School of Psychiatry, University of New South Wales, Sydney, Australia. g.parker@unsw.edu.au
OBJECTIVE: To describe a patient with food intolerance probably contributing to depressive symptoms, intolerance to psychotropic medication and treatment resistance. METHOD: The case vignette and investigatory procedures are detailed. RESULTS: The patient's course improved considerably with an elimination diet. CONCLUSIONS: The prevalence of food intolerance as a contributing factor to depressive disorders requires clarification. Clinicians should be aware of the possible syndrome and that it may be worsened by psychotropic medication.