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According to a 1997 survey (Jindal & Thase, 2003) of the most common reasons for patient visits to family physicians in the United States, depression and anxiety ranked 11th and 17th respectively. The seriousness of this disorder, besides prevalence but in terms of affect, cannot be overstated. Beck (1967) identified five cardinal symptoms of depression: (1) a sad and apathetic mood, (2) feelings of worthlessness and hopelessness, (3) a desire to withdraw from other people, (4) sleeplessness and a loss of appetite and sexual desire, and (5) change in activity level, to either lethargy or agitation...
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