4 doctors weighed in:

I heard SSRI's didnt come until the late 80s-early 90s. So what was the first line of treatment for anxiety and depression before these came out?

4 doctors weighed in
Dr. Daniel Wynn
Neurology
1 doctor agrees

In brief: Tricyclics effective

newer drugs, such as SSRIs are not more effective than older antidepressants such as tricyclic antidepressants.
SSRIs have safety advantage and are now used first.

In brief: Tricyclics effective

newer drugs, such as SSRIs are not more effective than older antidepressants such as tricyclic antidepressants.
SSRIs have safety advantage and are now used first.
Thank
Dr. Douglas Bey
Psychiatry
1 doctor agrees

In brief: Therapy

In the U.S. Psychoanalysis dominated therapy & thinking from the 40s -60s we had a few antidepressants in the 60s but didn't know how to use them & analysts implied they were mood elevators & tranquilizers were chemical straight jackets that didn't get at the root of the problem--lithium changed this thinking--In the 70s minor tranquilizers, imiptrine were used & then MAOIs which were effective bu

In brief: Therapy

In the U.S. Psychoanalysis dominated therapy & thinking from the 40s -60s we had a few antidepressants in the 60s but didn't know how to use them & analysts implied they were mood elevators & tranquilizers were chemical straight jackets that didn't get at the root of the problem--lithium changed this thinking--In the 70s minor tranquilizers, imiptrine were used & then MAOIs which were effective bu
Thank
Dr. Thomas Mcgowan
Family Medicine

In brief: Not too effective

tricyclic antidepressants, electroshock therapy, and therapy.
Psychotherapy is the only still used on a regular basis.

In brief: Not too effective

tricyclic antidepressants, electroshock therapy, and therapy.
Psychotherapy is the only still used on a regular basis.
Thank
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