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Friday, December 30, 2016

Mental Illness - Frontline - The Medicated Child

Originally published January 09, 2008; Last Updated December 30, 2016; Last Republished December 30, 2016:
Kudos to Frontline for again focusing our attention on mental illness! The program The Medicated Child is excellent and I hope more like it follow.

I cannot recall a child speaking more horrifying words than those spoken, during the program, by the little sixth grade girl, saying of her medication:

"it makes me more like I'm suppose to be"

Who authorized these people to treat our children like defects off some manufacturing assembly line whose manufacturing process they do not understand, but nevertheless use crude pharmaceuticals, they do not understand, to sledge hammer our children into "certified" conforming commodities?

I'm sure her doctors and parents think they are helping, but their actions differ little from those performing the barbaric lobotomies of our recent past and may be worse!

Blog: 
UPDATED 12/20/2010 ProPublica, Med Schools Flunk at Keeping Faculty Off Pharma Speaking Circuit. Article part of the excellent Dollars for Docs series. 


Web: 

UPDATED 12/30/2016 SA, Is Mental Health Declining in the U.S.?
UPDATED 09/30/2016 WH, Making Health Care Better Series on Suicide Prevention


Access to mental healthcare remains a rhetorical illusion, which policymakers deploy while we grapple to understand and solve the causes of our national mental health crisis (plague).

UPDATED 06/25/2016 SA, To Diagnose Mental Illness, Read the Brain
UPDATED 06/07/2016 WH, Making Health Care Better Series on Mental Health
UPDATED 05/22/2016 SA, The Hidden Harms of Antidepressants
UPDATED 04/22/2016 CDC, Suicide Rates for Females and Males by Race and Ethnicity: United States, 1999 and 2014

"The age-adjusted suicide rate in the United States was 24% higher in 2014 than in 1999, and increases were observed for both females and males in all age groups under 75 (1)."

UPDATED 10/04/2013 WTimes, Reports: Woman in Capitol chase had history of mental illness and UPI, Woman killed after Washington chase reportedly on medication and ThomsonReuters, Woman killed in Washington car chase had post-partum depression, family says

How is it that an erratically mentally ill driver ends up shot to death on our city streets by platoons of paramilitary police? Have we become so accustom (some might say addicted) to solving problems with force and violence that deploying platoons of paramilitary police on our city streets to chase down an erratic driver, with guns blazing seems normal and routine?

If deploying platoons of paramilitary police on our city streets to chase down an erratic driver, with guns blazing isn't indicia of mental illness, it should be!

As an aside, if our nation charged every American that showed up at or near the White House believing they had an appointment with the President we could reduce dent our debt. If our nation charged every American that showed up at or near the White House believing they had an appointment with "God" we could eliminate reduce our debt.

UPDATED 08/21/2013 MedicalxPress, Antipsychotic drug use in children for mood, behavior disorders increases type 2 diabetes risk
UPDATED 06/04/2013 Reuters, Obama urges greater openness in dealing with mental illness and Remarks by the President at National Conference on Mental Health

Kudos to our President for encouraging a national conversation on the tough, but important topic of mental health! Our continuous conversation must be accompanied by allocation of public research, resources and responsiveness1—personal prayer IS NOT a substitute or complement to the allocation of public research, resources and responsiveness1.

UPDATED 05/05/2013 NYT Magazine, The Problem With How We Treat Bipolar Disorder

Kudos to the author for sharing her atypical mental fluctuations and the behaviors they induced.

Sadly, the article quotes a professional as saying that patients experiencing behaviors induced by atypical mental fluctuations find it difficult “to reconcile those behaviors with their self as they have come to know it.”

Unfortunately, this statement implicitly acknowledges the lack of any standard model for understanding, developing and maintaining individual mental health—our professionals are shifting the responsibility for reconciling behaviors induced by atypical mental fluctuations to our patients!

Imagine arriving at the doctor's office with appendicitis where you're informed that you're responsible for reconciling your previous healthy self with your current painful self, including the removal of your own appendix, if necessary!
UPDATED 03/13/2013 ProPublica, Dollars for Docs Mints a Millionaire
UPDATED 04/23/2012 Post-Prozac Nation 


UPDATED 10/13/2010 Reuters, Pfizer depression drug ineffective, may be harmful: study. Reboxetine (aka Edronax), a selective serotonin re-uptake inhibitor (SSRI) is ineffective as a treatment for depression and may have harmful side effects, according to German researchers. 

