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Christina I think you make a valid point. I am currently researching about how often mental health is under-diagnosed and the damaging effects this has on our patient outcome and it decreases. I agree with your barriers, we do not give PCP enough time or resources to truly tackle this issue. I believe mental health issues are on the rise and this website :https://healthinsight.org/improving-behavioral-health-for-older-adults, gives information about a quality initiative to help combat this issue.