Mr Scott scored 7/15 on the GDS and this warrants further evaluation. The psychologist spends time talking with Mr Scott in order to establish the underlying cause/s of his depressive symptoms. They correlate very strongly with his feelings of inadequacy and hopelessness relating to incontinence. Withdrawl from social activities and lack of confidence associated with bladder issues. Mr Scott does not want to take medication. Both you and the psychologist are confident that with improvement of his incontinence, his depression may well improve and concur with Mr Scott’s decision to decline anti-depressant therapy.