UPDATED 06/02/2010 UPI, Depression therapy, drugs similar results (note: the study is based on older individuals which may not extrapolate to children "talk therapy"). Wonder to what extent "talk therapy" is not regularly used, even though capable of delivering similar or superior results, because it:
* requires significant time and resources; and 
* does not always progress linearly from understanding to understanding; stated differently, understanding will often take you place where you did not think you wanted to go! 
* aims at producing a unique, if not conforming individual; and 
* may conflict with the nominal objectives and goals of an existing social structure.
The objectives of "drug therapy" beyond short-term stabilization and drug industry profits are unclear and often rarely articulated, poorly defined, or subjected to rigorous objective testing for effectiveness.

UPDATED 05/21/2010 UPI, Preschool depression may look different. If a society is medicating a significant number (some might say any) of its preschoolers for depression unconnected with any physical diagnosis it's an indication that major structural changes are required to that society. Medicating our preschool children so they can participate in any social structure is beyond bizarre and absurd.

UPDATED 01/05/2010 NYT, Popular Drugs May Help Only Severe Depression.

UPDATED 12/13/2009 NYT, Poor Children Likelier to Get Antipsychotics. This article is disturbing and shocking. More probing and investigation is required to determine whether and to what extent our mental health professionals may be directly or indirectly treating the condition(s) of "poor" as a mental illness or disorder.

The distinctions may be subtle and complex.

Additionally, parents of poor children and poor children themselves may not question or seek second and third opinions. It would not be overreacting to begin providing our children (especially our poor children) with their own personal disinterested professional advocates. Research into methods of accurately and objectively assessing the delivery of mental health services is no doubt challenging, but will benefit patients, doctors, and our society.

UPDATED 11/11/2009 ProPublica, Drugmaker Paid Psychiatrist Nearly $500,000 to Promote Antipsychotic, Despite Doubts About Research. At a minimum our doctors must disclose when they are prescribing a medicine or procedure or test or course of treatment in which they have a financial interest.

If a doctor is also conducting sham or shoddy research into a medicine or procedure or test or course of treatment in which they also have a financial interest that must be investigated as well as disclosed.

If a doctor is providing patients with inaccurate information about a medicine or procedure or test or course of treatment the doctor should be reported to applicable state medical licensing board and possibly sued for malpractice.

UPDATED 10/27/2009 ScienceNews, Psychiatric Meds Can Bring On Rapid Weight Gain In Kids. Some children gained as much as 19 pounds—the control group, one pound. "Drugs that alleviate severe mental disorders can also result in troubling metabolic changes."

Other Incidents of Pharma Influence:

UPDATED 08/18/2009 NYT, Senator Moves to Stop Scientific Ghostwriting. Article talks about Wyeth''s ghostwriting. 

UPDATED 08/18/2009 UPI, Medical groups paid for vaccine promotion. Once again it's Merck purchasing the influence to promote Gardasil: 

"Merck acknowledged it paid a total of $750,000 to the American College Health Association, the Society of Gynecologic Oncologists and the American Society for Colposcopy and Cervical Pathology,"--UPI referring to Washington Post Reporting--
Hopefully we''ll hear from the three journals on how they plan on preserving their credibility and independence?

UPDATED 09/24/2008 AFP, US kids three times likelier to be medicated than in Europe: study.
UPDATED 04/15/2008 NYT, Merck Wrote Drug Studies for Doctors. Merck ghostwrote medical research studies, which prestigious doctors then signed for publication in academic journals—gives new meaning to the term "blowback". Some are questioning the validity of all Merck's research reporting. 

UPDATED 11/02/2009 UPI, Feds side with investors in Vioxx suit

UPDATED 01/31/2008 Lilly Considers $1 Billion Fine to Settle Case. Eli Lilly is being investigated and sued for mis-marketing its antipsychotic Zyprexa® for non-approved purposes, which is believed to have caused harm.

UPDATED 01/17/2008 Antidepressant Studies Unpublished. Manufacturers withheld data misleading doctors and consumers about pharmaceuticals' effectiveness!

-----notes-----

1. Public responsiveness is the antithesis of shoehorning our citizenry into preexisting and preconceived public paradigms—mental health is not so easily achieved or maintained.

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