Intended for healthcare professionals

Letters Medicalising unhappiness

Grief and major depression

BMJ 2014; 348 doi: (Published 21 January 2014) Cite this as: BMJ 2014;348:g179
  1. Ronald Pies, professor of psychiatry1
  1. 1SUNY Upstate Medical University and Tufts University School of Medicine, Syracuse, NY 13210, USA
  1. ronpies{at}

As a mood disorder specialist in the US, I was disappointed to see the unqualified admonition, “Don’t keep taking the tablets,” in your editorial comment.1 It is always hazardous to infer “quality of care” from raw rates of drug prescription. Reid has shown that, in Scotland, GPs were “cautious and conservative in their [antidepressant] prescribing” and that increased duration of antidepressant prescription, not an increase in patients, was driving the …

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