Antidepressants fail to outperform placebos in up to half of clinical trials. Armed with fMRI technology, brain scientists now understand that assuming we are born with chemical imbalances is putting the chicken before the egg—trauma changes the structure and chemical and hormonal responses of our brains. In many cases, we can’t just pump opposing chemicals into our brains with the assumption that things will change. We have to treat the underlying, original cause: the trauma.