Been Down So Long...

Prozac and other new drugs triggered a revolution in the treatment of depression. But do we still need the couch?

There seems to be a lot of depression going around these days, which shouldn't be surprising, given the stress of the holidays and the continuing psychic fallout of Sept. 11. What is surprising is how many more depressed people are getting treatment--at least compared with 10 years ago. I remember in my first year of medical school, back in the late 1980s, being taught about a new class of antidepression medications called SSRIs, or selective serotonin reuptake inhibitors, of which Prozac is now the most famous. What we didn't realize then is that the SSRIs would start a revolution in the...

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