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This paper was published in an important journal and the related editorial notes some flaws, particularly around an inability to know what is the correct dose of direct current stimulation. What the editorial notes is something I also saw: that direct current stimulation worked against placebo on response remission, and probably MADRS scores. Outcomes matter. […]

Read More → Direct current is inferior to SSRI? A RCT.

You often will hear people talk about the rate of depression, without discussing how that rate was obtained.There are multiple factors that will influence this: the group from which you are interviewing people (the “sampling frame”), the time period over which you are asking, and the survey method. In general, there are two types of […]

Read More → On the diagnosis of depression.

This quote is reflected by work in Australia, where clinical leaders have backed their psychiatrists in making good plans with patients, and not gone hunting for faults when things, inevitably go wrong. What conditions are making physicians feel that they have lost control, and how do these conditions differ from the past? Previously, many physicians […]

Read More → Burnout or control.