Nope. От характера причин зависит стратегия терапии. Эндогенщикам психотерапия особо не помогает, им только фарма
Efficacy of antidepressants plus psychotherapy — For the initial treatment of unipolar major depression, randomized trials indicate that the combination of pharmacotherapy and psychotherapy (eg, cognitive-behavioral therapy or interpersonal psychotherapy) is more efficacious than either pharmacotherapy alone or psychotherapy alone [12,13].
Evidence supporting the superiority of combination therapy over pharmacotherapy alone for the initial treatment of unipolar major depression includes many randomized trials [15,19]. As an example, a meta-analysis of 25 randomized trials compared combination therapy with antidepressants alone in patients with depressive disorders (n >2000) [12]. The analysis found a significant, clinically small to moderate effect favoring combination therapy. In addition, discontinuation of treatment for any reason was lower with combination treatment (odds ratio 0.7, 95% CI 0.5-0.8). Separate analyses of the three subgroups that received cognitive-behavioral therapy (seven trials), interpersonal psychotherapy (eight trials), or other psychotherapies (10 trials) found that in each case, combined therapy was superior to antidepressants alone.
Evidence supporting the superiority of antidepressants plus psychotherapy over psychotherapy alone for the initial treatment of unipolar major depression includes many randomized trials [15,20,21]. As an example, a meta-analysis of 16 randomized trials compared combination treatment with psychotherapy alone in patients with depressive disorders (n >1700) [13]. Recovery was more likely with combination therapy (relative risk 1.3, 95% CI 1.2-1.4). However, one concern that we have in evaluating trials that include psychotherapy is the lack of blinding.