Leszek Tomasz Ros, Jan Krzysztof Podgorski.
Sertraline use in major depression in patients with serious somatic diseases.
Pak J Med Sci Jan ;20(1):71-3.

A female patient G.B. aged 50 years received psychiatric treatment in the Mental Health Outpatient Clinic for several phases of "major depression". She was treated with poor effect with doxepine and then moclobemide (Aurorix). The patient was born after normal pregnancy but by forceps delivery. However, during labour the head was not damaged and the patient obtained Apgar 10 pts immediately after labour. Her childhood was moderately good. The parents were stand-offish, poorly affective, concrete, and very pragmatic. The mother was slightly peremptory imposing her will. Both parents of the patient are alive. In primary school and then in secondary school of economics the patient achieved medium results, was an average pupil and never repeated years. After obtaining her secondary school certificate she passed the entrance examination for a university school of economics but was not admitted since she scored too low during the examination. Then she started to work in bookkeeping and after 15 years she was given disability pension due to many somatic diseases. At the age of 24 years she got married. The marriage has been good until now. She has two adult, decent and well brought up children. Her husband is good, affective, warm, considerate, caring and hard working. The patient denied any head trauma or loss of consciousness. The patient has never abused alcohol. She has been suffering from very serious somatic diseases: chronic coronary artery disease with numerous exacerbations, chronic circulatory failure with numerous exacerbations, and chronic bronchial asthma with numerous exacerbations, chronic persistent atrial fibrillation and major organic heart disease in the form of large mitral valve insufficiency. Continued …

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