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How do you, as a doctor, reconcile that there is no test/falsifiable criteria for depression?

You may be able to identify "major depression" but how many times is it just a case of "lack of meaningful purpose" and just "bad decisions" that are compensated for with drugs that may do more harm than good?

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Sorry for the late reply. I usually get notified of children comments.

I don't even know where to begin answering this. There are criteria for MDD. Everyone's case is different and complex. There is always a judgement call to be made. There are tools such as the K10 that go a way to making an objective assessment but I actually find the difference between MDD and "feeling down" pretty obvious. Like most of medicine, it's pattern recognition.

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