Treatment of Depression in the New Ecology
There is a need for clinical diagnosis, almost certainly involving a multiaxial method such as described in the DSM This is necessary for resource utilization and management and research. A reliable diagnosis will be necessary for developing a treatment plan, to allow authorization for treatment, and for treatment review. Although diagnostically related groupings of patients have generally been applied only to determine reimbursement for ongoing care on an inpatient basis, it is certainly possible that diagnoses will determine the length of outpatient treatment authorized. One can imagine, for example, an authorization for six sessions for the diagnosis of an
adjustment reaction with depression, 10 sessions for major depressive disorders and 14 sessions for dysthymic disorder.