There has been a rapid expansion of the use of nurse led (non psychologist) CBT in the Regions. Unfortunately this has not been accompanied by a reduction in prescribing for depression and anxiety: rather prescriptions have increased. Seroxat is in the water… (Will Humphries 21st October in The Times :Prozac is killing starlings’ lust for life.) And by the way plastics are reducing libido as well (Kat Lay on 21st October in The Times: Plastic found in cleaning products could be destroying your sex life.)
IN a recent article “Expanding the shrinks” from The Economist there is some questioning of the direction we are taking. Surely patients should be given a choice: talking therapy or drug therapy, for mild to moderate anxiety/depression, and this reasonable rationing might help outcomes, reduce side-effects (iatrogenesis is hard if there is no drug given) and save on costs….