Like most busy family physicians, mental health issues constitute a significant part of his practice. He is also involved in educating family physicians about depression in primary care, and lectures to family physicians about this topic. He has seen significant improvement over his 25 years in practice. "The biggest change is that family doctors have gotten better at treating depression. They're much more knowledgeable and comfortable than they were 10 or 15 years ago. The availability of more drugs, drugs that are better tolerated and more education has contributed to this."