Why #psychiatry research seems to exist in a parallel universe: "Academic psychiatrists who pursue research careers may not have patients after residency, let alone practice psychotherapy." -- psychologist Jonathan Shedler psychiatrictimes.com/view/psychoana…
"But aren’t we seeing the same kind of arrogance & reductionism in #psychiatry today?....I cannot tell you how many depressed patients I’ve worked with...successfully....who had been on 1 medication after another for years or decades with little benefit." psychiatrictimes.com/view/psychoana…
"These patients often go from #antidepressants to mood stabilizers to atypicals....We see polypharmacy nightmares, with patients on 5 or 6 or more #psychiatric medications, and they are just as depressed as when they started." psychiatrictimes.com/view/psychoana…
Awais Aftab: "The poor long-term efficacy outcomes of status quo treatments for depression, whether these are #antidepressant medications or manualized therapies, are well-recognized within the [mental health] profession but rarely advertised." psychiatrictimes.com/view/psychoana…
Awais Aftab: "The uncomfortable truth is that majority of patients with depression (and other disorders, such as PTSD, anxiety, etc.) do not experience sustained recovery with either medications or short-term manualized therapies" (which are often CBT). psychiatrictimes.com/view/psychoana…
Jonathan Shedler: "latest state-of-the-art network meta-analysis for #antidepressants [Cipriani, 2019] reported an effect size of d = .30....translates into 1.7 points on the Hamilton Depression Rating Scale (HDRS)—which is obviously clinically trivial." psychiatrictimes.com/view/reducing-…
Dr. Shedler: "Before people start sending hate mail....#Antidepressants work well for some depressed patients some of the time. But “research shows” they do little for the average patient with major depression in research trials, even in the short run." psychiatrictimes.com/view/reducing-…
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