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A certain percentage of depression cases are actually cases of an UNTREATED CONDITION that doctors DON’T BOTHER TO CHECK and simply accept “depression” as a disease. I don’t know what that percentage is, but I’m afraid that it’s not insignificant.
Depression is a symptom, not a disease.
There could be many different underlying conditions. They could be physiological or psychological. They may known to medicine for decades to or not yet identified and understood. These conditions all have depression as a symptom but obviously cannot all be treated the same way. Some of these conditions respond to SSRIs. Many don’t.
Check the literature. There are many conditions with depression as a possible symptom. Some of them have other symptoms but they may not always apparent. Even if they are, the patient may not realize they could be connected and report them. Even when reported, non-specific complaints by people with depression or often dismissed although they might contain important clues.
I suffered from depression and inadequate treatment for several years before I found the real problem myself. With proper treatment, depression was gone overnight.
I’m afraid that the antidepressant “fashion” and they way depression is perceived had a big effect on the willingness of doctors to consider other possibilities. I was stubborn enough to find the problem myself. How many people are still suffering needlessly?
Oh, good point. I think that’s quite consistent with what Kramer was saying. On the other hand, once depression gets started (from any source including another illness) it seems that it increases dangers of worse depression in the future.