A Comparison of the Use of Tricyclic Antidepressants by Psychiatrists and Non-Psychiatric Physicians

In a chart review comparing use of tricyclic antidepressants (TCAs) by psychiatrists and non-psychiatrists, the psychiatrists performed significantly better in documenting a diagnosis of depression, and in documenting length of treatment and continued need for patients already on a TCA. In other areas including route and frequency of administration, and use of multiple psychoactive drugs, there was no difference between the two groups. The authors conclude that performance by psychiatrists is better than for non-psychiatrists but below what might be set as reasonable standards, particularly in the area of documenting specific signs and symptoms of depression in patients receiving a TCA.