Beyond Blue

Judith Warner: Overselling Overmedication

Monday February 25, 2008

Categories: Depression

photo_warner.jpg

Thanks to Beyond Blue readers Barbara (formerly known as "Babs") and NYJLM (who writes her own blog, "So Love Is Hard and Love Is Tough" for forwarding me the link to Judith Warner's opinion piece, "Overselling Overmedication" about the volumes of literature coming out these days about America, the Nation of Prozac, where overmedication is the norm.

I feared her article was yet another "anti-medication" treatise--and I don't know if you've noticed, but I've been a bit fragile and grumpy as of late--so I tucked it away for a time when I was more chemically imbalanced, well fed and exercised, to read on an afternoon I was less angry at all the people who pontificate against drugs.

That moment never came, but I read her article anyway, and was very delighted by her nuanced argument, not to mention the exhaustive research she had done before penning a piece that touches our territory.

I've excerpted a few paragraphs from her piece, but it is worth going to her blog yourself (by clicking here) and reading the entire thing.

Thanks, Judith! You make me less angry! Hooray!

Let’s get beyond statistics, percentage changes in diagnosis rates and billions earned off human suffering by Big Pharma. And let’s just try for a moment to get real.

Most of the critics decrying the over-medicalization of the American mind rest their arguments upon the bedrock assumption that people who have nothing wrong with them – happy-go-lucky types who essentially make a wrong turn on their way to Starbucks or soccer and end up in the consulting room – are being medicated for largely fictitious concerns.

But search your minds and memories: Have you, or people close to you, ever taken medication in a lazy or thoughtless way? Eagerly? As a lark? Ask around a bit; find out what kind of desperation led others to the point where they had to accept psychopharmacological help.

(Write and tell me. Tell us all. But please don’t send abstract social observations or share stories about people you don’t actually know. First-hand knowledge and real life only, thanks.)

The psychiatrists I’ve interviewed over the course of the past four years say that they have yet to be swamped by frivolous patients showing up in their offices looking for pills to help them tweak troublesome little aspects of their personalities. “Not only have I not encountered many [such patients], I haven’t encountered any in my office or even in detailed phone calls,” Kramer, most recently, told me.

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Comments
Margaret Balyeat
February 26, 2008 2:24 AM


One more though (trouble sleeping!) We also don't have public establishmnts on nearly every urban corner wher any individual who has attained a certain age can LEGALLY walk in,tell the proproetor what pharmcologcal they prefer and get it simply by laying a little money on the counter then get behind the wheel of their vehicle endangering the lives of EVERYONE on the road because of the medication'S effects on his/her driving abilty which adds,IMHO yet another layer to the onion that is the moral issue untertwined with alcoholism. Nor is ther ever social pressure to take anantidepressent or other psychotropic medication; in fact quite the opposite is true; hence this dialouge ! Try telling the families of anyone who's been killed by a drunk driver that alcoholism isn't a moral issue!(Of course, it's first and foremst a disease as all of us here on BB know)

Tammera
February 26, 2008 5:21 AM


Well I can say this much I have 3 different illnesses which can be considered "disabling" but in reference to why I do not have a job, I am only willing to admit to 2 of them which are very deffinately refered to as physical in nature (Immune dysfunctions). The other being Major Depression and my point is this...

I really do not see people running to the psychiatrist just to admit to what is basically a publically humiliating condition, just so they can "have some meds". If it does happen, well... maybe that in and of itself qualifies as some sort of problem,(albeit not necessarily depression)

I have had 2 very serious major deppressive episodes since 1990 and have had my life saved at first by Prozac and then when that didnt work anymore... 2 years ago it was Cymbalta. I know they work and am thankful for them...no matter what anyone else thinks...and now of days I am strong enough to tell them just that too!!

Besides which...I most certainly would not go off the meds that help my immune dysfunctions, just because some think "America is ovemedicated", so why would I consider the very real possibility of suicide in any other light???

I do not understand the direction some of these authors take excepting the fact that they truely have no first hand experience, which would cause a more compassionate attitude.

