Psychiatric drugs

"From 1987 until the present, we saw an increase in the number of mentally disabled people from 3.3 million people to 5.7 million people in the United States. In that time, our spending on psychiatric drugs increased to an amazing degree. Combined spending on antipsychotic drugs and antidepressants jumped from around $500 million in 1986 to nearly $20 billion in 2004. So we raise the question: Is the use of these drugs somehow actually fueling this increase in the number of the disabled mentally ill?

When you look at the research literature, you find a clear pattern of outcomes with all these drugs -- you see it with the antipsychotics, the antidepressants, the anti-anxiety drugs and the stimulants like Ritalin used to treat ADHD. All these drugs may curb a target symptom slightly more effectively than a placebo does for a short period of time, say six weeks. An antidepressant may ameliorate the symptoms of depression better than a placebo over the short term.

What you find with every class of these psychiatric drugs is a worsening of the target symptom of depression or psychosis or anxiety over the long term, compared to placebo-treated patients. So even on the target symptoms, there's greater chronicity and greater severity of symptoms. And you see a fairly significant percentage of patients where new and more severe psychiatric symptoms are triggered by the drug itself."

Read the entire interview

(Ganked with thanks from this post on [livejournal.com profile] alobar's Lj.)

[identity profile] ques-nova.livejournal.com 2006-04-08 11:43 pm (UTC)(link)
Um... what does this have to do with multiplicity?

[identity profile] vinik.livejournal.com 2006-04-09 12:13 am (UTC)(link)
There are a lot of multiples on disability. I think that was why it was posted, but I have no problems with being corrected on this one.

-Morgan

[identity profile] ques-nova.livejournal.com 2006-04-09 12:16 am (UTC)(link)
I'm sorry, maybe I missed something, but what you posted seems to be about psychiatric drugs and I thought multiplicity was treated with therapy not medication, thus my confusion.

[identity profile] vinik.livejournal.com 2006-04-09 12:35 am (UTC)(link)
You're addressing the original poster, right? (confused)

-Morgan

[identity profile] ques-nova.livejournal.com 2006-04-09 12:57 am (UTC)(link)
yeah, sorry bout that *donk head*

[identity profile] vinik.livejournal.com 2006-04-09 10:55 am (UTC)(link)
no prob

[identity profile] catskillmarina.livejournal.com 2006-04-09 01:34 am (UTC)(link)
In the many disability cases i have been involved in, it was next to impossible to get disability without being diagnosed with some mental illness. One friend of mine who has
a major endocrine problem and autism fought for several years to get disability without
a mental diagnosis. In his case this may have saved his life because he is a major thorn
in the side of many authorities. If he had taken disability for skitzophrenia which i believe
he had been institutionalized for once these officials would have had an easy way to rid
them of a troublesome case. I've helped 3 people with disability cases.

[identity profile] vinik.livejournal.com 2006-04-09 10:55 am (UTC)(link)
Sorry, I didn't mean specifically for it, just that they also happen to be on disability. (It had been a long, long day)

[identity profile] ques-nova.livejournal.com 2006-04-09 12:20 am (UTC)(link)
In my experiences, multiplicity itself is not medically treated, but then that is just my experience. Also, I wasn't asking as a way of saying it didn't belong here. I was really just curious.

[identity profile] squnq.livejournal.com 2006-04-09 12:24 am (UTC)(link)
It's medically treated if the therapists/doctors do not correctly diagnose it, or don't believe in it. This has happened to me, and probably a good number of others.

Presuming, of course, that it is disordered multiplicity which help is being sought for. Most ordered multiples I'm aware of wouldn't even consider their multiplicity to be an issue worth treating.

[identity profile] catskillmarina.livejournal.com 2006-04-09 03:08 am (UTC)(link)
I'd say part of the problem with our society is that it has no real way to deal with
issues of initiation, mourning and lifechanges. Some of the less industrialized societies
have ways of dealing with these issues. For example 'Borderline Personality' is far less
common in societies that have adult initiations. In our society one slides from being a
child to being an adult without anything truly marking them as a result they often feel
that they lack and identity. People like this, if they run into difficulties are often
labled 'Borderline'. Depression - especially in this Horrible example is the result of
a society that does not allow proper time for grieving. If one does not grieve properly
it comes back to haunt you years later. I posit that most less industrialized societies
understand this.

I would say that this society has sacrificed much of the neccesary heart-full rituals
to the expediant of the machine. Unlike many i do not find the use of most psychotropics
to be malicious, it is just the best that this society can offer. It is sad. Very sad

[identity profile] catskillmarina.livejournal.com 2006-04-09 06:36 am (UTC)(link)
Sadly, i have had to take anti-depressants - either st johnswort or wellbutrin
to keep functioning at my job. The sane thing to do is to leave, but i have a
companion who is disabled from several chronic illnesses and injuries.

I really have no one to fall back on, so i do what i have to do to keep on going.
It's not supposed to be this way.

[identity profile] sethrenn.livejournal.com 2006-04-09 04:00 am (UTC)(link)
I would say that this society has sacrificed much of the neccesary heart-full rituals
to the expediant of the machine. Unlike many i do not find the use of most psychotropics
to be malicious, it is just the best that this society can offer. It is sad. Very sad


That's pretty much how we feel, actually-- I mean, if someone walks into a therapist's office talking about anxiety because a family member is terminally ill and the response is to suggest Thorazine as a "mood stabilizer" (yes, this is a real example), that's a sign of something profoundly sick about the society that condones it. Where taking time off for grief is forbidden, because you have to get back into the rat race as soon as possible just to feed yourself and stay alive, and find some way to numb yourself out if that's what it takes to keep going; and get dismissed by a majority of society as a non-functional loser or a leech if you need someone else to help you along temporarily.

