Don't Miss These Warnings

RED FLAG: DON’T MISS THESE WARNINGS

[SB-2]

SIGNS AND SYMPTOMS   Dysphoric mood or loss of pleasure in usual activities   At least four of the following:    Change in appetite    Sleep difficulty    Loss of energy    Psychomotor agitation    Decrease in sexual drive    Inappropriate guilt    Indecisiveness    Suicidal thoughts   Duration of symptoms for at least 2 weeks   No evidence of schizophrenia or organic brain disease

ILLNESSES OFTEN MISTAKEN AS DEPRESSION   Thyroid disease and other endocrine diseases Parkinson’s disease Sleep apnea Nutritional illnesses Drugs or drug withdrawal Cerebral tumors Coronary artery disease Renal or hepatic failure AIDS Syphilis Mononucleosis Tuberculosis Hepatitis Pneumonia Cancer of the head of the pancreas Complex partial seizures Multiple sclerosis Left frontal stroke Dementia Alcoholism

Encouragement

My Dear Dear Dr. Hawkins:
I understand all too clearly that you think you have been 'defeated' in more ways than one. But I hasten to point out to you that in your previous entries you mentioned a heavenly countryside, a healthy and happy family, a devoted and loving wife, a new, hopeful and convicted boss and even a few prayers have emanated from your wise, OLD heart. 
Now it all can't be THAT bad. Unless you have subscribed to the recently published periodical written by your favorite neurotic 'BW'.
Anyway, we may be going into a socialist period of our country's history but all is not lost. Change is what you tell your patients brings variety and the spice of life. Besides, what about that familiar quote from Shakespeare about slings and arrows of life.
We can't wait to see you back at the ranch. The ranch hands are restless.
Best Wishes!
Withering Wallflower