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By Nick Triggle Health reporter, BBC News
Economic problems may be fuelling a rise in depression in England, it has been
suggested.
Prescriptions for anti-depressant drugs such as Prozac rose by more than 40%
over the past four years, data obtained by the BBC shows.
GPs and charities said they were being contacted increasingly by people
struggling with debt and job worries.
They said financial woe could often act as a "trigger", but added other factors
may also be playing a role in the rise.
The rise has happened at a time when the government has been increasing access
to talking therapies, which should in theory curb the demand for
anti-depressants.
In the last year alone referrals for talking therapies rose four-fold to nearly
600,000, Department of Health figures showed.
'Toxic combination'
Dr Clare Gerada, head of the Royal College of GPs, said some of the rise in
prescribing was also likely to be due to increased awareness about the
condition and doctors getting better at diagnosis.
But she added: "Of course, in times of economic problems we would expect mental
health problems to worsen - and GPs are seeing more people coming in with debts
racking up, or who have lost their job and are cancelling their holidays.
"They feel guilty that they can't provide for their family and these things can
often act as a trigger for depression."
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One woman's story: I feel I am stuck in a cycle I can't get out of
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Case study
Caitlin, 28, from Manchester, has struggled with mental health problems since
adolescence.
But financial problems in the last year have made it worse and she has recently
been prescribed anti-depressants.
She used to work in a residential care home for children, but has been out of
work for 12 months.
Caitlin is now living on benefits totalling 140 a week, but the cost of her
mortgage and other bills far outstrips this. It means she has built up debts of
10,000.
She is currently doing voluntary work and studying, but has given up on getting
a job in the immediate future because of the cuts to public services.
"It is a really worrying time. I have never been out of work for this long and
it puts a real strain on you."
Mental health charity Sane also said it had seen more people contacting its
e-mail and phone advice lines with money worries.
Its chief executive, Marjorie Wallace, said: "It is impossible to say for sure
that economic problems are leading to a rise in depression. But we are
certainly hearing more from people who are worried where the next meal is
coming from, job security and cuts in benefits - many who are getting in touch
with us for the first time.
"It is a toxic combination, especially for those who already have darker
thoughts and other problems."
Emer O'Neill, chief executive of the charity Depression Alliance UK, said:
"There is an increase in the number of people suffering from depression
certainly, and the economic downturn has had an impact on that.
"But I think what's happened is that a lot of the stigma has lifted on
depression," she told BBC Breakfast.
"It's OK to say you have depression now - and people in general are getting
much better information about what it is and they are coming forward and
talking to GPs more about it."
Staying on drugs
The figures, obtained from NHS Prescription Services under the Freedom of
Information Act, cover anti-depressant prescribing from 2006 to 2010, during
which time the country had to cope with the banking crisis, recession and the
start of the spending cuts.
They showed the number of prescriptions for selective serotonin re-uptake
inhibitors, the most commonly prescribed group of anti-depressants, rose by 43%
to nearly 23 million a year.
The data also showed increases in other types of anti-depressants, including
drugs such as Duloxetine which tends to be used for more serious cases.
As well as increasing demand for help, the rise could also be related to
patients staying on the drugs for longer.
Care services minister Paul Burstow said: "The last recession has left many
people facing tough times. If people do experience mental health problems, the
NHS is well placed to help.
"We're boosting funding for talking therapies by 400m over the next four
years. This will ensure that modern, evidence-based therapies are available to
all who need them, whether their depression or anxiety are caused by economic
worries or anything else."