To the Editor: We were interested to read the MJA Open supplement Difficult-to-treat depression: a guide to management in primary care, and in particular the article on treatment of bipolar depression.1 However, we were surprised that nowhere in the supplement was there any mention of the importance of diagnosing bipolar II disorder, and that there was no emphasis on the need to recognise that bipolar depression requires different treatment to non-bipolar depression to be effective.
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