I think it is amazing that a doctor just takes the depressed individuals word for it on how they are feeling when it is common knowledge that a depressed individual's perception may be at least slightly skewed...I know that due to confidentiality and individual freedom there is not really anything else that can be done but it would be so much more beneficial if they can somehow meet with the individual and spouse as part of the treatment to get a complete picture of the situation...and yet somehow preserve the patients confidentiality and freedom. Don't ask me how this would be done as I have not thought it out that far