Depression Answers

Meds for treating depression and anxiety ?

Q.What causes depression symptoms and what causes clinical depression?

A.If we rely only on advertisements, we will have an entirely biological view of depression that may go so far as to declare “depression a serious disease that only your doctor can diagnose,” as some of the commercials state. But such statements ignore the huge amount of irrefutable evidence that depression symptoms and clinical depression involves much, much more than just “bad chemistry.” There are many reasons why the information about other factors in depression, some at least as important as the biochemical, is not as available to the general population as the “chemical imbalance” theories The chief problem with the view of depression as a consequence of a “chemical imbalance in the brain” is the fact that depression can be both triggered by and resolved by life events. The misconception the commercials foster is that the brain somehow develops a chemical imbalance and the result is depression, occurring in a single directional process. In fact, the relationship between brain chemistry and experience is a two-directional phenomenon: Life experience affects brain chemistry at least as much as brain chemistry affects life experience. How are medications for depression prescribed and monitored? Medications are prescribed by MDs in one of three circumstances: by a psychiatrist who is the patient’s primary mental health provider by a physician working with a non-physician mental health professional by a family physician. According to recent estimates, family physicians now write 60-70 percent of the prescriptions for antidepressants, even though most are not specifically trained to diagnose and treat mental health illnesses. Some of these physicians may not closely follow the suggested guidelines for psychiatrists that protect patients from the complications arising from the misuse of these medications. Joseph Glenmullen, MD, a psychiatrist at Harvard Medical School, suggests that since medications for treating depression may be less expensive than talk therapy in the long run, "The insurance companies pressure physicians into prescribing drugs instead of referring patients to specialists." The American Psychiatric Association has created the following guidelines for psychiatrists for prescribing psychiatric medications.

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