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This commentary explores the utility of hope as a therapeutic tool for intervention in the case of a patient with a mental illness that is refractory to. Though grief is normal in people with a terminal illness who are facing the end of life, it can evolve into depression. Learn about symptoms and treatment. The pharmacotherapy of depression in patients with advanced cancer should be guided by a palliative care approach focused on symptom reduction, irrespective of. Robert L. Fine, MD, is director of the Office of Clinical Ethics for the Baylor Health Care System. He has no significant financial relationships to disclose. The Termination of Life on Request and Assisted Suicide Act allows doctors to end the life of a patient experiencing “unbearable suffering.”. Not everyone who has a terminal illness experiences depression. But the following things might add to you feeling sad or low: Symptoms of your. Grief is common in people facing the end of their lives as a result of a terminal illness. It's a feeling that can cause a terminally ill. Patient suicide often results in profound personal and professional crises for the treating clinicians. Residency training in psychiatry represents a. Clinical depression in someone who is dying can be treated. Antidepressant treatments work just as well in palliative care patients as in the. Abstract. Major depressive disorder in 26 hospice inpatients was managed with a trial of methylphenidate (mean daily dosage, mg).