Psychiatrists challenge serotonin theory of depression

A systematic review calls into question the basis for the use of antidepressants
Professor Joanna Moncrieff

For three decades, people have been deluged with information suggesting that depression is caused by a ‘chemical imbalance’ in the brain —– namely an imbalance of a brain chemical called serotonin. However, our latest research review shows that the evidence does not support it.

Although first proposed in the 1960s, the serotonin theory of depression started to be widely promoted by the pharmaceutical industry in the 1990s in association with its efforts to market a new range of antidepressants, known as selective serotonin-reuptake inhibitors or SSRIs.