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What helps with depression?

What helps with depression? 2

Antidepressants don't seem to be – New research talks about the effects of placebo, study author Reinhard Maß found the idea that pills could help, even "absurd"

Germany is becoming increasingly depressed. Each year, significantly more than five million people in Germany suffer from depression requiring treatment; the number of treatment cases has more than doubled since the turn of the millennium. Women are more likely to find it than men, and more and more children and adolescents are among the mentally ill. For example, in 2016 alone, 15,446 children and adolescents were hospitalized for depression.

Wondering about anti-depressant weapons?

In addition to the depressed basic mood, depressed people usually suffer from a pronounced driving disorder. They struggle against a condition perceived as lead, and those who are affected are often unable to make the slightest decision. Reporting disorders of concentration, decreased motivation adds feelings of guilt and inferiority. According to the National Depression Care Guidelines, antidepressants and psychotherapy are the cornerstones of treatment.

Founded in 2008, the National Depression Initiative addresses antidepressants on its homepage, which are widely used – not just in Germany – as an effective tool in the fight against silent disease. In the foundation's German barometer, which describes itself as "pharmacist-independent," it says: "Antidepressants (…) work especially against disorderly brain function."

"Absurd Idea"

This is precisely what psychologist Professor Reinhard Maß of Oberberg Hospital (Marienheide Mental Health Center) denies. He is a co-author of a comprehensive four-co-author study published in the journal Comprehensive Psychiatry. These are placebo effects in psychiatry.

Maß and his team of authors conclude: Only those who believe in the effects of antidepressants can expect relief from them. Apart from the placebo effect, the pills would probably not have an effect on depression after their trials. There were 574 women and men over the age of five (2012 to 2017) monitored and tested for research. Respondents provided detailed information about the degree of their sadness, the subjects of guilt, sleeping habits, suicidal thoughts, and sexuality. The psychologist's measure is certain: "The more anyone understands what life circumstances have caused depression, the more absurd the idea is that pills can help."

In the search for clues about the effect of widely used antidepressants, in earlier times there were meta-analyzes, which actually gave clues. So it's well known: lots of medical help plus placebo work as well as "real" medicine, therefore Most recently, for example, Winfried Rief, Head of the Department of Clinical Psychology and Psychotherapy at the University of Marburg.

What needs to be changed? Living conditions

The author of the study again Dimension: "Belief" in antidepressants "is deeply rooted in our society." Unfortunately, the effectiveness of tablets is overstated among colleagues. The still prevalent belief that depression is caused by serotonin deficiency in the central nervous system is considered to be no longer measurable.

Depression cannot be treated as broken bones (…). (They) cannot disappear until the conditions of life change. And it doesn't help pills, but psychotherapy.

Reinhard Maß, Oberberg Clinic

Each of us knows about depression – in our professional and private environment there are more and more people with depression – and again and again tablets, pills, pills. According to the German Aid for Depression, the immediate environment of depressants is also affected, albeit indirectly; Knowledge gaps easily lead to misunderstandings and misinterpretations, because – just one example – withdrawal and insensitivity are often not recognized as family-related illnesses.

Belief in pills shatters

Thus, "depression" greatly affects the partner, family, and often social environment: 84 percent of patients withdrew from social relationships during their depression. The more urgent question is: how best to cure the disease and which of the pillars of treatment so far it actually promises? Any more pills?

The recently released results of the study upset, dampen the "belief" in pills. The miraculous weapon of antidepressants, which has been used millions of times and has also been declared effective by the "pharmaceutical" side, is clearly overrated. For the benefit of patients, who are increasingly involving children and adolescents? A legitimate question.

But watch out! Don't Stop Psychotropic Medication Alone! Your doctor advises you to consult your doctor. Because the body was usually used to the drug, it was important to act carefully and gradually. Therefore, discontinuation of treatment, therefore specialist, only required under medical supervision, with one hand, can lead to – even considerable – complications.
(Arno Little Beckels)