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The most current research on depression shows that it is most often caused by a combination of both environmental and genetic factors.Treatment for depression, therefore, works best when it addresses both these factors and takes into account an individual’s unique personal history.A common issue with a medication only approach is that it is a "one size fits all" treatment, when depression is different for everyone.Sharon's story: Sharon is a 29-year-old woman who suffers from depression, anxiety, and binge eating.Her shaky sense of self has led to a pattern of unstable relationships and trouble with commitments.

She went through trials of two antidepressants but was still depressed.The psychiatrist had done a thorough evaluation including blood work to rule out thyroid disease or other medical causes of depression.He told Sharon that her depressive episode was superimposed on a longstanding depressive disorder, generalized anxiety disorder, binge eating disorder, and possibly borderline personality disorder.Sharon was bewildered by the list, expecting to be told she had just one problem.Sharon’s psychiatrist made some sensible decisions in choosing antidepressants.

He chose medications that would help not only with depression, but also with anxiety and binge eating.

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