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                  <text>—wa\

l

March 31, 1983
Dennis Charney, MD.
Department of Psychiatry
Connecticut Mental Health Center
34 Park Street
New Haven, CT 06508

Dear Dennis,
Some weeks ago, we discussed your favorable experience with mianserin
and lithium, and you told me of a report which has been submitted and accepted by
the Archives 9_f_ General Psychiatry. We are treating a depressed patient with
evidence of long standing brain damage. We have failed to alter her state with
courses of imipramine, mianserin, and she is now in a trial of lithium. Following
your suggestion, we would like to consider treatment with lithium and mianserin,
should the lithium alone fail.
Would you be able to send me a

draft of your accepted report

?

Many thanks.

Sincerely yours,

Max Fink, MD.

Professor of Psychiatry

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