In our study, 44% of those taking antidepressant medication had a major depressive episode during the preceding 12 months; half (56%) of the antidepressant users took antidepressant medication without a major depressive episode during the preceding year. What proportion of these subjects was receiving antidepressants for continuation and maintenance treatment of depression and what for other possible indications remains unknown. In a survey of primary health care antidepressant use in Helsinki, Finland, in 1995 (4), about 75% of antidepressants were prescribed for depression. In the multinational European survey (2), the proportion of use for depression was even lower (44%). Since not all antidepressants are used for the treatment of depression, we do not find the calculations by Drs. Patten and Beck to be well founded.