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Teens and AntidepressantsNo doubt you've read about it, but it bears a special warning. Young adults when they first take antidepressants seem to
face
an increased risk of both thoughts of suicide and the actual carrying out of
the process. The
Food and Drug Administration is urging the manufacturers of these drugs,
which includes Prozac and Zoloft, to expand the warning labels to indicate
this. The labels already carry
similar warnings to alert parents of children and adolescents who must take
these drugs. While
the companies said they would include this warning, a company spokesperson
for Pfizer, the maker of Zoloft said that there was no established link
between the drug and the increased suicide of young adults or children. The
proposed changes in the labeling of these popular medications for depression
would indicate those individuals older than 24. Moreover, those people 65 or older actually have a decreased
risk of suicidal thoughts and behavior. In
effect, the warnings would stress that depression as well as other serious
psychiatric disorders are really the most important causes of suicide. No
matter what your age, it's a good idea that once you start taking
antidepressants that your health care practitioner closely observes you for
any change in symptoms or behavior. However,
with enough time, according to Steve Hyman, former director of the National
Institute of Mental Health (NIMH), "the aggregate risk of completed
suicide is likely to be much lower with treatment than without
treatment." He
contends that even with all the negative attention on the subject, that the
"correct treatment of choice for depression in unchanged:
antidepressants or cognitive behavior therapy."
Cognitive behavioral therapy is a treatment dominated by either the
talking with a trained profession to help the person change thought patterns
and behavior or the journaling of these problems. But
more than that, the issue highlights the need for more alternative
therapeutic options for depression. Recently,
a large study, funded by the federal government, tested the antidepressants
currently on the market in what it called "real-life" situations.
This is opposed to the "clinical trials" that the
pharmaceutical companies sponsor. The
results of this study indicate that the antidepressants on the market today
are only "moderately effective".
According to lead researcher, John Rush of the University of Texas
Southwestern medical Center at Dallas, only about 30 percent of those who
take these achieved any type of remission in their symptoms.
Remission, in this instance, is defined as the absence of all or most
of the symptoms. When remission
was achieved, in fact, it took an average of 10 weeks.
And even with the best of care possible, many individuals still
suffer significant residual symptoms.
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