THREE-QUARTERS of depressed adolescents are prescribed drugs before psychotherapy has been given a proper chance to work, and their progress on antidepressant medication is inadequately monitored, according to a study of 150 clients referred to a youth mental health service. The University of Melbourne audit of treatment records from the Orygen Youth Health Clinic revealed doctors systematically recorded the severity of the depression they diagnosed in only half of cases - even though this is considered essential for determining what type of therapy is likely to work best, and for assessing later how well the person is responding to it. The study, of patients aged 15 to 25, found that among those who were given antidepressant treatment and were not already taking the drugs when they were first seen by the specialist youth service, 75 per cent were prescribed the drugs within 42 days. The study leader, Sarah Hetrick, said this suggested they were likely to have been given their first script before completing the four to six sessions of psychological therapy recommended as initial treatment in guidelines issued in Australia by the National Depression Initiative, beyondblue, and by international authorities. Advertisement Previous research had shown doctors were concerned some … Continue reading
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