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Treating depression is guesswork. Psychiatrists are beginning to crack the code

7 pointsby fraqedabout 8 years ago

2 comments

pasbesoinabout 8 years ago
I recently had an hour or so&#x27;s conversation with a younger but seasoned neuropsychologist who is strongly invested in making logical diagnoses.<p>It was the first time I actually heard someone in his professional area tie testing results to functional areas of the brain <i>and their inter-dependent interaction.</i><p>I&#x27;m sure what we discussed will be refined, re-evaluated, and in some cases corrected. But it <i>made sense.</i> From verbal profile and testing down to functional analysis including the insights being gained from successive generations of ever-more-revealing scanning and physical measurement.<p>Up until now, I&#x27;ve been inclined to call psychiatrists &quot;witch doctors&quot;. (And psychotherapists, &quot;rent-a-friends.&quot;) Maybe that&#x27;s beginning to change.<p>With some people. I still expect the majority are locked into institutional perspectives and career tracks. Despite its call-out to science, the practice of medicine is actually a very conservative -- to the point of not infrequently being counter-productive -- activity. At least, in the U.S.
YCodeabout 8 years ago
&gt; The two main treatments are cognitive behavioral therapy (CBT), a talk-centered approach that gets patients to readjust their habits, and antidepressant medications. Both are about equally effective.<p>I was under the impression that CBT is actually more effective than medicating, and especially has far less relapses than medication.