Diagnóstico, evaluación y tratamiento de la depresión crónica

There has been increasing recognition that depression often presents in chronic forms. Recent studies indicate that chronic depression differ from acute or episodic depressions in important ways, and are associated with significant functional impairment. We review the differential diagnosis of chronic depression in DSM-IV, and the literature on pharmacological and psychosocial treatments. Recent work suggest that combining medication and psychotherapy may provide the optimal treatment strategy for chronic depressions.