[radiojosh]

I think one of the biggest problems is that psychiatrists have to step through a procession of different drugs in an order specified by insurance companies. Cheap to expensive, traditional to exotic. And the most traditional drugs at this point are SSRIs, which have very mixed evidence for their effectiveness.

After being dragged along through an endless series of different SSRIs, I finally found a psychiatrist who runs a genetic test prior to treatment. And wouldn't you know it, I have a gene that makes SSRIs ineffective if you're a Caucasian, and yes, I'm Caucasian.

The test also says that I'm an ideal candidate for methylphenidate, that I barely feel CBD, and I'll have a hard time with all but the most exotic antidepressants.