Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started
My Medicine

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Depression Health Center

Font Size

Depression Rising, but Psychotherapy Declines

Gap Between Drug Treatment and Talk Therapy Widens
WebMD Health News
Reviewed by Laura J. Martin, MD

Dec. 6, 2010 -- More Americans than ever are receiving treatment for depression, but the number getting psychotherapy with or without drugs continues to decline, a national survey finds.

Depression treatment rates increased dramatically during the 1990s with the introduction of the selective serotonin reuptake inhibitor (SSRI) antidepressants Paxil, Prozac, and Zoloft.

Other SSRIs, including Celexa, Lexapro, and Luvox soon followed, as did newer classes of antidepressants represented by drugs like Cymbalta, Effexor, and Wellbutrin.

Despite all the new drug choices, the use of antidepressants increased only modestly during the last decade -- from about 74% of patients treated in 1998 to 75% in 2007, the survey revealed.

But there was a dramatic decline in the number of treated patients who received psychotherapy.

In 1998, almost 54% of patients being treated for depression had some form of psychotherapy, compared to 43% in 2007.

Columbia University psychiatry professor Mark Olfson, MD, MPH, who was a co-author of the survey, says the decline in psychotherapy was disproportionately high among medically underserved populations including Hispanics and the poor.

“While it is good news that depression treatment seems to be more accessible, the decline in psychotherapy raises the possibility that many patients aren't receiving optimal care,” Olfson tells WebMD.

Depression Treatment Trends

Overall, the number of Americans who received outpatient treatment for depression increased from about 6.5 million to 8.7 million between 1998 and 2007.

After adjusting for inflation, there was an increase in public expenditures for outpatient depression treatment, with the biggest rise seen for older Americans receiving Medicare.

Medicare costs for depression treatment were estimated to be roughly $2.2 billion in 2007, compared to around half a billion dollars in 1998 -- a more than 300% increase.

It was during this period that Medicare’s Part D program, which subsidizes the cost of prescription drugs, went into effect.

Among the other trends between 1998 and 2007:

  • Among teens treated for depression, antidepressant use decreased from 60% to 52%, possibly reflecting concerns about suicide risk with the drugs. But psychotherapy also declined from 75% to around 66% during the period, and combination treatment with drugs and psychotherapy dropped from 46% to 35%.
  • The decline in psychotherapy was seen in whites, African-Americans, and Hispanics, but was greatest in Hispanics. During the period, the percentage of treated Hispanics getting psychotherapy fell from 60% to 43%.
  • The psychotherapy decline was seen for all educational levels except one -- people with advanced degrees. Among those treated for depression with more than four years of college, psychotherapy use increased from 45% to 55%. Antidepressant use also increased in this group, as did the use of antidepressants with psychotherapy.

Today on WebMD

Differences between feeling depressed and feeling blue.
jk rowling
Famous people who've struggled with persistent sadness.
depressed man sitting on hallway floor
Learn the truth about this serious illness.
Sad woman looking out of the window
Tips to stay the treatment course.
unhappy teen boy
Health Check
jk rowling
Pills with smiley faces
Teen girl huddled outside house
Depressed man sitting in hospital hallway
antidepressants slideshow
pill bottle
Winding path