A New Standard of Care for Severe Depression?

Remission is the new black.

Current depression treatment guidelines are wrong. By wrong, I mean they don’t do a good job. By don’t do a good job I mean that people suffer for weeks and months longer than they should, and don’t expect to be well at the end of treatment. They expect to have their symptoms managed.

I’ve got news for the field of psychiatry—even though the field of psychiatry doesn’t agree with this approach anymore.

In a sensible world, it would be acknowledged that an approach to massive blood loss that only involved IV fluids is insufficient. If gaping-wound-care never involved stitching up the gaping wound, as a first line approach, it would be a strange world. You’d probably want to give people with massive blood loss extra blood. And you’d probably want to stitch up the hole from which the blood was exiting.

Similarly, for the second leading cause of death in the young, you’d want to have the most robust treatments with the least side effects which also had the largest chance of resolving the …