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Re:Depression, Burn Out and Writing Code by Alex3917 on Saturday May 28, 2011 @07:11PM (#2595423)
"None of these have noteworthy effects on inflammation, and all of them are effective in a modest population of patients"

The fact that taking drugs that mess with your neurotransmitter levels can sometimes alleviate depression doesn't prove, and isn't even particularly strong evidence for, the idea that depression is caused by some sort of neurotransmitter imbalance. Wearing perfume can also alleviate depression in some people, but it would be ridiculous to claim that depression is caused by a lack of Chanel No. 5.

Re:Depression, Burn Out and Writing Code by brianleb on Saturday May 28, 2011 @07:42PM (#2595467)
History time. Antidepressant pharmacotherapy was actually discovered in the 1950s when reserpine, then used as an antihypertensive, was noted to cause depression. Reserpine acts by blocking the transmission of neurotransmitters 5HT, NE, and DA. Given that over twenty drugs, all with different actions on different neurotransmitters, have shown efficacy in depressed patients over the last 60 years, I think it would be rather shortsighted to dismiss the significant body of literature dedicated to the role of neurotransmitters in depression.

There are certainly many theories, and depression is a complicated disease. It is primarily modified by neurotransmitters, however. That much should be clear. Beta adrenergic receptor sensitivity and downregulation are also involved - but to what extent? Hypersecretion of cortisol (or lack of cortisol suppression) is also a factor - but to what extent? Even thyroid hormones are implicated.

Like I said, I'm not saying there is no inflammatory problem in depression - I said that we have no antidepressants based on this idea (and as far as I know, there are none in the pipeline in at least Phase II trials). Do I think inflammation is involved? Yes, I do. Do I think it's directly going to lead to more treatments for depression? No, I don't.

Re:Depression, Burn Out and Writing Code by Alex3917 on Sunday May 29, 2011 @11:49AM (#2596830)
"Given that over twenty drugs, all with different actions on different neurotransmitters, have shown efficacy in depressed patients over the last 60 years, I think it would be rather shortsighted to dismiss the significant body of literature dedicated to the role of neurotransmitters in depression."

Virtually every form of sensory stimulation has been shown to ease depression, from aromatherapy to acupuncture to exercise. What makes you think that neurotransmitters are the root cause of the problem? To me the fact that no matter how you mess with the neurotransmitters it eases depression shows that this is a function of sensory novelty, as opposed to some neurotransmitter imbalance being the root cause.

"There are certainly many theories, and depression is a complicated disease."

What makes you think it's a single disease?