Posted by med_empowered on October 1, 2005, at 15:16:07
In reply to Re: UK Docs Told To Hold Antidepressants For Teens » Emily Elizabeth, posted by ed_uk on October 1, 2005, at 14:40:39
from what I understand, although there does come a point in depression at which antidepressant treatment is usually advisable, its also true that more severe cases of depression can pose a higher risk of suicidality, so maybe the reasoning is that since SSRIs don't seem to help and can sometimes induce suicidality, using an SSRI might actually raise overall rate of suicide and other forms of self-injury among the more severely depressed. Apparently, severe depression can respond pretty well to therapy,too; the only problem I have with these recommendations is the inclusion of psychotic depression. Psychotic depression usually isn't treated with an antidepressant alone (although apparently this can be done in some cases)...its also often a sign of other problems (especially bipolar disorder) when it pops up in the young...I'm just concerned that the no-SSRI stance for psychotic depression will lead to less effective treatment for the most severe cases of depression.
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