Trust the Evidence

Trust the Evidence

The TTE Verdict

Antidepressants in mild depression

Tom Jefferson's avatar
Carl Heneghan's avatar
Tom Jefferson and Carl Heneghan
Oct 16, 2025
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The TTE Verdict

  • In mild depression, the effect of antidepressants is clinically irrelevant - improvements are mainly attributable to placebo response, natural recovery, or nonspecific effects.

  • More than half of all (roughly 5 million people) antidepressant prescriptions in England are for people with mild depression, for which they derive little or no benefit.

  • Savings to the health service from reducing these prescriptions would be at least £460 million and potentially as high as £1.3 billion.

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