Efficacy Of Antidepressant Medication Therapy

Globally, major depressive disorder (MDD) is among the top five public health concerns today (Cuijpers et al., 2011; Jakobsen, Hansen, Simonsen, & Gluud, 2011; Hees, Rotter, Ellermann, & Evers, 2013). Moreover, almost 20% of patients with depression engage in self-harming behaviors, including suicidal attempts (Gamble et al., 2013; Jakobsen et al., 2011). Not only is the prevalence of depression alarming, but costly to the health care system (Cuijpers et al., 2011; Cuijpers et al., 2014; Hees et al., 2013; Jakobsen et al., 2011). The use of antidepressants is the standard for initial treatment, but may be limiting in preventing relapse (Cuijpers et al., 2014; Jakobsen et al., 2011). Therefore, the inclusion of non-pharmacological interventions may be necessary to improve treatment outcomes (Cuijpers et al., 2011; Dekker et al., 2013; Jakobsen et al., 2011). Interpersonal psychotherapy (IPT) and cognitive behavior therapy (CBT) are the two primary psychotherapeutic interventions recommended in the treatment of depression. In this paper, I will discuss the difference between CBT and IPT, compare the effectiveness between both therapies, explore their efficacy as an adjunct treatment with antidepressant medications, and summarize the treatment guidelines for depression.

Cognitive behavioral therapy (CBT) is among the most extensively tested psychotherapies for depression. Many studies have confirmed the efficacy of cognitive behavioral therapy (CBT) as a treatment for depression. This paper will provide background information about the intervention, address the target population, and describe program structure and key components. It will also provide examples of program implementation, challenges/barriers to implementing the practice, address how the practice supports recovery from a serious mental illness standpoint and provide a summary. Although there are several types of therapy available to treat depression and other mood disorders, CBT (cognitive behavioral therapy) has been one of the most widely

Antidepressant drugs, which can be lifesaving, are being underused in young people. Their use fell significantly after the Food and Drug Administration issued its black-box warning in October of 2004, stating that all antidepressants were associated with a risk of increased suicidal feeling, thinking and behavior in adolescents; later on that warning was extended to young adults (Friedman 1). The Food and Drug Administration-FDA ordered drug companies to place a black-box warning on antidepressant drugs, this would then allow parents to see the side effects the drug might come with. As antidepressants can have its benefits, it is not the only way to treat a mental illness like depression. The majority of parents believe antidepressant is the only treatment and that psychotherapy is a waste of time and money. “About 80 percent of people with depression respond positively to professional medical treatment--usually talk therapy, medication or a combination of both--and almost all patients gain some relief from their symptoms. Unfortunately, less than half of those with depression seek treatment(Clayton

“Recent data estimate the overall prevalence of depression at about 11.1% of the American population, or nearly 35 million individuals (Centers for Disease Control and Prevention, 2011). A predictive models suggest that up to 50% of the population will experience at least one episode of depression during their lives” (Life Extension, 2014). Depression has negatively affected the lives of many individuals throughout the world. Look around you there may even be someone close to you that is demonstrating signs of its stifling affects. Depression does not discriminate with its suffocating

One of the most common psychiatric disorders is known as clinical depression and affects anywhere between 3% and 13% of the population with some form of depressive symptoms affecting as much as 20% of the adult population at some point in their lives (Amenson & Lewinson, 1981; Kessler et al., 1994; Oliver & Simmons, 1985, as cited in Antonuccio, Danton, & DeNelsky, p. 574). The concept of ‘harmful dysfunction’ advanced by Horwitz and Wakefield (2007) describes two key components of clinical depression: a dysfunctional mechanism and the dysfunction being harmful to the individual (as cited in, Parker & Paterson, p.405). This paper explores the following questions: what does research indicate about clinical depression and what are the implications for treatment? Reviews are presented in regards to the emergence of depression and psychotherapy versus medication to treat clinical depression. Considerations are briefly discussed and the research paper will conclude with an interpretation of the critical points.

