Antidepressant Efficacy May Be Overblown

Antidepressants, for the most part, do not provide meaningful benefit, two investigators in the UK argue in a report in the British Medical Journal this week, having reviewed published medical evidence on antidepressant efficacy.Most people with depression are often initially prescribed an antidepressant by their doctor. Prescriptions for these medications have risen dramatically in the last decade.In an interview with Reuters Health, Dr. Joanna Moncrieff, an author of the report, said, “I do not think there is such a thing as a drug that will specifically relieve depression. I think so-called antidepressants are just drugs that do other things, such as sedating or stimulating people."In fact, she continued, “I am skeptical as to whether there is a biochemical syndrome of depression despite the portrayal by the drug companies and some psychiatric literature."Moncrieff, a lecturer at the University College London and co-chair of the Critical Psychiatry Network, describes depression as a condition that “should be dealt with without drugs, because it’s something people need to learn to deal with themselves.” Dr. Irving Kirsch of the University of Plymouth is a co-author of the report.

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