Diagnosis guides treatment....except when it doesn't

In most specialties of medicine, the dictum "Diagnosis guides treatment" is the law of the land. In psychiatry, however, most of what we treat are often overlapping syndromes, not actual diseases, and these syndromes involve hugely varying dimensions of symptoms with a vast array of potential causes and exacerbating factors.Maggie came to Dr. H with a challenging clinical presentation: likely genetic loading for a mood and/or anxiety disorder, childhood emotional neglect, years of schoo...