Most depressed people acknowledge impaired concentration and other related symptoms—but skilled clinicians can distinguish between non-melancholic depression and melancholia. How? They ask the right questions.
Psychiatrists need to understand the patient’s cancer diagnosis, staging, treatments and their adverse effects, and prognosis to appreciate the challenges the patient is coping with throughout treatment as well as survivorship or end-of-life.
From a psychodynamic and neurobiological perspective, the recommendation to screen all pregnant and postpartum women for depression and anxiety falls short of what is actually needed to improve the lives of many mothers and their infants and children.