Diagnosis and treatment of depression
All-pervasive rlung causing depression as explained in the oral instruction tantra
Symptoms such as "fear, depression [...] and talkativeness, restlessness, fear and panic" are mentioned in the context of pervasive rlung in the oral instruction tantra.
See Men Tsee Khang (transl.) (2017: 18). bod kyi gso ba rig pa'i rgyud bzhi las man ngag rgyud tses bya ba bzhugs so The oral instruction tantra from the secret quintessential instructions on the eight branches of the ambrosia essence tantra. Dharamsala: Men-Tsee-Khang.
Recommendation of refusing treatment of patients with severe depression (in the translation of the Explanatory Tantra, dated 2015)
„Patient to be refused is of two types: curable and incurable conditions [...] Patients who detest one´s leader, spiritual masters and human beings; who are ungrateful to the physicians for their kindness and even despise them; who are devoid of time and money [sic.!, highlighted by Anders]; who are disobedient and whose lifespans have been exhausted; who are intensely depressed [sic.!, highlighted by Anders] and those who are actively engaged in religious subversion should be refused to be treated although the problem is curable as they will bring defamation.“
in Men Tsee Khang (transl.) (2015: 252, 253). bod kyi gso ba rig pa'i rgyud bzhi las rtsa ba'i rgyud dang bshad pa´i rgyud tses bya ba bzhugs so The root tantra and the explanatory tantra from the Four Tantras of Tibetan medicine. Dharamsala: Men-Tsee-Khang.
Apart from the dangers of only treating those patients who obey the "spiritual" master, such attitude conflicts with the bodhisattva ideal as well as the impartiality of a physician and the training of impartiality as the basis of Vajrayāna. Moreover there is a lack of professional ethics.