March 30, 2009

Doctors' Group Wants All Teens Screened For Depression

The allegedly influential U.S. Preventive Services Task Force, which sets guidelines for doctors on a host of health issues, is now recommending that all US teens be screened for depression once a year by a doctor. The recommendation is even to be applied to teens who show no signs of depression symptoms.

"Calonge stressed that the panel does not want its advice to lead to drug treatment alone, particularly antidepressants that have been linked with increased risks for suicidal thoughts. Routine depression testing should only occur if psychotherapy is also readily available, the panel said. Calonge said screening once yearly likely would be enough.

"The recommendations come at a pivotal time for treatment of depression and other mental health problems in children.

"Recently passed federal mental health equity legislation mandates equal coverage for mental and physical ailments in insurance plans offering both. The law is expected to prompt many more adults and children to seek mental health care.

"Yet at the same time psychiatrists specializing in treating children and teens are scarce. A separate report, also released Monday in the Pediatrics journal, says primary care doctors including pediatricians and family physicians will need to get more involved in mental health care."

This is simply stunning stuff. While I'm not a depression denier--I know all about teen depression from personal experience--I am simply stunned that an allegedly reputable group of doctors would recommend such wholesale screening when they know damn well that psychotherapy is often inaccessible (for a number of reasons) and that doctors, with zero expertise in mental health care, will simply steer kids towards anti-depressants which have very rocky track records in terms of efficacy and safety. It's one thing to recommend screening for kids at-risk of depression, but this is just so over-the-top that I almost don't know what to say.

But whatever. This is the new America where sadness of any kind is unacceptable and where we will all soon be, to rip off Jello Biafra, jogging for the master race. It's all very good new for the pharma companies, however.

Ironically, I happened to talk with a friend of mine last night who is a pediatric nurse and he said, "Doctors have become drug pushers."

I sadly agreed with him.

Posted by Philip Dawdy at March 30, 2009 12:22 PM
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Comments

Ask any teen whether they have felt moody lately? OR sleep disturbance? OR problems concentrating? OR weight change?

Uh, this one will be a no-brainer: just put SSRIs in the water fountain.

Posted by: MedsVsTherapy at March 30, 2009 12:32 PM

The best antidepressant for when I was a teenager was listening to any album by The Smiths. Strangely, listening to Morrissey's beautiful melancholy always made me feel better because I didn't feel alone anymore!

Posted by: David at March 30, 2009 12:42 PM

Perhaps patients should insist on screening their doctors for undue financial arrangements.

Posted by: Jen at March 30, 2009 12:49 PM

The press release included, The U.S. Preventive Services Task Force now recommends screening adolescents for clinical depression only when appropriate systems are in place to ensure accurate diagnosis, treatment and follow-up care. How many communities can satisfy the prerequisite that appropriate systems are in place? Doubtless many communities will screen first without giving any consideration to the availability of effective care, services and supports.

Ironically, the National Association of Psychiatric Health Systems (NAPHS) issued a press release today which noted that inpatient psychiatric admissions increased 3.5% 2007 over 2006. This certainly makes one wonder about the availability of care in the community. (http://www.news-medical.net/?id=47543).


Posted by: Joe at March 30, 2009 02:08 PM

When I was a teenager it was Valium. Valium 1, 2, 3...
It was a disease called "dysrhythmia", yes a brain disorder.
It was even glamorous taking Valium.
I guess that teens that are not on Ritalin must be feeling to normal which is not very good in this phase of life.
This is criminal.
Old doctors are shaking their heads and are the best to diagnose and prescribe.

Posted by: Ana at March 30, 2009 03:08 PM

This is Bush's TMAP all over again (see link).

Posted by: Lilly NC at March 30, 2009 06:54 PM

Peace be with you

They will forget about the recommendations, and call their "best practices model" the "systems in place." And, Lilly is also correct that any "systems in place" payed for with public money will be of the T-MAP variety.

love eternal
tad

Posted by: tad at March 31, 2009 11:02 AM

This one even made it to prime time news down here (NZ)!! Though there was no discussion around it...just that it ahd been recommended. Another step closer to fulfilling Goethe's predictions...

Posted by: Richey at March 31, 2009 12:33 PM
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