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From Psychiatric News: Diagnosis, Treatment of Youth for Depression Fell After FDA alert

It's not just that children and adolescents are less likely to be prescribed SSRIs following the alert - it's that they're now less likely to be diagnosed and less likely to be treated at all (there has been no corresponding increase in psychotherapy, atypical antipsychotics, or anxiolytics).

You can view the original journal article here.

In the article they suggest it's possible that in the wake of the recommendation families may not be fully disclosing symptoms, or filling prescriptions written for them.

They also note that the rates of diagnosis are lower than the published incidence rates (i.e. how many people get diagnosed if you go and look and see, instead of only diagnosing people who come to you). So it's unlikely that we used to be overdiagnosing and overprescribing, and likely that we are now even further underdiagnosing and undertreating.

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In the article they suggest it's possible that in the wake of the recommendation families may not be fully disclosing symptoms, or filling prescriptions written for them.

They also note that the rates of diagnosis are lower than the published incidence rates (i.e. how many people get diagnosed if you go and look and see, instead of only diagnosing people who come to you). So it's unlikely that we used to be overdiagnosing and overprescribing, and likely that we are now even further underdiagnosing and undertreating.

But you CAN'T blame the people who pushed the "black box" warnings knowing this would happen, or even the irate parent-lobbyists pushing for banning the medication that might have contributed to their child's death while hoping this would happen. After all, they were doing this all for the children!

Sarcasm aside, there are many otherwise-reasonable people who will state that if even one child's death from one of these medications was prevented then it was inherently justified. They might even admit that that argument hinges on the supposition that those who committed suicide or other potentially-lethal consequences of untreated or undertreated mental illness would have died anyway from these causes. In fact, many people would conclude that such deaths are the fault of the deceased anyway and not attributable to anyone's actions other than their own.

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Yeah. That "sins by omission are better than sins by commission" thing.

Some people deserve a kick in the nuts. Not anyone who's lost a child, they've already been kicked in the nuts pretty awful, but a lot of other people.

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