Depression, including chronic depression, is a common presentation in couples therapy. When a marriage and family counselor finds a history of chronic depression in one or both partners, and there is little or no response to couples therapy, integrated treatment may be indicated, that is, a referral for medication evaluation and the utilization of specialized psychotherapeutic strategies. Unlike acute depression, chronic depression is extremely treatment resistant and inevitably requires a specialized mind-brain treatment, which this article describes.
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