I definitely agree with you that antidepressants can be a very useful adjunct to talk therapy. In fact, some types of antidepressants are themselves effective treatments for chronic headache pain. My point here is definitely not to advise anyone against meds, only to advise people that meds are not a total solution.

Brain chemistry changes in response to life events, relationships, and psychotherapy just as it changes when psychotropic medications are ingested. The problem with using meds to “correct chemical imbalance” is that the brain is flexible and the meds are not. The brain chemistry is constantly changing; meds stay exactly the same.

So if you experience a benefit from antidepressants you should absolutely take them, but I think it’s very important for people to recognize that the problem isn’t solved just because the meds are working for this moment. The meds merely allow a window of opportunity to work on the underlying psychosocial bases of the condition.