IntroductionOn February 3, 2013, patient Carlos Ramirez was referred to my office by his first psychiatrist with symptoms of severe depression and concerns related to health conditions. The patient had adverse side effects with Prozac and Zoloft. Carlos was seen by a primary care physician and two mental health officials to discuss his feelings of near death and depression. Upon arrival, Carlos and I talked about his childhood, the events that triggered his current way of thinking, what has changed recently in his personal life, and other treatment plans that have been used to help heal the feelings of Carlos' depression. Carlos described symptoms of hopelessness, lack of concentration on topics, loss of interest in daily tasks and topics that once sparked interest, and tears at the thought of his death, as well as the the state in which this would leave his children and his family. He was hospitalized for his depression and reported that a mixture of anti-depression and anti-anxiety medications helped temporarily relieve symptoms. Her reported symptoms are consistent with the previous diagnosis of depression. Depression is classified as the inability to do things that once found enjoyable, fear of moving forward in life, loss of self, and debilitating feelings of grief. Carlos presents many symptoms concomitant with those of depression. Carlos also has a history of medical and mental disorders on his father's side. Causal and Biological Perspective Carlos is the first in his immediate family to suffer from depression. Both parents do not suffer from any mental disorder; However, Carlos said his older sister was diagnosed with schizophrenia. Depression has a biological basis and can be inherited from parents, even if the parents are not documented......y. Primary care doctors ask for family medical history, which gives the impression that other disorders within a family could arise at any time. This leads people like Carlos to fear death and undiagnosed disorders. The fear of a heart attack, which happened to his cousin, disrupts his daily life. Carlos checks his heart rate and blood pressure several times a day, distracting him from his tasks at home and work. Despite assurances from his primary care doctor, Carlos fears that his elevated heart rate at strange times may be a sign of an impending heart attack. The company also helps fuel Carlos' fears by broadcasting in the media the percentage of people who have had a heart attack this year and how to monitor your symptoms to see if your heart is healthy. Carlos learned from society how to exaggerate a fear..