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From: hronikstar
Category: Strategy
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From: ronaldzy
Category: Strategy
Date: 28 Nov 2013
Time: 17:54:42
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Most people who are diagnosed with major depressive disorder get prescribed an antidepressant rather than going straight into talk therapy, explained Dr. Ranak Trivedi, the lead author on the current study from the University of Washington School of Public Health.But up to half of those people might not feel any better after they start taking the medication, she said.Guidelines point doctors to a few different options for treating patients who don't respond to their first antidepressant drug. The doctor can add a new antidepressant to the first one, or switch drugs completely. Sometimes it takes several attempts to find the drug or drugs that will help the patient feel better. 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Others showed that adding or switching to talk therapy was beneficial, but not any more so than changing a patient's prescription or having the patient take additional drugs.Researchers say the results show that talk therapy may be promising for people who don't get better on medication - but they also reflect the fact that many more studies are needed.As it becomes clearer that the first try at an antidepressant doesn't work for many people, it's apparent that greater attention needs to be paid to this whole other avenue of treatment for people who aren't responding to first and second and third choice medications, Dr. Michael Thase told Reuters Health. Thase, a psychiatrist at the University of Pennsylvania School of Medicine, has participated in some of the research that suggests that talk therapy can be beneficial. (He wasn't involved in Trivedi's study, however.)For some patients, however, getting access to talk therapy is more difficult and costly than taking medications, which have gotten cheaper as generic versions became available. As of August 2010, according to data from Wolters Kluwer Pharma Solutions reported by Consumer Reports, average monthly costs for antidepressants were as low, for example, as $19 for fluoxetine (the generic form of Prozac), $26 for sertraline (Zoloft), and $35 for citalopram (Celexa).Talk therapy costs more than medication, at least in the short term. And insurance companies often put limits on reimbursements (although new rules issued by the Obama administration are intended to improve coverage of mental health care for people whose insurance comes through their employers).But Trivedi said that in the long run, talk therapy may well be worth it. People who take antidepressants often end up taking them for life, she said. 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From: shellyypw
Category: Strategy
Date: 16 Oct 2013
Time: 21:32:12
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From: VesRapsilla
Category: Strategy
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