I wonder this because I've read and been told that the likely cause of chronic depression is that the receptors aren't working properly, so tricyclic antidepressants (TCAs) inhibit the reuptake of both serotonin and norepinephrine and (SSRIs) have fewer side effects and Certain SSRI medications have been shown to lower serotonin levels below the baseline after chronic use, despite initial increases. This has been connected to the observation that the benefit of SSRIs may decrease in selected patients after a long-term treatment. So why is this all related to serotonin, if increasing the serotonin or prolonging its presence doesn't work in a lot of cases of depression, why hasn't there been more developments in researching the cause of depression on a physical scale rather than emotional? As i mentioned in the first sentence, I read an article on new developments in the physical causes of depression yet since then there has been no new news and this is going back at least 6 months. I've been on TCA's and SSRI's and neither seem to modify my mood, i only feel side effects with some and nothing with others. I've been on amitriptalyne for a while now but thats mainly because they help me sleep and i without them im a borderline insomniac. Thanks :)