Is everything you think you know about depression wrong?

Johann Hari took antidepressants for 14 years until a shocking realisation – the drugs don’t work. In this extract from his new book, he calls for a new approach

• Johann Hari Q&A: ‘I was afraid to dismantle the story about depression and anxiety’

In the 1970s, a truth was accidentally discovered about depression – one that was quickly swept aside, because its implications were too inconvenient, and too explosive. American psychiatrists had produced a book that would lay out, in detail, all the symptoms of different mental illnesses, so they could be identified and treated in the same way across the United States. It was called the Diagnostic and Statistical Manual. In the latest edition, they laid out nine symptoms that a patient has to show to be diagnosed with depression – like, for example, decreased interest in pleasure or persistent low mood. For a doctor to conclude you were depressed, you had to show five of these symptoms over several weeks.

The manual was sent out to doctors across the US and they began to use it to diagnose people. However, after a while they came back to the authors and pointed out something that was bothering them. If they followed this guide, they had to diagnose every grieving person who came to them as depressed and start giving them medical treatment. If you lose someone, it turns out that these symptoms will come to you automatically. So, the doctors wanted to know, are we supposed to start drugging all the bereaved people in America?

Drug companies would fund huge numbers of studies and then only release the ones that showed success

Related: Master of mindfulness, Jon Kabat-Zinn: ‘People are losing their minds. That is what we need to wake up to’

Continue reading... January 07, 2018 at 02:30PM