I believe I can help you with your concern
I can help you with answering your questions and first off I have a Psy.D in Clinical Psychology with a Forensic Psychology Focus and I also have a 2 year Post-Doctoral degree in Psychopharmacology
For your first question I do see a number of patients that are not using antidepressants and solely relying on Cognitive Behavioral Therapy (CBT) techniques or Dialectical behavioral Therapy (DBT) techniques. The reason for this that they do not like the use of antidepressants or relying on them, or their depression has lessened so much over time that the use of psychological techniques is enough to keep them stable.
For your second question, I think that the use of CBT and DBT exercises is more effective for the long run and for "curing" depression in most cases as the medications only lessen the symptoms. But I advocate for the use of antidepressants for serious depression and in early treatment, to make therapy techniques more receptive and therefore more effective for the patient.
And for your third question, i see the prescription of antidepressants more often than I see the use of therapy or therapy techniques to treat depression, which is ineffective because most depression is a result of environmental factors taking a tole on the patient's mental well being and that needs therapy. The medication will lessen the symptoms, but will not allow for the mind to process the reasons for the depression. The reason for this is because it is cheaper and less timely to prescribe a medication than to do therapy for the industry and for the patient.
I recommend both for most patients as studies show that a combination of CBT and medications are the best treatment protocol then just using one (therapy or medications) solely.
Do you have any questions or concerns?
Thanks so much. I appreciate your timely response and this information has been very helpful.