We have previously reported that a significant increase has occurred in the number of antidepressant prescriptions written for self-paying and privately insured patients R1573BCFJBAHJ. In our article, the decrease in the duration of visits disproportionately affected visits in which medications were not prescribed. For these reasons, we respectfully disagree with Dr. Kahan and continue to believe that new pharmacologic treatments and changing financial arrangements contributed to the reported changes in practice style.