Antidepressants underused?

If antidepressants have existed for many years, they still seem badly used today. Prescription of other drugs, insufficient doses ... Today, only 5% of depressives receive an adapted treatment! Update on this alarming situation.

Today, only 30% of depressives would be correctly diagnosed in the United States. Among them, a third party receives an antidepressant prescription.

An alarming situation

Taking into account the compliance figures and treatment success rates (Weissman, 1974), it follows that only 5% of depressives receive proper medical care for their depression (Henry, 1993). Br>

There are clearly defined medical recommendations in the United States for the treatment of depression: they indicate the prescription of antidepressants. However, only 25% of drug prescriptions concern antidepressants (L├ępine, 1997). Prescribing habits of physicians for the treatment of depression persist and the use of other psychotropic drugs (tranquilizers or hypnotics) is still important, although it tends to decrease over time (Credes, 1996). This type of treatment has been shown to be ineffective for depression and causes many adverse effects.

Psychotropic drugs

% Packaging (1992)

% Packaging (1989)

Hypnotic

15.45

9.0

Tranquillizer

38,80

48.2

Neuroleptic

7.05

11.1

Antidepressant

37,12

29,7

Psychostimulant

1.44

1.7

Antivertiginous

0.13

0.1

Total

100.0

100.0

In addition, when used with antidepressants, the prescribed doses are lower than the recommended doses for three quarters of treated depressives, thus decreasing the response rate (McDonald, 1997).
In the treatment of depression, an effort in diagnosis and prescription seems therefore essential on the side of doctors ...

According to the Itinerary of the depressed report