With depression estimated to exist in as much as 10% of the population, it may be the most prevalent problem facing counselors today. S. D. Hollon, M. E. Thase, and J. C. Markowitz (2002) reviewed the extensive research comparing various psychotherapeutic and pharmaceutical approaches to treating depression. They concluded that certain psychotherapy approaches are as effective as medications, but much remains uncertain about effective treatment. This article reviews the authors' analyses and presents implications for the counseling profession.