to thine own self be true

Margaret Balyeat
February 26, 2008 8:20 AM

Yamerra
You are absoutely,INHO,correct! That was what i was tring in vain to express in my comment that our meds are not routinely sought after in the same way that alcohol, narcotics and the like! Nor do they, as I stated cause withdrawal symptons when the patient forgets a dose or stops taking them altogether as the others also do. anyone who has spent time around an alcoholic or drug addict during the process of withdrawal knows that there are debilitating symroms while the body tries to detoxify. I had one uncle who shook so badly when giving up alcohol for a mere forty=eight hours that he almost seemed to have palsy And his hallucinations truly gripped him in terroreven while completely awake! An acquaintenance of mine from a long time ago related that in order to manage withdrawal from heroin actually had shis brother tie him up and lock him in his bedroom because he had become so violent that he feared he might hurt himself or worse yet, his children which is precisely why professionals recommend hospitalization when trying to "kick" those kinds of addictions. most depressives I've known who needed hospitalization were trying to kick the depressionITSELF, not the meds they take/took to help manage it. It was the state of mind that made them dangerous to themselves or others, not the lck of their "cocktails(pharmecutically speaking, of course. The couple of times my own father tried to quit booze he became so mean that he was like a totally different person in addition to resembling the proverbial "bowl full of jelly". (He was way not a "jolly old elf",) however. another friend of mine who's in law enforcement states unequivocally that the "drunk tank" at the county jail is more of a nightmare than Joe or Jane citizen can even FATHOM with so many individuals experiencing withdrawl at the same time and in the same place. It's why he now actively advocates incarcerating those individuals in a mental health facility rather than the jails.Most law enforcement people don't have the kind of training to monitor even a SINGLE person experiencing withdrawl, let alone a room full of them! he's gotten so that he avoids "disturbing the peace complaints as much as he possibly can. although it's not always the case, DTP complaints frequently, maybe even usually involve someone under the influence and locking them up in a cell automatically means they'll be "going cold turkey" and quite likely becoming increasingly violent in the process. Tragically, one individual in our own county jail killed himself by repeatedly bashing his head against a concrete wall convinced that it was crawling with cockroaches as big as his hand! The "pink elephants of tired jokes don't seem to be what most of these poor people see; their hallucinations are FAR from amusing/harmless! i've never(nor, even more telling, has HE seen or heard of a depressive stopping his/her meds experiencing SImILAR levels of Hell. If they DO kill themselves, it's usually a more carefully planned and deliberate act rather than a violent reaction to detoxifying Still suicide, I know, but somehow less frightening for the wiTnesses and more easily monitored by measures like confiscation of belts, shoestrings and sharp objects or other things that could easily be utilized in ending one's own life. An individual who's in control of his/her senses is FAR less likely to see head-butting a concrete wall as a desireable method and even if s/he DOES, the physical pain involved is more likely to end the attempt before death cOULD happen. My friend's BIGGEST fear is that one of these pour souls will try to start enough trouble to commit "suicide by cop" when he's responsible for monitoting them. since there are SOME behaviors a guard/matron CANNOT ignore or take lightly.He's been fortunate in that as a twenty-yeat-veteran he has yet to be put into the position of drawing his weapon but many of his colleagues haven't been so fortunate, and it literally HAUNTS him that one day he, too will have to use either his gun or tasar on an out-of-cobtrol inmate. Since he underwent being tasared himself as a part of his training to carry one, he's well aware of the pain/damage these sophisticated weapons can cause. His description was that it "felt like an elephant had sat on his chest"! as he struggled to regain control of his breathing and muscles afterwards. Perhaps tasars are less gory, but they're DEFINITELY weapons and capable of bringing even a well--built grown man down! And to think thereareactuallyschooldistrictsthatwant to trainteachersand/orsecurity personnelto carry them! Scary! I certainly would neverhavewanted to be required to have on in my classroom! nor would I want my child attending a school equipped with "stunners" I know, i know, SOMETHING must be done to stop all the violence in our schools, but I know of not one educator who chose our profession expecting to teach as a fully-armed "peacekeeoper."Besides, as much as I hate to say it, there are "bad apples" in EVERY fieldwhich is a big part of the reason corporal punishmentin schools has been abolished in nost if not all states. paddles were still in use when i first began teaching, and that was MORE than enough for me to see! There simply HAS TO BE ANOTHER WAY! Sorry, I KNOW I've gone off on a tangent; I'll get out of the way now. but, let's GET REAL, folks! anridepressants and/or mood stablizers CANNOT/SHOULDNOT be lumped in with alcohol or narcotics in terms of regulation; SICK people depend on them!

Kathie
February 26, 2008 9:44 AM

Personally, I had to seek out help with psychopharmacology many years ago for panic disorder and major depression. I have 25 years experience as an RN and this has made it more difficult to accept the need for psychiatric medications. I continually find a stigma for having to take them.

However, my conditions were unmanageable without medications. Through the years the medications have changed and I am not able to take any SSRI's anymore so others are being tried in attempt to control the anxiety and depression. I have maintained a career all along and have not been hospitalized. I have wanted to walk into the hospital more times than I can count. The increase in stress levels seems to fuel the fire. I am one that acted right away and sought out medications as a life or death situation.

I appreciate your articles so much!

With warm regards,

Kathie

Larry Parker
February 26, 2008 1:32 PM

For the record, some of our meds ARE actually addictive -- if we take benzos (as I do with Klonopin). The "controlled substance" tag is always on the label from the pharmacy.

Lap and Babs:

I was not meaning to challenge Barber's difficult experience with OCD. I was meaning to challenge his PROJECTING that experience onto people with unipolar depression and bipolar disorder.

(BTW, Lap, I'm not a Southern Baptist, as you well know! Even though I don't imbibe myself, I'm no Carrie Nation. I was just referring to the fact that many people who are not ultra-religious, including myself at an earlier time in my life, treat alcoholism/drinking to excess as a moral fault, and not a disease.)

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