Psychotropic Snake Oil……

7 May

‘The Income of the pharmaceutical industry is huge. Much of that income comes from the drugs used to treat mental health. The chances are that at some point in your life you may be prescribed one of these drugs. If you thought that psychiatric medicine is based on sound scientific principles, think again and read on……’

 

Diagnosing Mental Health Illness……dsm5

Unlike any other area of medicine, mental health cannot be diagnosed through a blood, urine or any other scientific test. It is based on the way in which you answer the doctor’s questions and upon the way you are feeling. This is of course subjective. The range of human emotions is wide and covers the elation of child birth through to the sadness of bereavement and everything in between. In many cases there are multiple choice questionnaires, which can be found online. They contain questions such as “I feel sad”, with answers ranging from; not very often, once or twice each month, twice per week and every other day. Try one for yourself online and even if you are perfectly contented with your life you may discover that you have depression, anxiety or even bi-polar disorder (The pharmaceutical industry are often behind ‘self diagnosis’ websites in order to prompt a visit to the GP). The only other element in the diagnosis is the Diagnostic and Statistical Manual of Mental Health (DSM), which categorises and matches your ‘symptoms’ with a known mental health disorder. With each new edition of the DSM come new diagnoses. In the DSM I, published in the 1950s, there were 106. The latest edition, DSM V, lists over 300……

 

Once you have a Diagnosis……

Before the 1950s talking therapies were the main way of treating mild to moderate mental health illness. More severe conditions such as Psychosis usually led to hospitalisation, possibly Electro-Convulsive Therapy and even surgical Lobotomy. Contemporary treatments usually involve the prescription of Psychotropic drugs. These fall into many categories but all are thought to affect Neurotransmitters, the main ones being Serotonin and Noradrenalin, although no one really knows how or why they work.

So, supposing you have suffered the bereavement of a long term partner and are feeling down, a little lost and have difficulty concentrating and sleeping. Then you are feeling what humans have felt since time immemorial, however, your doctor may well tell you that you have depression and, after a 15 or 20 minute consultation, you leave with a prescription for an antidepressant; a powerful psychotropic drug with potentially deadly side effects……

 

pills1Developing and Testing Psychotropic Drugs……

After initial laboratory tests for toxicity etc, human trials begin. They often last a maximum of eight weeks; some only four. They are only tested against a placebo and not any other drug. Providing the side effects are moderate in the test group which consists of carefully chosen, healthy people, they can be approved for public use. At this point the public become the guinea pigs, sometimes with devastating consequences……

 

Antidepressants and Suicide……

There are hundreds of well documented cases of people visiting their GP at a difficult time in their life, being prescribed antidepressants and committing suicide within days of starting their medication; remember these are powerful psychotropic drugs. But surely this would have been noticed in the trials? Not if the results are manipulated by interested parties; namely, the pharmaceutical industry that test them. Altering statistics is easy; when trialling the drug you simply leave out the question “Did this medication make you feel suicidal?” We are so used to answering multiple choice questionnaires that clever questioning can return either positive or negative answers depending on how the question was asked, that is, if it was asked at all. They may not make someone who is in perfect health feel that way but if you have been under stress and have a low mood, as in the example given earlier, they can have a far more powerful effect……

 

A Conflict of Interests……seven-pharma-logos-300x200

Any regular readers of my blog will be well aware of the close relationships that exist between industries, regulators, politics and money. It used to be called corruption; paying for politicians’ VIP days out, lobbying and making large donations to political parties. But it seems laws and ethics only apply to the likes of you and I. The pharmaceutical industries are more than happy to pay huge grants to fund research at universities; the same universities that the Psychiatrists who write favourable papers for medical journals work at. Doctors require patients and patients require diseases; diseases that require drugs to treat them. You get the point……

 

Finally……

There are some people with mental health issues that may benefit from medication, but they should be closely monitored and the cause of their distress identified and dealt with alongside medication. Unfortunately, an NHS with limited resources are not able to deliver a high enough standard of care, especially when it comes to talking therapies, so a large group of people get left on medication to numb the pain; medication whose side effects have never been tested beyond a few weeks and what long term damage they may do is an ongoing trial, one in which you may be taking part……

DT_Triangle_Banner‘I am still awaiting a reply to my letter to the Foreign Secretary but I’ll let you know when I do (see previous post “Correspondence with the Government”)……’

 

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