Tuesday, October 21, 2014

More data on the theme "depression is really hard to treat"

In a recent blog posting, Dr. James Coyne provides a detailed discussion of a large clinical trial evaluating the impact of adding psychotherapy (manual based, high quality cognitive behavioural therapy, CBT) to pharmacotherapy. One of the key results of the trial is that a large proportion of those receiving such state-of-the-art treatment continue to experience depressive symptoms. The addition of CBT did not have a dramatic effect over and above the medication treatment. It is best not to interpret this kind of information as if it were some kind of competition between different modalities of treatment (all of which are supported by evidence). The key message is that depression is a long-term issue for many people. Dr. Coyne's blog may be found here.

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