Treating Depression
by Christopher Semmens
The recent publication of a study suggesting that the new generation of anti-depressant medication has its effect by way of a psychological mechanism supports the view of many that depression is not about chemical imbalances.
The study, headed by Professor Irving Kirsch of the University of Hull in the UK, was published in February 2008 and looked at the results of thirty-five trials involving five thousand patients taking SSRI’s (Selective Serotonin Re-Uptake Inhibitors).
It was shown that there was virtually no difference in the improvement scores for drug and placebo (an inactive substitute pill) in patients with moderate depression.
Those with very severe depression showed only a small and clinically insignificant difference in their improvement scores.
There was a significant difference only in the most severely depressed patients.
The researchers attributed the apparent clinical effectiveness of the drug with those most severely depressed to a decreased response to the placebo rather than an increased responsiveness to the drug treatment.
Having extracted these findings from the data they looked at, the researchers conclude that there is little reason to prescribe the new generation anti-depressants to any but the most severely depressed patients unless alternative treatments have been ineffective.
These findings and recommendations are consistent with what a number of psychiatrists, other medical practitioners and others working in health, including Dr Peter Breggin, Dr William Glasser and Dr Terry Lynch have been saying for quite some time.
In his best selling book, Beyond Prozac—healing mental suffering without drugs—Dr Terry Lynch, an Irish GP, argues that the medical profession becomes preoccupied with diagnosing mental illness and initiating medication treatments while the underlying human issues go un-noticed and unresolved.
The key here is the importance of the recognition that unresolved, underlying issues in the
psychosocial history of people presenting with depression and other emotional and psychological difficulties are relevant, important and need to be identified and addressed.
The medical model approach has a strong tendency to ignore the often harrowing life histories that people endure.
Rather than a focus on genetic, bio-chemical, biological or hereditary factors, as principally underlying emotional and psychological problems including depression, as emphasised by the medical/medication approach, plenty of evidence indicates that these people frequently have significant histories of great emotional, social, physical and sexual traumas.
Thought Field Therapy (TFT) is an approach that is ideally placed to efficiently target and resolve these underlying issues of disruption, loss and trauma in peoples lives in most cases. |