The lead article of the Journal, Depression and Anxiety summarized the major research studies of the treatment of depression by medication and cognitive and related therapy approaches. Here are some of the conclusions:
1.Half of the patients with major depression disorder derive little benefit from taking anti-depressant medication.
2.There is no evidence that medications reduce risk for subsequent symptom even though standard practice has evolved to keep most patients on medication indefinitely.
3.Cognitive and behavioral interventions may be more enduring and therefore more cost-efficient than medication treatment over time.
4.Given that the efficacy of medication has been overstated in the published literature, that at least half of all people with major depression derive little benefit from medication and that drugs provide no lasting benefits when discontinued, a case can be made that that cognitive or behavioral interventions are at least as viable as medications as the preferred first-line treatments of choice for depression.
5.In the hands of an expert, cognitive therapist may be preferred to medication because of its enduring effect and freedom from side effects.
As a psychologist in Boca Raton, Florida I often treat patients suffering from depression. In my experience, most individuals hate the side effects of medications and much prefer learning skills they can use to feel better and get better.