In the treatment of Depression , the research studies, the data derived from the daily clinical practice and the consensus or agreement between expert clinicians coincide in recommending the pharmacological treatment combined with the psychological treatment. In the controlled studies of therapeutic efficacy, when comparing the treatments as a category, that is, all the antidepressant drugs, without differentiating between different types, with the psychological treatments, also without differentiating the different intervention models, the data are in favor of greater efficacy for drugs, superior to the single psychological treatment and the combination of both; However, when compared by groups, the antidepressants called SSRIs (Selective Serotonin Reuptake Inhibitors) and the Cognitive Behavioral Psychological Therapy (CBT) administered jointly are the therapeutic modality of choice for being more effective over all other comparisons (Cuijpers et al, 2010, 2011).
For psychiatric treatment , the choice of the antidepressant option must always be a decision of the clinician, which will take into account different information in addition to the predominant symptoms. There is no definitive consensus on the duration of the pharmacological treatment and this type of decisions should always be individualized according to personal and family history, presence of risk factors - age of onset of the disorder, social and work situation, personal history of situations of abuse or negligence, personal and family history of the disorder, presence of anxiety symptoms ...). .