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Article Abstract

In recent years, great emphasis has been placed on treating the subgroup of depressed patients who experience anxiety, transforming not only the treatment of anxiety comorbid with depression, but also the treatment of numerous anxiety disorders with a variety of antidepressants. On the other hand, another subgroup of depressed patients has been largely neglected, namely those with fatigue, lack of energy, and lack of motivation. One possible reason for this neglect is that such complaints may be interpreted as symptoms of a somatic illness and lead to exhaustive searches for medical illness rather than to treatment as depression.