[identity profile] catskillmarina.livejournal.com 2006-04-09 06:27 am (UTC)(link)
When my mother died i was lucky that my wife (we are both female bodied)
told me to leave the corporate job that was killing me. We went to the mountains
and lived there for several wonderfull years.

Unfortunatly we had to leave those hills to go back to work. Again i want to
return to the mountains. Corporate life can be soul numbing. At my job it used
to be a custom to name servers after psych drugs - which tells a long sad story.

-- Catskillmarina

[identity profile] shandra.livejournal.com 2006-04-10 01:05 am (UTC)(link)
Yeah, we were prescribed an anti-anxiety med for similar reasons (a difficult labour and the subsequent death of our daughter). But we also received a lot of help connecting up with community resources (bereavement groups). Still, it annoyed me to no end that that was the first response... and it was.

[identity profile] ques-nova.livejournal.com 2006-04-09 12:56 am (UTC)(link)
Oh, okay. That makes sense.

[identity profile] catskillmarina.livejournal.com 2006-04-09 01:36 am (UTC)(link)
This has not been my experience, though i know all too many people who have had
nightmares with forced treatment.

[identity profile] chaostiny.livejournal.com 2006-04-09 12:51 am (UTC)(link)
Alot of the multiples that I know, including myself, are dealing with other things such as bipolar or some sort of psychotic type issue. We need meds for many reasons. For me, life would be hell and my system would be totally out of wack without these meds... at least that is the way life was before I went on them...

[identity profile] melange-fiesta.livejournal.com 2006-04-09 01:02 am (UTC)(link)
Bipolar is not necessarily a psychotic issue.

[identity profile] chaostiny.livejournal.com 2006-04-09 07:17 am (UTC)(link)
That is why I said "bipolar or some sort of psychotic type issue" ...

[identity profile] chaostiny.livejournal.com 2006-04-09 01:00 am (UTC)(link)
After reading the interview, my main thoughts are this...
First, the number of mentally ill has not increased... at least not by that much. The stigma of mental illness has been dropped by our society, due in part to the drug companies advertising their wares. People are more willing to get help and tell someone what is going on...
But also, what works for some doesn't work for others... and all these meds are not cures for these problems. They don't all work for everyone. I take risperdal. Without it I am a mess. I have a friend who absolutely goes nuts when she takes it...
Thanks for sharing this with us:)

[identity profile] catskillmarina.livejournal.com 2006-04-09 06:31 am (UTC)(link)
In the 60's it was possible to maintain a household on one income. Now that
is very very rarely the case. I would say many mental illnesses are the result
of workplace stress. Since the 80's the hours most jobs require have climbed
significantly. I would say that the level of mental illness probably follows
the amount and stressfullness of work in most cases.

[identity profile] sethrenn.livejournal.com 2006-04-09 06:45 am (UTC)(link)
I don't really see that there is less stigma nowadays. I mean, if you look around Livejournal a bit, it's easy to find dozens of examples of people being called insane lunatics, based on their personal beliefs, and statements that they or anyone else who held such beliefs deserve to be forcibly incarcerated in a mental ward, regardless of their level of day-to-day functioning.

Actually, I think in some ways the stigma has been increased by modern psychiatric attitudes. Things like, for instance, portraying anyone who's suffered from depression as having a genetic or biological defect, and by not even permitting them to see if they can find alternate ways of coping. I know it certainly had a detrimental effect on our self-esteem when we were told by both doctors and 'support groups' that we were basically a faulty product.

[identity profile] chaostiny.livejournal.com 2006-04-09 07:25 am (UTC)(link)
Fifty years ago mental illness wasn't even discussed in "polite company"... and a psychiatric ward was more like a place you wouldn't send a wild animal let alone a loved one... I realize that there are still and probably always will be those jerks that don't know how to handle people that are mentally ill and there will always be the doctors that don't know how to handle the patients, but all in all, it is my opinion that things have significantly improved for those of us with mental illness. We can talk about it (for the most part), we aren't locked up in horrible places, and we have laws that allow us to defend ourselves against those that would treat us unfairly...

[identity profile] ksol1460.livejournal.com 2006-04-09 10:15 am (UTC)(link)
"and a psychiatric ward was more like a place you wouldn't send a wild animal let alone a loved one... "

Still are. They've just prettied them up. As far as the laws, check out http://www.mindfreedom.org and keep in mind what Bush wants to do with that screening for babies (http://www.astraeasweb.net/politics/screening.html).

[identity profile] littlebus.livejournal.com 2006-04-09 01:39 pm (UTC)(link)
From the No Child Left Behind article:
An eligible child is one who has "been removed from child care, Head Start, or preschool for behavioral reasons or is at risk of being so removed" or "been exposed to parental depression or other mental illness."

Having worked in elementary schools I know enough about No Child Left Behind to know it is a Bad Idea. I had no idea it also included this gem. Because I have depression (managed, but still there) the government has the right to drug my children because they have been "exposed" to it? My partner is multiple (and a godsend), but the government has the right to drug my children because they have been "exposed" to it?

Every week I learn something new Bush and co. is up to and every week I like them less.

[identity profile] catskillmarina.livejournal.com 2006-04-09 06:21 pm (UTC)(link)
I have a companion who is a psychiatrist. She is opposed to coercive care because in her
opinion it leads to sloppy work. If treatment is coerced there is no incentive to really
deal with the problems.

I am very concerned about the compulsory screening laws. It is my belief that if it comes
to pass it will be an excuse for soviet style psychiatric commitments. (and i have lived
behind the iron curtain in the 70's).

The result of this type of legislation is that people's real problems are never truly faced
and dealt with. I for many years would not see a therapist for my PTSD because i was
concerned with this type of nonsense.