Personally, I have a very odd reaction to SSRIs/SSRNIs/SSetcs, in that they work immediately - within hours of taking them and then within a couple of weeks they do not work at all. And at that point, even an increase in dose will not work.
Typically, the rule of thumb is that they take about a month to kick in to full effect and prior to their kicking into full effect, they come with the risk of suicidal ideation, especially among younger kids/young adults (which IMO is horrific - how many children young adults are being fed SSetcs, and have died because of these meds?).
O.O
Everyone is different. And typically, pharma creates medication to sell to those within the peak of the normal range (where the greatest number of people will benefit - and the outliers are left out in the cold). In fact, it used to be that they never tested meds (Phase 1 studies) in females, nor do the test adequately based on weight, genetics, etc.. all of which would seem to have an impact on metabolism of a med.
For example, it has come to light that with opioids these meds ARE impacted by genetics - there are slow metabolizers, rapid metabolizers, etc... and all of this impacts how adequate pain meds are for people.
My difficulty with medications like SSRIs is that while they may help some (not me), they come with significant risks, can cause significant withdrawal effects, are being fed to children without adequate studies, and there are older tried and true methods that help with less adverse effects - why reinvent the wheel?
Take ultram for example - it was developed as a pain medication, but anecdotal reports have shown that it is tremendously effective in the treatment of depression. And IME (yes I have had Ultram for pain), it is neither hard to withdrawal from at all nor have I ever craved it and it did help me with mood!
It makes no sense to me.
I would not say a scam per se... just life as per the normal. Pharma pushing hard for newer and newer meds (cause that is where the money is - new meds that are still under patent) and doctors buying into this without using common sense.
I would never, ever give a child an SSRI unless there was absolutely no other possible treatment for them. Can't emphasize that enough.
And of course, as always, just my opinion : )