A fascinating article in The American Journal of Psychiatry concerning the transmission of depression from parents to their children and implications for treatment.
First, they provide strong evidence that depression is a family matter. The division of our field into adult and child psychiatry often works against best treatment practices…. <snip> Second,
within this family perspective, the clinician has exceptional opportunities not only for more precise clinical assessment and improved treatment but also for prevention…. <snip> Third, clinical trials of antidepressants or of psychotherapy with patients who are parents should
include, when possible, assessments of both the marriage and the children. It is astonishing that our field has gone for almost half a century, after the first randomized controlled trials of the pharmacotherapy of major depression, without inquiring about the effects of these treatments on the children. We are still waiting.