practice office for an appointment dressed very well, polished and fashionable. He relates a history of very severe recurrent depression for the past 20 to 30 years, with many individual depressive episodes lasting from 3 to 6 months. At times, he says, he became so desperate that he put one of the guns from his gun collection in his mouth. However, he experienced periods of high functioning without depression between these episodes.

Editor’s Note: This monthly presentation describes a case of a psychiatric disorder, discusses past treatment attempts, offers options for continuing treatment, and explains the reasons the solution was selected. Submissions of interesting psychiatric case reports are welcomed for this department. Please e-mail soconnor@slackinc.com for further information.

This case is presented by Jan Fawcett, MD, editor of Psychiatric Annals and on faculty at the University of New Mexico School of Medicine, Albuquerque, NM.

PATIENT HISTORY
Mr. S, a 52-year-old man with a distinguished career, appears at your private practice office for an appointment dressed very well, polished and fashionable. He relates a history of very severe recurrent depression for the past 20 to 30 years, with many individual depressive episodes lasting from 3 to 6 months. At times, he says, he became so desperate that he put one of the guns from his gun collection in his mouth. However, he experienced periods of high functioning without depression between these episodes.

10.3928/00485713-20060201-06

Sign up to receive

Journal E-contents