Comprehensive Assessment Available to Patients Referred to the Treatment-Resistant
For an appointment with Washington University depression specialists, please call
(314) 286-1700. Please note that a physician referral is needed.
Patients who are evaluated in the Treatment Resistant Depression Clinic (TRDC) must
be referred by their physician. The clinic does not take self-referrals.
All patients undergo a comprehensive history of their depressive illness to determine
the key features of the illness and differential diagnosis. This comprehensive history
includes an exhaustive review of all pharmacological treatments implemented to date
for dose, duration, and efficacy. In addition, any other treatments, such as ECT,
will be evaluated. In order to conduct this history of illness we ask that the patient
have their psychiatric medical records sent in advance of the clinic visit, to allow
ample time for review.
In the clinic, the attending TRDC physician will conduct an interview with the patient
to assess current illness status, including mental status exam. At the conclusion
of the evaluation recommendations will be made to the patient, and these will also
be included in a dictated letter to the referring physician, which outlines the
entire evaluation and provides some guidelines, which summarize our recommendations
for going forward with treatment.
Further, if the patient desires, we can contact the patient for possible participation
in new antidepressant treatment methods as studies become available.