Although antidepressants can be used as an alternative treatment for depression, there are many concerns with regards to this type of treatment. One of the many concerns is that there is a risk of suicide when taking antidepressants. Study by Olfson et al, (2006) support this claim as their comparison between individuals treated with antidepressants and individuals not treated with those, has shown that there was a significant link between suicidal attempts and individuals taking antidepressants. However, this study presents only a link between those and this

Hollon, S. D., PhD. (1990). Cognitive therapy for depression. Psychiatric Annals, 20(5), 249-251,255-256,258. Retrieved from https://ez.salem.edu/login?url=https://search.proquest.com/docview/894194358?accountid=13657

There are significant questions as to the generalizability of the study. My client differs from the sample group by being African American and married. There are many multiples of psychiatric medications for patients to try, along with medication combinations. There are also many more tools in our clinical toolbox beyond cognitive-behavioral treatment of depression. Also, one study, albeit with hundreds of participants, can be an outlier. We therefore quickly scanned review reports, of which there are several, such as Cuijpers et al. (2012). Multiple authors have investigated the peer-reviewed literature on the treatment of major depression with psychotherapy versus medication versus both, and have found that combination treatment works best.

Does cognitive-behavioral therapy work just as well as antidepressants when treating depression? How we perceive our depression is what helps to determine the type of treatment necessary. Antidepressants treat the common symptoms of depression rather than the condition while therapy helps change the thought process so the disease is cured in the end. Many studies are done to provide necessary information to what the answer to this question should be. The following articles provided studies that explained the effects of treatment with medication, with therapy, or a combination of both.

Treatments using anti-depressants is well documented, but there are very few studies documenting only the use of psychotherapy. However, in one study done using the Cognitive–behavioral analysis system of psychotherapy (CBASP) as a maintenance treatment, the overall findings show that psychotherapy in itself can be successful. “ There were 82 patients who were treated with CBASP long term. Patients were chosen at random to reduce their treatment to monthly or to an observational status. The patients, only treated monthly with CBASP, showed a smaller amount of reoccurring symptoms then the patients in the observational status. These findings support the use of only CBASP as a maintenance treatment for depression.” (Klein, 2004)

As the literature remains inconclusive as to the relation between current major treatment modalities and depressive disorder, and given the extremities of the potential dangers of antidepressant medications, it is apparent that there is a need to develop new interventions, which show greater efficacy, safety, and acceptability.

Major depressive disorder affects nearly 15 million of American adults in a given year. (Kessler, Chiu, Demler & Walters, 2005). With the impact it has on the society as well as the well-being of the individual, it must be in the interest of the healthcare to be able to provide patients with the most effective treatment method. Extensive research has been conducted on the efficacy of antidepressant medication and cognitive therapy, the two main treatment methods used for depression today. The discussion has, however, been characterized by conflicting claims, resulting in a debate over what should be used rather than us having definite conclusion of how patients are best helped.

“Eleven percent of Americans aged 12 years and over, take antidepressant medication,” “antidepressants were the third most common prescription drug … in 2005 – 2008,” and from 1988 to 2008, the rate of antidepressant use in the US increased nearly 400% (Pratt).

Hook: The recognition of depression as a common mental illness should lead to studies regarding what form of treatment is best for a patient, but antidepressants seem to be the unimpressive go-to.

Is depression a subject that people typically tend to brush aside? Rather than facing away from a serious issue that people suffer from in their daily lives, we should discuss the methods to help people with their struggle from depression. A common method to treat depression is the use of antidepressants. But are they effective? Do they cause more harm and danger than aid? Are there other methods that can provide greater improvement rather than a pill? Instead​ ​of​ ​using​ ​antidepressants​ ​there​ ​are​ ​other​ ​alternatives such​ ​as​ ​placebos​ ​and​ ​types​ ​of​ ​therapy​ ​that​ ​can​ ​be​ ​just​ ​as,​ ​or​ ​more​ ​effective​ ​than​ ​the​ ​use​ ​of ​prescription​ antidepressants.