An article in next month’s issue of JAMA Psychiatry will support combining talk therapy and antidepressant medication in treatment of depression. Merging talk therapy (cognitive therapy chosen in this study) and medication treatment worked better than medicine alone in relieving severe non-chronic depression (1). The antidepressant treatment group in this study saw a 62% improvement while the medicine plus cognitive therapy group saw a 73% improvement. Not outstanding differences between groups, but every little bit helps to someone stuck in a depression.
These results fit well with what most counselors see on a daily basis. In cases of severe depression, people do not have the clear thinking necessary to find solutions to every day hassles. Medications often help to clear these impediments to effective talk therapy.
Results also fit well with what most psychiatrists recommend. Medications are often not enough. In the book BTD (2), I discuss the importance of combining talk therapy, centered on adjusting expectations, with medication treatment.
If you have been doing talk therapy for several months and remain depressed, see a psychiatrist. If you have been trying medications for several months and are not getting better, see a professional counselor. In breaking the grip of depression, combining these two treatments can be better than either one alone.
(1) Pre-released online: Effect of Cognitive Therapy With Antidepressant Medications vs Antidepressants Alone on the Rate of Recovery in Major Depressive Disorder: A Randomized Clinical Trial. Steven D. Hollon and others. JAMA Psychiatry. Online August 20, 2014. doi:10.1001/jamapsychiatry.2014.1054
(2) Breaking Though Depression (see tab above)

