Monthly Archives: June 2011

“How do I get off all the depression drugs?” We asked an expert

Phillip Sinaikin, MD, is a Florida psychiatrist who has been in practice for 25 years. Author of “Get Smart About Weight Control” and co-author of “Fat Madness: How to Stop the Diet Cycle and Achieve Permanent Well-Being,” his new book focuses on excesses and industry influence in the field of psychiatry.
Rosenberg: Your new book, Psychiatryland, traces how deception, conflicts of interest, medical enabling and direct-to-consumer advertising have resulted in millions being on psychiatric drugs they don’t need. One patient you describe has legitimate mourning and grief work to do after his wife leaves him for his own cousin. But his grief is pathologized into “bipolar disorder” by the system, including his own mother.

Bad Side-Effects Ahead For Pharma?

In 2006, The New York Review of Books reported that four-year-old Rebecca Riley died of the effects of two prescription drugs—Clonidine and Depakote.

These medications, along with Seroquel, were prescribed for Rebecca after she was diagnosed, at the age of two, with attention deficit hyperactivity disorder (ADHD) and bipolar disorder. The three drugs are not approved by the Food and Drug Administration (FDA) for treatment of ADHD or long-term treatment of bipolar disorder, nor are they approved for children as young as Rebecca.

The New York Review of Books‘ recent two-part article (1) by Marcia Angell on the treatment of mental illness with psychoactive drugs (those that affect the mental state) addresses an issue that may one day prove very important to investors in pharmaceutical stocks. (All statistics and quotations herein are drawn from Dr. Angell’s article.) It is not illegal for a doctor to prescribe a drug off-label, that is, for a non-FDA-approved use, but a drug marketer cannot lawfully encourage a doctor to do so. The profits in psychoactive drugs, however, make it tempting to flout the law. In the past four years, AstraZeneca (AZN), Pfizer (PFE), Eli Lilly (LLY), Bristol-Myers Squibb (BMY) and Forest Labs (FRX) have all settled federal charges of marketing psychoactive drugs off-label, at a cost running into hundreds of millions.

In Australia— 200 Psych Patients Died Suddenly

MORE than 200 psychiatric patients died in ”unexpected, unnatural or violent” circumstances last year, a report by Victoria’s chief psychiatrist reveals. Six patients died by committing suicide in hospital but most of the 237 deaths occurred in the community…Dr Vine’s annual report for 2009-10 shows that 14 per cent of inpatients were secluded, or confined in a room locked from the outside, in what guidelines say should be used only when a patient poses an immediate risk to himself or others.

A total of 1828 patients were secluded and there were 6059 episodes of seclusion, up slightly from the previous year. More than 1100 were for longer than 12 hours. A total of 1750 patients received electroconvulsive therapy (ECT), including 83 children, the youngest of whom was 13.

The problem with the DSM

Do you have a shopping addiction disorder? Perhaps an addiction to food? Maybe one of your kids has Internet addiction disorder, or video-game attachment syndrome. Well, not quite yet, because these kinds of new mental diagnoses are only proposed, not final, for the new revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM), the bible of the American Psychiatric Association (APA).

And there is a terrible problem with this. The DSM was first created in the 1920s. Based on psychoanalytic theory, it enumerated fewer than 100 mental problems that a psychiatrist could diagnose, all of them attributable to environmental conditions, generally the role of parenting. We know now that this theoretical stance was limited and, in many cases, wrong. In 1980, the second revision of the DSM took place. Freud was discarded, and the revised bible now included several hundred disorders, all delineated by a list of observable symptoms and a framework for limiting and differentiating diagnoses.

Three versions later, the current DSM lists more than 1,000 disorders. No theories are espoused for their origins, though implicit in it is that there is a mix of genetic and environmental causes that shape neurological development. During this period of about three decades, the incidence of attention disorders in the general population has increased from 2 percent to 10 percent. In the 1980s, people diagnosed with bipolar disorder represented less than 1 percent of the population; now the number has increased to 5 percent. New diagnoses, like oppositional defiant disorder and conduct disorder, now cover as many as 5 percent of children.

Autism, which afflicted a tiny percentage of the population in the 1990s, now accounts for 1 out of every 100 children. What is wrong with this picture? Do we have an epidemic on our hands? Something in the water we drink, or the air we breathe?

In Soviet Relapse, Critics Sent to Psychiatric Hospitals

In the Soviet Union, dissidents were labeled schizophrenics, thrown into psychiatric hospitals and drugged just for questioning the government. It wasn’t until the Soviet demise that officials grasped the difference between criticism and mental illness.

But old habits die hard.

Galina Yartseva, 47, editor of a small opposition newspaper in Veliky Novgorod, learned this the hard way after she took on the city establishment, accusing local officials of corruption and a local plant of air pollution damaging to children’s health.

She was slammed with dubious charges of showing disrespect to a judge in 2010, but cleared by a jury. A few weeks later, the Supreme Court overturned the acquittal at the request of regional prosecutors and sent the case back to the regional court.