duloxetine 60mg - 120mg, escitalopram 10mg - 20mg, and placebo, 8-month,
Inclusion Criteria: * Must be at least 18 of age * Must meet the criteria for major depressive disorder * You must be able to visit the doctor's office about once a week for 2 to 3 months. After that, you will need to visit the doctor's office once a month for about 6 months * You must be able to take the study drug as prescribed (6 capsules per day taken once-daily) Exclusion Criteria: * You are a woman and are pregnant or breastfeeding. * You have a current or previous major psychiatric disorder other than depression, such as bipolar disorder, schizophrenia, or other psychotic disorder. * You have a history of alcohol or drug dependence within the past 6 months