Biopsychosocial aspects in understanding and treating depression in men: a clinical perspective

Depression in men is a frequent and widespread problem and is–like so many other areas of men's health–poorly studied and underfunded. Declining work and social performance and suicide are common results. The biopsychosocial model is the best approach to understanding this complex disorder in all its many facets and is also the best way to approach treatment. Each patient is different and unique in all aspects of diagnosis, formulation and treatment. Presenting symptoms frequently mimic medical disorders and are seen first by the primary care physician. Heredity plays a role but is only one of many determinants. A wide range of psychosocial issues as well as medical problems affect men adversely and predispose to depression. There are many medications that can help the patient and are highly effective together with sophisticated psychotherapy. The role of the primary care physician is important. Suggestions are offered as to how the primary care physician can be more effective in formulating each case as well as in treatment.