the goal of treatment for depression should be cognitive therapy to transform the negative thought patterns so one doesn't need the drug to alter brain chemistry.
I agree, but when your doctor puts you on drugs as well as therapy you enter a vicious cycle.
Ideally, I would have seen a therapist throughout childhood for support and treatment and CBT. This didn't happen. My condition was put down to being a teenager and rebellion. When I was finally treated I was in a deep dark place and didn't want out. I was unreceptive to treatment and any offer of help; therefore I was medicated.
I saw the light eventually and that's when the drug changes occurred. Since taking venlafaxine I've had a lot of time to dwell on my depression but still haven't dealt with a lot of issues because they don't bother me when I'm medicated. The times that I tried to stop taking the meds were the worst periods of depression in my adult life because it's like the pills cause the depressive person inside to simply 'pause' and when I come off the meds, the play button is pushed and that part of me takes over.
Venlafaxine have been known to cause severe discontinuation syndrome lasting months. I lasted 2 months of it and then had to give in. I was a student and could only put up with so much before my studies were affected.
Now, at 26, I am studying for a second degree and don't have the time to be able to focus on coming off the drug. It's a plan for the future, but is not happening now.
I agree that CBT should be the goal of treatment... but it's not always possible and some of us were let down by the system.
I don't take meds because I'm too lazy to deal with my thoughts. Far from it. And I'm not saying that you're having a go at those of us on anti-depressants in any way, I just want to make it clear that therapy over medication is not always an option.