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Depressed teens respond greatly to medication with therapy E-mail
Researchers in the United States are offering a new model of combination therapy for the treatment of depressed teens. This combination therapy puts together medication and therapy as a more effective answer to teenage depression.

After observing the response of teenagers to the antidepressant Prozac while also taking therapy for 36 weeks, researchers noted that 86 percent of the teens responded positively.

Notably, a study which can be found in the Archives of General Psychiatry observed the rise in suicidal thoughts and actions in those teenagers who received medication only. 

But by simultaneously including cognitive behavioral therapy in the plan of treatment, along with the antidepressant Prozac, the risk of suicidal tendencies lowered while a speedier recovery was also observed. Cognitive behavioral therapy is a kind of therapy which does not have its focus on the past but on a patient’s present emotions.

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Dr. Mark Reinecke, who was part of the study in Northwestern University's Feinberg School of Medicine in Chicago, said "The combination is more effective and works more quickly that either cognitive behavioral therapy or fluoxetine alone, and there is the enhanced safety when you have the CBT incorporated into it." In an interview on the telephone, Reinecke said "Fluoxetine accelerates the improvement process, and CBT safeguards against the risk of suicide. We now know what works for at least 80 percent of our patients."

Results from 12 weeks of observation of this study (released in 2004), made it apparent that antidepressants increased the teenager’s risk of suicidal thoughts or actions. The most recent results from a Federally supported study entitled Treatment for Adolescents with Depression Study, also showed these results but pointed out the way that these antidepressants can be used safely. This study included 327 patients from the ages of 12 to 17 with major depressive disorder. A third of the patients received fluoxetine only. Another third were given only cognitive behavioral therapy, while the rest received a combination of both. No patients committed suicide, yet the teenagers who received fluoextine only had twice more suicidal thoughts than the other two sections.

“The benefits of combining medicine and cognitive therapy outweigh the risk for suicide. Cognitive therapy also works on its own, but takes longer. If you put the whole thing together, the combination of fluoxetine and therapy is the best treatment,” said Dr. John March of Duke University and the head of the study.

Reinecke remarked, "We finally now have some evidenced-based guidelines for how we should approach depression in teenagers."

Parents should be wary that 5 percent of teenagers are affected by depression and it is the number one cause of suicide.