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...What Do These Findings Mean?These findings suggest that, compared with placebo, the new-generation antidepressants do not produce clinically significant improvements in depression in patients who initially have moderate or even very severe depression, but show significant effects only in the most severely depressed patients. The findings also show that the effect for these patients seems to be due to decreased responsiveness to placebo, rather than increased responsiveness to medication. Given these results, the researchers conclude that there is little reason to prescribe new-generation antidepressant medications to any but the most severely depressed patients unless alternative treatments have been ineffective. In addition, the finding that extremely depressed patients are less responsive to placebo than less severely depressed patients but have similar responses to antidepressants is a potentially important insight into how patients with depression respond to antidepressants and placebos that should be investigated further....
What annoys me is how quickly the Doctor wanted to prescribe the antidepressants without looking at other methods first.
Lewis said: 'I have no doubt that medication can and does help some people with mental health problems. Equally a major expansion of psychological therapies that Alan Johnson [the Health Secretary] announced last week reinforces the need for an end to the "prescription not therapy" culture which has characterised our mental health system.
Karen - no-one has said that medication never works. It certainly does in some cases. The point is that anti-depressants are prescribed willy-nilly without thought as to whether the patient would actually benefit, and in many cases they would not.
I suspect letting doctors slap people around the face, whilst telling them to get a grip would work a lot better.
The reports I have heard is basically that what people are saying is that anti-depressants work no better than a placebo for what is regarded as 'mild depression' (maybe what is regarded as 'mild depression' is a false diagnosis of depression at all), but does work for severe depression.