The tide of prescribing for depression is turning

doi:10.1136/bmj.330.7505.1450-c

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Des Spence, general practitioner (destwo@yahoo.co.uk)

Glasgow G20 9DR

EDITOR—Hollinghurst et al report that opportunity costs indicate that the development of psychological therapies is a feasible alternative to antidepressants for depression.1 A change in practice is long overdue.

I did as I was taught. I used a depression rating score and diagnosed depression. This often meant using my position of authority and knowledge to convince patients that they had an …