Eugene Weekly: News -
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Published on: 3/11/2001
Last Visited: 3/11/2001
Depression cuts across class lines , says Dr. Gary LeClair , obstetrician/gynecologist ( ob/gyn ) at All Women's Health Care in Eugene.Depression is not how good it is , depression is intrinsic.It doesn't matter how good things are , you are still depressed..
The upper middle class is usually the last group of people to be diagnosed with depression , and yet , Aebi says , Some say that depression hits the higher income bracket even more ( than other social classes ) .... nobody is really immune to it..
I have been in practice for 30 years , says LeClair , and I definitely see more depression.I think it's the pace of our society.I think things move past our face so quickly.You have Iinternet , e-mail , now everybody's got cell phones.It used to be if you weren't home , nobody would talk to you ... There is a real loss in the stability here , in America..
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Insurance access has made it difficult for the patient to receive counseling , says LeClair.Patients are often confused as to how they obtain counseling.Many believe they must go through their physician when that is usually not the case.Quite often , he went on , even if they have the preferred provider list from their insurance company , the patient does not know who to call.
I don't think we can use pharmacotherapy as a crutch , Aebi believes , I think we need to really delve in and see what the cause is รณ if we can find the cause. ... That's where the physician , and the psychiatrist or the counselor really work together.Drug therapy is just one part of it , she says.
Typically the mental health and medical community reside parallel to one another.There is very little crossover due to the confidentiality of patient information in therapy , and the time constraint under which physicians operate.
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