IntroductionOn February 3, 2013, patient Carlos Ramirez was referred to my office by his first psychiatrist with symptoms of severe depression and concerns about health disorders. The patient has had adverse side effects with Prozac and Zoloft. Carlos was seen by his primary care physician and 2 mental health officials to discuss his feelings of impending death and depression. Upon arrival, Carlos and I talked about his early life, what events triggered his current thought pattern, what has changed recently in his personal life, and what other treatment plans have been used to help cure Carlos' feelings of depression. Carlos described symptoms of hopelessness, poor concentration on topics, loss of interest in daily activities and topics that once held interest, and tears at the thought of death and the state in which this would leave his children and family. He was hospitalized for his depression and they reported that a mixture of antidepressant and anti-anxiety medications helped temporarily relieve the symptoms. The reported symptoms are consistent with the previous diagnosis of depression. Depression is classified as the inability to do things one once found enjoyable, fear of moving forward in one's life, loss of self, and debilitating feelings of grief. Carlos has many symptoms concomitant with those of depression. Carlos also has a history of medical and mental disorders in his father's family. Biological point of view-cause Carlos is the first in his immediate family to suffer from depression. Both parents have no mental disorders; however, Carlos stated that his older sister has been diagnosed with schizophrenia. Depression has a biological basis and can be inherited from parents, even if the parents do not have... middle of paper... y. Primary care physicians ask for family medical history, which makes it seem like other disorders within a family may be occurring at any given time. This causes people like Carlos to fear death and undiagnosed disorders. Carlos' fear of having a heart attack, which happened to his cousin, is interfering with his daily life. Carlos checks his heart rate and blood pressure several times a day, which distracts him from his tasks at home and at work. Despite reassurances from his primary care doctor, Carlos fears that his elevated heart rate at odd times is a sign of an impending heart attack. The company also helps stoke Carlos' fears by broadcasting in the media what percentage of people have had a heart attack this year and how to monitor symptoms to see if your heart is healthy. Carlos learned from society how to blow a fear out of proportion.