Cognitive therapy versus medication for depression: treatment outcomes and neural mechanisms

Cognitive therapy and antidepressant medication are both effective treatments for depression. Derubeis and colleagues propose common and divergent neural changes that might underlie the antidepressant effects of both types of treatment and that could explain the enduring, relapse-preventing effects of cognitive therapy. An interview with Rob DeRubeis for Neuropod is available for download . Depression is one of the most prevalent and debilitating of the psychiatric disorders. Studies have shown that cognitive therapy is as efficacious as antidepressant medication at treating depression, and it seems to reduce the risk of relapse even after its discontinuation. Cognitive therapy and antidepressant medication probably engage some similar neural mechanisms, as well as mechanisms that are distinctive to each. A precise specification of these mechanisms might one day be used to guide treatment selection and improve outcomes.