“…One found that adjunctive aripiprazole resulted in greater improvement of depressive symptoms compared to switching antidepressants (Han et al, 2015) and the other concluded that adjunctive aripiprazole and bupropion were equally efficacious, although patients on aripiprazole experienced faster remission (Cheon et al, 2017). To date, “real-world” studies have failed to demonstrate the effectiveness of SGAs over other depression therapies for MDD in terms of quality of life, hospitalizations, or healthcare costs (Al-Ruthia, Hong, & Solomon, n.d.; Hassan et al, 2015; Hassan, Farmer, Brahm, & Neas, 2016b; Wade, Kindermann, Hou, & Thase, 2014). We reiterate what other authors have previously stated, that there is limited knowledge on proper and effective use of SGAs for MDD outside of clinical trials and more research on practical clinical issues in routine practice is warranted (Han et al, 2013; Pae & Patkar, 2013).…”