Antidepressants and Nonadherence

Obviously, such beliefs require complex counseling and psychoeducation, sometimes involving family members as well as patients. These approaches take up more time than doing a brief assessment and writing a prescription, but they might translate into a better outcome both in the short and long term, psychiatrists interviewed for this article noted.

“I really work hard to ensure that my patients are informed about depression and its natural history, and that they know the statistics regarding risks of relapse or recurrence,” Dr. Haller said. “I also, however, collaborate closely with them to minimize side effects as much as possible and to combat the stigma they may feel.”

Ironically, a patient might have to suffer a relapse or recurrence to understand the importance of carefully taking medication as directed and for the time period recommended.

When depression resurfaces, “at least in my practice … they are more open to ongoing medication management,” Dr. Haller said.

Neither Dr. Greiner nor Dr. Haller disclosed any relevant financial conflicts of interest.

By Betsy Bates. Share your thoughts and suggestions at cpnews@elsevier.com