In USA they seem to use more meds than in Europe. I don't know a single person IRL here that are on that many meds for depression. I have two daily meds and two as needed and I feel that is a lot. Even if just one is an antidepressant. When I started taking meds it seemed unheard of to take more than one daily and maybe one PRN for almost any disorder, in the early 90s. So I don't really know what is "normal".