Key features of depression and its management in general practice.

Jeff is 48 and runs his own automotive parts business, which has been experiencing tough times.

He has been under considerable stress at work in the last 12 months and presents because he has developed symptoms of shaking, sweating, dizziness and peripheral numbness and is worried that his health is making him unable to cope.

During the year he has developed numerous symptoms that he has attributed to his stress:

Indigestion bad in the mornings and relieved by an antacid.

Poor sleeping worries abut the business and has difficulty getting to sleep.

Forgetfulness which irritates his secretary and his wife.

Anxiety - and 2 days ago he spent several hours alone in a nearby park.

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