The Stagnation
In 1987, Prozac (Fluoxetine) arrived. It was hailed as a miracle. The theory was elegant in its simplicity: You are depressed because you have low serotonin. We give you serotonin. You are fixed.
This "Chemical Imbalance" theory dominated culture for 40 years. It turned citizens into consumers and suffering into a maintenance program. But recently, a quiet crisis has emerged in psychiatry: The drugs stopped working. Or rather, we realized they never worked as well as we thought.
The Serotonin Myth
Current meta-analyses suggest that the link between low serotonin and depression is tenuous at best. While SSRIs help some, they often act as emotional blunting agents. They turn down the volume on the radio, but they don't change the song.
The Crisis of Maintenance
The flaw was attempting to treat a dynamic network problem with a static daily maintenance dose. The brain adapts. It down-regulates receptors (homeostasis). To truly heal, we need an intervention that forces a state change, not just a symptom mask.
This is where we leave the history lesson and enter the laboratory. To fix the machine, we must first understand its architecture.