March 26, 2013
The public needs to know, and to demand change
More effective methods exist for depression and anxiety and eating disorders but the public isn't sophisticated enough to know the difference and they are unlikely to be told this by the very people they consult.
We need to support the clinicians who ARE offering evidence-based approaches. We need to find ways to make sure patients have access to those clinicians who understand that "evidence-based" is NOT a cookie-cutter attitude. Those who criticize the call for evidence are, in my experience, the ones most likely to simply not understand the difference.
It is time to call this out, to speak plainly.
Harriet Brown's piece in yesterday's New York Times is an important one, and I applaud her and the Times and all those quoted for bringing uncomfortable stuff into the light. I know some folks (read the comments) will be unable to understand and will do so with great vehemence but if the public knows the difference and clinicians start holding colleagues accountable we can really move forward.