The debate about these medications obscures larger social issues as well. In general, most patients with major depression receive no treatment. Many patients have difficulty telling a doctor that they feel depressed because of fears of stigma and shame. Of those who get treatment, most obtain it from primary-care doctors, not mental-health professionals. Yet general practitioners receive little training in psychiatry. Many insurance plans cover little, if any, psychotherapy.
Klitzman is a psychiatrist, the author of When Doctors Become Patients, and director of the Master's of Bioethics program at Columbia University.