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In the past three generations, increasing numbers of Americans have been prescribed antidepressants. In many cases, such prescriptions are the only mental health care the patients receive.
One cause of the rise in antidepressant use is that many doctors conflate conventional sadness—as from the loss of a loved one or a life-changing event such as a divorce—with the more serious and life-quashing condition of clinical depression.
A second contributing factor, the author argues, is a change in the standard diagnostic guide, which caused many milder mental ailments to fall under the seemingly neutral label of “disorder.”
A 2004 study in the Journal of the American Medical Association stated that “the risk of suicidal behavior is increased in the first month after starting antidepressants, especially during the first one to nine days.” Worse, there is no longer any need to deal with an actual physician: all these drugs are readily available, with a few clicks and a credit card.
Adolescent depression is a common, chronic, recurrent, and impairing condition that accounts for a substantial proportion of the disability and mortality incurred in this age group.1-2 Untreated depression results in impairment in school, interpersonal relationships, occupational adjustment, and increases the risk for suicidal behavior and completed suicide.3-5 Therefore, the proper treatment of adolescent depression has profound public health implications for youth in this critical stage of development.6-8