ANTIDEPRESSANTS
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Cognitive Behavioral Therapy vs. High Risk Drugs |
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Cognitive-Behavioral Model of Depression
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Medical Model of Depression
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| Depression has biological, psychological, and social origins (biopsychosocial.) | Depression is a biological disease. | |||||||||
| Individualized diagnosis/treatment. | Everyone given a pill. | |||||||||
| Patient is empowered and takes an active role. | Patient's role is passive. | |||||||||
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Learns skills to change thoughts that
govern emotion and change behavior that is self-defeating. |
Patient has no control: receives the drug and awaits improvement. | |||||||||
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Consideration of recent adverse life events as causes of
depression. |
No treatment of problems that may have caused the depression. | |||||||||
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Therapy should not become
patient's life. Self -Sufficiency is the goal. |
Treatment is long-term. Drug dependency results. High
relapse rate. |
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| Inexpensive. Average treatment episode under $500 (PMHM, Inc. data) | $2,287 per treatment episode. Including drugs to treat antidepressant side effects typically results in 20% of total prescription costs for a medical plan. | |||||||||
| Effectiveness established by scientific research. | Marginal clinical value at best. | |||||||||
| No side effects | Serious side effects can include: sexual impotence, anxiety, suicide, violence. | |||||||||
| Therapist and patient together work on coping skills. | Doctor, without lab tests, raises doses or switches drugs. | |||||||||
| Lifetime empowerment. | Continued victimhood mentality dependent on drug to feel "better." | |||||||||
| No withdrawal. |
Severe withdrawal symptoms now are their own "disease": Discontinuation Syndrome. |
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| Patient learns skills to reduce relapse. | High relapse rate for further episodes. | |||||||||
| ©2005 -
Preferred Mental Health Management, Inc. -
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