Search This Site




Philadelphia Weekly - The Trouble With Spikol


 

 

 

 

Cost of the War in Iraq
(JavaScript Error)

 

 

« Racing heartbeat races on... | Main | Top o' the mornin' to ya »

Two things, not just one

The Wall Street Journal reports on the results of a study about depression treatment. Medication? Therapy? The study says both are most effective than either approach alone, at least in terms of adolescents.

A combination of medication and therapy helps depressed adolescents heal faster than medication or therapy alone, and with fewer incidents of the suicidal tendencies associated with unalloyed antidepressant use, according to findings in the largest and longest government-funded study of depressed teenagers.

This study, published yesterday in the Archives of General Psychiatry, provides more evidence that a combination of the antidepressant Prozac and therapy can help overcome both problems.

The study's authors say the findings offer hope that teenagers can attain long-term recovery from the illness, which is marked by chronic relapses among patients of all ages. They hope that by treating adolescents for longer than three to four months -- the typical duration of such studies -- teens will reach their "maximal medical benefit" from treatment and be less likely to become depressed again in the future, said John March, chief of Child and Adolescent Psychiatry at the Duke University School of Medicine and one of the study's authors.

Dual Approach Aids Depression Treatment

Comments

My son has a mood disorder. It turns out that I do as well. The pediatrician prescribed ssri anti-depressants, and later the psychiatrist did the same.

After two hospitalizations, I insisted that they take him off the ssri's and try a mood stabilizer. POOF! No more mania, or depression. As it turns out, he was rapid cycling between mania and depression within minutes of each other.

After that I started looking into the connection of manic behaviour and SSRI medication in teens and juveniles. It is pretty scary. The only sniper style mass killings in this country prior to the introduction of ssri's to teens was by Charles White, the texas tower shooter, and he had a tumor on his amalyganglia. I just wish that Doctors wouldn't instantly jump to the SSRI's and would see about mood disorders first.

How many children on anti-depressants receive or are able to access CBT from someone skilled in the art? Where accountability is lacking in the "real world" it is too easy for providers and provider organizations glibly cite study outcomes without actually achieving the same. Rarely does efficacy in academia translate into effectiveness in the community at large.

When we are dealing with the potential loss of life, isn't it time that providers deliver the "evidence based care" that makes a difference?

Post a comment

(If you haven't left a comment here before, you may need to be approved by the site owner before your comment will appear. Until then, it won't appear on the entry. Thanks for waiting.)

About

self portrait web final.JPG

Liz Spikol is senior contributing editor of Philadelphia Weekly. She writes the award-winning column The Trouble With Spikol, which began as a chronicle of her struggle with mental illness, and has since expanded into humorous musings on everything from graphic novels to how to use a mop. She also writes the paper's book review column, Lit Gloss. This blog -- named one of the Top 10 Bipolar Blogs of 2007 by PsychCentral -- is about mental illness policy, news, personal journeys and more.