melanieeee wrote:
My doctor just prescribed me some today (which I've taken) but I've heard including my my psych lecturers that it is not significantly better than a placebo effect.
This isn't quite true, but there's a bit of truth to it.
Most of the effect of an antidepressant is indeed a placebo effect. But don't think that means "ineffective"; a placebo effect is quite powerful, especially for depression. Taking an antidepressant gives you a feeling of control and hope, and those are two of the best ways of fighting depression.
But it isn't all placebo effect. For severe depression, antidepressants are a good deal more effective than placebos. The milder the depression, the smaller the difference between antidepressants and placebos. Once you get to moderate and mild depression, the effect is slight--but it is not zero.
What this means is that an antidepressant is not a magic cure. It won't make you feel happy and energetic right away, or even within the couple of weeks it takes to work. What it will do is give you a bit of an edge in fighting the depression yourself--it will make it just a little easier to recover, just a little easier to get yourself out of bed and into the sun, just a little easier to force yourself to eat and wash and do something other than stare at the wall. You have to put in whatever effort you can gather together (which at the beginning mightn't be much, granted). Antidepressants can help you do that.
I've been on several antidepressants. Some were helpful; others were ineffective. I've never had any really problematic side effects, though I wasn't at all fond of the way Lexapro made me dizzy if I didn't keep the medication level near-constant in my system. I'm taking Prozac now and will probably take it for the forseeable future because I have recurrent depression and I want to prevent further episodes.