Abstract

This article explores the concept of treating depression for problematic and dependent drinkers. It has been clinically stated that it is always best to treat depression for a patient with alcohol dependence when the person is able either to abstain from alcohol or maintain consumption of alcohol at minimal levels. This is the approach most clinicians in the area of alcohol dependence adopt, however, this article advocates an open approach to treating patients with this dual problem. In some cases, initiating treatment for depression, such as prescribing an antidepressant, can lift a patients’ mood and cut down on their alcohol consumption quickly. This can help often problematic patients to engage in their alcohol treatment. This article explores this concept through a detailed case study from an inner city London primary care clinic. It concludes that keeping an open mind on treating depression for alcohol problematic and dependent drinkers is the most effective way to treat this cohort of patients.

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