Plus the idea that SSRIs work, period. They only work slightly better than placebo, and they count them as “working” as long as they help with a single symptom. So if they don’t help your depression at all, but they do help with your insomnia, they put that in the “it worked!” pile. That’s why suicide risk sometimes increases on SSRIs. They do nothing for your crippling depression except increase your motivation, so before you were depressed and couldn’t accomplish anything, and now you’re depressed, but also have the wherewithal to follow through on your suicide plan.