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1) Antidepressant use has greatly increased over the last 30 years, with antidepressants now being the most commonly prescribed drug in the US. However, some experts argue they are overprescribed for issues that could be addressed through therapy or lifestyle changes. 2) Studies have found antidepressants to be only slightly more effective than placebo pills, but other analyses found flaws in how the original data was interpreted. The effectiveness of antidepressants does not depend on the severity of depression. 3) While antidepressants can help some people, there are concerns about overreliance on quick fix medication solutions rather than addressing underlying issues through therapy or lifestyle changes. Long term use should be reserved for severe cases.

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The title of this chapter derives from a book of the same title by David Healy (1997). Healy points out the important but overlooked fact that depression proper (what the DSM-5 calls Major Depressive Disorder) [American Psychiatric Association (APA), 2013] was basically unheard of as recently as 50 years ago. For Healy, the antidepressant era unfolded against a backdrop of battles within the psychiatric profession (people endorsing the medical model perspective battling those endorsing models emphasizing a psychological perspective), regulatory agencies such as the Food and Drug Administration (FDA), and the pharmaceutical industry. Antidepressant medications are among the medications most advertised directly to consumers and evidence is mounting that this does not in fact increase consumer knowledge about depression and antidepressants but rather increases misperceptions like the discredited chemical imbalance theory of depression (Park, 2013). This chapter is divided into seven sections. Section One provides an overview of the current impact of antidepressants and Major Depressive Disorder. Section Two describes early theories of antidepressant action. Section Three covers the neurotrophic/plasticity theory of antidepressant action and other newer findings. Section Four begins coverage of the classes of antidepressant medications with what are called first generation antidepressants. Section Five is devoted to selective serotonin reuptake inhibitors (second generation antidepressants). Section Six covers third-generation antidepressants like bupriopion and duloxetine and experimental drugs like ketamine. Section Seven covers important psychological, cultural, and social perspectives on anti-depressants including the concerns about violent behavior being correlated with antidepressant therapy. Learning Objectives • Know what the point and lifetime prevalence of Major Depressive Disorder is. • Understand the conditions that are often comorbid with depression. • Be able to articulate sex differences in reported rates of depression. • Know what meta-analytic studies note as the overall efficacy of antidepressants. A television commercial features a grimacing young man with his face against a wall. The commercial's narrator lists several symptoms of fear and anxiety related to Social Anxiety Disorder (previously Social Phobia in DSM-IV). The last scene in the commercial shows the same young man smiling, rising from a table in a crowded room apparently to receive acclaim for some accomplishment. The ad ends by repeating the name of the medication and informing the viewer, “Your life is waiting.” As we noted in , there is vigorous debate as to whether such ads are a valuable source of information or prey on the misconceptions many people have about such drugs being “magic potions” to change their lives. At this writing, antidepressants are still one of the most advertised and prescribed psychotropic medications. Over $11 billion is spent annually.

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Depression and anxiety can do more than just to give you feelings of guiltiness, sadness or unhappiness. They can create unstable emotions, gloom or torpidity in you. This book is written straight from my personal experiences. I discovered that depression and anxiety can rob you, your child or your loved one of your happiness, health, sleep, energy, memory, vitality, concentration, ability to work, play or love, and in chronic cases, your willing to live! Unfortunately depression and anxiety are devastating illnesses that affect millions of Americans and other people around the world. Yet, they can be defeated. I promise you that, by the time you finished reading this book, you will no longer be confused about depression and anxiety. You will know the myths, the facts and the sure ways to fight and defeat them using natural programs and medication.

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Briceno 2 Sophia Briceno Professor Elizabeth Nappo ENC 1102 December 2, 2022 Alternative Solution to Anxiety and Depression. Anxiety and depression have been prevalent issues in the United States and other parts of the world since the beginning of time. Anxiety and depression, which manifest in a variety of ways, can have a negative impact on people of all ages. Despite the fact that the first person to develop an addiction has never been identified, it is a widely held belief (Freeman, 2020). It has exacted a significant toll on the younger generation in recent years, which is especially concerning given the ongoing global epidemic. Many people do not prioritize their mental health and do not believe it should be one of their primary concerns. When, in fact, one's mental health is absolutely necessary in order to complete mundane tasks like going to class or working a job. As a result of increased focus on the topic from a wide range of fields, the state of people's mental health has been elevated to the status of a critical problem in today's society. Despite mounting evidence to the contrary, a sizable minority of people continue to believe that medication is the only way to treat mental health issues, despite the fact that the vast majority of people understand the importance of mental health (Ginsburg, 2020). This essay will coherently argue the alternative solutions to anxiety and depression. In that case, getting enough sleep and maintain a stable diet are the solutions other than medication that are discussed in below paragraphs. Despite this, a significant number of people either do not give mental health the attention it deserves or do not believe it is all that important. Some people are also responsible for contributing to the stigma associated with mental illness. A little more than half of those polled in the General Social Survey in 2020 said they would not want a member of their family or a close friend to marry, work next to, or spend the night out with someone who had a mental illness (Knowles, 2020). People who have mental health issues may be hesitant to seek help because they are afraid of the stigma that may be attached to them if they do, which is a significant issue. The findings of this 2020 survey show that many American households continue to struggle with the concept of accepting mental health issues in their loved ones. According to a 2020 statement from Zhang, "many people believe that people with mental illnesses are aggressive and dangerous." In fact, they are more likely to be assaulted or to injure themselves than they are to cause harm to others. People suffering from mental illnesses such as anxiety and depression are less likely to seek alternative treatments and are more likely to rely on excessive medication if these stereotypes are perpetuated. I do not believe that these points of view are valid, and I believe that they are harmful to people seeking treatment. We can be thankful that there has been .

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