Maura Kelly sticks up for psychiatric meds:
[I]t's true; psychotherapy and exercise can help (as can meditation); patients should try them–and doctors should suggest them–before turning to pharmaceutical solutions. Nonetheless, in some cases–like mine–years of therapy doesn't solve the problem, and neither does daily exercise.
And what [Marcia] Angell doesn't say [in her article against psychiatric medications from last year] is that good therapy is often very expensive–far more expensive than most people can afford, particularly because so many health insurance plans provide little or no coverage for it–whereas less-than-excellent therapy can contribute to a sense that one's problems are intractable, that things will never change. (I speak from experience.)
Perhaps it's also worth noting that if developing a fitness habit were easy for the average person, then the obesity epidemic wouldn't be the most serious and costly health problem facing our country right now. And many seriously depressed people have a difficult time getting out of bed, to say nothing of going for a thirty-minute jog–though for some of us, like myself, our mental illness happens to come with a degree of obsessive-compulsiveness that often manifests itself at the gym.
More on the philosophy of depression here.