To the Editor In a recent issue of JAMA Internal Medicine, Olfson et al1 showed that adults in the United States who screen positive for depression did not receive treatment for depression, whereas most adults who were treated for depression did not screen positive. Sadly, this is only the tip of the iceberg.
First, randomized clinical trials2 showed robust evidence that cognitive behavioral therapy is an effective treatment for depression without serious adverse effects, including for patients who have not responded to antidepressants; moreover, it is patient preference.3 Why is the prevalence of psychotherapy not higher, especially for older adults, a population prone to adverse effects?1
Braillon A. Screening for Depression Through a Glass Darkly. JAMA Intern Med. 2017;177(3):447. doi:https://doi.org/10.1001/jamainternmed.2016.9284
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