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Comprehensive Assessment

Comprehensive Assessment Available to Patients Referred to the Treatment-Resistant Depression Clinic

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.