The Road to Recovery from Depression – Don’t Drive Today with Yesterday’s MapFava G.A. · Tomba E. · Grandi S.
aAffective Disorders Program and Laboratory of Experimental Psychotherapy, Department of Psychology, University of Bologna, Italy; bDepartment of Psychiatry, State University of New York at Buffalo, Buffalo, N.Y., USA
The issue of recovery is getting increasing attention in depression research, particularly after the publication of the STAR*D results. The paper analyzes some issues which may hinder effective treatment of major depressive disorders: the inadequacies of a cross-sectional DSM assessment without clinical differentiation of the extent, development and seriousness of the disturbances (staging); over-emphasis on and prolongation of drug treatment, without paying attention to problems related to tolerance; neglect of the active role of the patient in achieving recovery, with the integration of psychotherapeutic strategies in a sequential model. If we are able to remove the conceptual obstacles which obstruct our view of depression and silence the sound of propaganda, we may then become aware of a different scenario in mood disorders and be able to develop therapeutic strategies of enduring quality.
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