--- In [email protected], "Jeff Fischer" 
<[EMAIL PROTECTED]> wrote:
<snip>
> These statistics are hard to pin down.  The link below from a NY
> Times article about an FDA committee, indicates 11 million such 
> prescriptions were written for children and teenagers.  It says 
> this is almost 8% of the 2002 total, which would put the total 
> number of prescriptions at about 140 million.  I don't know how 
> often a prescription has to be refilled but even if you figure once 
> every three months, that's still 35 million.

I would suspect that "prescriptions written"
counts a prescription that specifies, say,
three refills as one prescription.

Insurance companies may require that drugs
(any drugs) be prescribed not longer than 
a month at a time.  In other words, a
prescription with three refills would last
a person for four months (the first month
being a "fill" rather than a RE-fill).

Especially when a patient has just started
taking an antidepressant, the physician may
want to ensure that the patient comes to
the office on a regular basis for tests
and to assess results and side effects, so
the physician may write relatively short-term
prescriptions.

> I've spoken to 100's of people who are or were on these drugs and
> quite a number didn't take them very long due to side effects, so 
> that plays in to it too.

Also, again especially at the beginning, the
physician may change drugs several times 
depending on the patient's response, which
means more prescriptions.

Finally, a depressed patient may be taking
more than one antidepressant at a time.

Bottom line, it would be almost impossible
to extrapolate from the number of prescriptions
written to the number of people taking
antidepressants on a regular basis.  There are
just too many variables.

> Mental illness is a serious problem.  I want a "cure." The article 
> below indicates most kids were not cured of depression by these 
> drugs.

I believe it's pretty well established that
the most successful way to treat depression
is by a combination of drugs and talk therapy.

But it isn't clear that all cases of depression--
much less all cases of mental illness generally--
can be "cured," even in principle, such that
drugs would no longer be needed.





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