Posted by SLS on November 24, 2009, at 6:09:37
In reply to + w/ a comment to morganator Re: Sorry » SLS, posted by floatingbridge on November 23, 2009, at 16:48:10
There are probably as many different types of depression as there are people. What I mean by this is that each person has a unique neurobiological constitution and a unique psyche. I therefore cannot subscribe to the notion that one size fits all. Again, I prefer to describe the etiologies and treatments of different depressions as lying along a spectrum. To say that everyone with depression will respond to psychotherapy is as ivalid as saying that everyone with depression will respond to an antidepressant.
At present, I believe that true major depressive disorder and bipolar disorder are predominantly biologically-driven illnesses that do not respond well to psychotherapy. The place that psychotherapy has in these illnesses is debatable, but an individual often makes little or no progress with it until the abnormal biology is treated successfully.
The dynamics between biology and psychology as they interact in an individual with depression are quite complex. It is a gestalt.
- Scott
poster:SLS
thread:926342
URL: http://www.dr-bob.org/babble/20091117/msgs/926787.html