What do you do with the depressed/anxious dry eye patient?

Do you have a patient with what appears to be mild or moderate clinical signs of MGD or classic dry eye – but who seems to be seriously overreacting? Very depressed? Angry? Unduly frustrated? Abnormally anxious? A patient that is terrified every new treatment won’t work or will have dangerous side effects? One who is compulsive about wanting to try every emerging treatment approach – while failing to give standard treatments enough time to kick in? One for whom you are the fourth or fifth eye doctor...