One of the difficulties of knowing so much about depression is knowing how poor the treatment is for so many. When a friend was recently diagnosed, we had the following dialogue.
"My psychiatrist said it's a low-grade depression," she said, "and he recommended Lexapro."
"Did he ask you anything about your lifestyle," I asked.
"Not really. He had me fill out a questionnaire, but he didn't ask about my marriage, my kids, the fact I work at night, the stress with my mom."
"Did he ask you how you deal with stress in general?" I asked.
"Did he ask you whether you exercise or ask about your diet?"
"Did he tell you it might take 14 days for the Lexapro to kick in, that is if it works?" I asked.
"Yes. All we seemed to talk about was medication."
"Did he explain the importance of keeping a mood chart?"
Well, I could go on and on, but suffice it to say that until discussions with psychiatrists focus more on lifestyle rather than medication, I don't have much hope that the treatment will ever improve."