The authors in an article published in The Journal of Adolescent Health titled Depression treatment during outpatient visits by U.S. children and adolescents by Jun Ma M.D., R.D., Ph.D. Ky-Van Lee Ph.D. and Randall S. Stafford M.D., Ph.D. found a disturbing 15% decrease in psychotherapy being used as a treatment for both children and adolescents in the United States from 1995-2002. Their specific findings follow:
The number of visits by children and adolescents during which depression was reported more than doubled from 19951996 (1.44 million) to 20012002 (3.22 million). The proportion of these visits during which antidepressants were prescribed rose slightly from 47% in 19951996 to 52% in 20012002, whereas the proportion during which psychotherapy or mental health counseling was provided declined from 83% to 68%. Selective serotonin reuptake inhibitors (SSRI) represented 76% of all antidepressants prescribed in 19951996 and 81% in 20012002. In absolute terms, SSRIs were reported in 1.35 million visits in 20012002, reflecting a 2.6-fold increase from 19951996. Fluoxetine was prescribed in 207,914 visits in 19951996 and increased 100% to 415,580 visits in 20012002. The use of sertraline increased by 62% to 345,576 visits and paroxetine by 269% to 279,275 visits.