Posts Tagged ‘sadness’

The Los Angeles Examiner: Psychiatric Overdiagnosis Means “Normal” Could Become Obsolete

Tuesday, July 20th, 2010

Examiner.com
By jenny Westberg
July 13, 2010

An intolerance of individual differences, according to some, has led to overdiagnosis.

Are you normal? Are you sure?

A growing number of behaviors and moods are being relabeled as mental disorders, according to two recent articles. Sadness, shyness, personality quirks and the ups and downs of everyday life may qualify almost anyone for a psychiatric diagnosis, effectively pathologizing normality.

Allen Francis, MD writes in the Psychiatric Times that almost everyone meets the criteria for one or another of the conditions listed in the Diagnostic and Statistical Manual of Mental Disorders, the book psychiatrists use to determine whether you have a mental illness. The fifth edition of the manual (DSM-5), due in 2013, will relax these criteria even further, giving psychiatric labels to even more people.

According to 2010 figures from the National Institute of Mental Health (NIMH), more than 25 percent of the adult population has a diagnosable mental disorder. That’s approximately 60 million people. A prospective study found that, by age 32, half of U.S. adults could be diagnosed with anxiety; 40 percent with depression; and 30 percent with alcohol abuse or dependence.

With criteria proposed for the DSM-5, psychiatrists could diagnose “Nicotine Use Disorder” or “Caffeine-Induced Sleep Disorder.” If your child has temper tantrums, that’s one of the signs of “Temper Dysregulation Disorder with Dysphoria.” Bad dreams? It could be a case of “Nightmare Disorder.”

Why is this a problem? Mental illness carries a stigma. A diagnostic label can follow you for the rest of your life. It is shared with your insurance company. Your family and friends might make certain assumptions about you. Your doctor may insist you need psychiatric drugs.

More and more behaviors, however, are being stamped as “mental illnesses.”

Francis writes that individual differences that were once accepted as normal have become medicalized. Our society, he says, has become perfectionistic and intolerant of even short-term distress.

Read entire article:  http://www.examiner.com/x-31400-Portland-Mental-Health-Examiner~y2010m7d13-Psychiatric-overdiagnosis-means-normal-could-become-obsolete

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The Globe and Mail — “Is Depression a Disease? Big Pharma says yes, but others aren’t so sure”

Friday, June 18th, 2010

Big Pharma says yes, but others aren’t so sure

The Globe and Mail
By Leah McLaren
June 18, 2010

“It’s all in your head” isn’t something a chronically depressed person likes to hear. In the age of Prozac, when adjusting your serotonin level is as normal as checking the oil in your car, it seems unhelpful to suggest that someone might think their way into – or out of – a disease of the mind.

And yet depression is all in our heads. Where else would it be? The real question, still hotly debated in the scientific community, is whether its cause is chemical and ultimately curable (good news for Big Pharma) or something far more complex (good news for poets and pot-smoking students of existential philosophy).

There is no doubt that depression exists. Inexplicable sadness – or “melancholia,” as it was historically known – has been with us since Hippocrates conceived his famous oath. But a groundbreaking new study has found that not only is depression affected by the way we think about it, so too is its cure.

Last week Irving Kirsch, a professor at the University of Hull in the U.K., presented a study that found Prozac and its ilk are no more effective than placebos in treating depression. In his view, there is no substantial link between serotonin – the brain chemical that antidepressants are supposed to regulate – and chronic depression.

It’s a controversial study – one that many members of the psychiatric community reject out of hand – but it also raises a nagging question about depression: How did it come to be recognized as a disease in the first place?

Like Hirsch, psychologist and writer Gary Greenberg is part of a growing number of psychiatric professionals who have begun to publicly question the underpinnings of popular thinking on depression.

Read entire article:  http://www.theglobeandmail.com/life/style/is-depression-a-disease/article1609422/

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Manufacturing Depression—Are Docs Over Prescribing Antidepressants to a Tune of $10 Billion a Year for Drug Companies?

Wednesday, March 3rd, 2010

AlterNet
By Amy Goodman
March 3, 2010

A psychotherapist says depression can be debilitating — but that it’s also been largely created by doctors and drug companies as a medical condition.

Is depression manufactured? Two decades after the introduction of antidepressants, it’s become commonplace to assume that our sadness can be explained in terms of a disease called depression. The National Institute of Mental Health estimates more than 14 million Americans suffer from major depression every year and more than three million suffer from minor depression. Some 30 million Americans take antidepressants at a cost of over $10 billion a year.

My next guest argues while depression can be debilitating, it’s also been largely manufactured by doctors and drug companies as a medical condition with a biological cause that can be treated with prescription medication. Psychotherapist and writer Gary Greenberg participated in a clinical trial for antidepressant medication and found that more often than not the drugs failed to outperform placebos. His latest book is a scientific, medical, historical and cultural exploration of the antidepressant revolution here in the United States. It’s called Manufacturing Depression: The Secret History of a Modern Disease.

Read entire article:  http://www.alternet.org/health/145850/%27manufacturing_depression%27:_are_doctors_over-prescribing_antidepressants_to_a_tune_of_$10_billion_a_year_for_drug_companies/

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It’s Not a Mental Illness, It’s Just Life

Friday, July 24th, 2009

Helen Razer
The Age
July 23, 2009

WHEN Death of a Salesman was revived on Broadway 50 years after its celebrated debut, its director asked for help. In an effort to flesh out its frame for a contemporary audience, the play was diagnosed. Two psychiatrists offered their assessment of Willy Loman.

In each case, Loman was pronounced manic-depressive with hallucinatory aspects. Arthur Miller soon received word that this newest Loman was in therapy. The playwright was aghast. The hapless everyman, Miller said, was not a subject for psychiatric study. He was simply beaten down by life.

Loman was, and should remain, a victim of circumstances; not one of disease.

Read entire article: http://www.theage.com.au/opinion/its-not-a-mental-illness-its-just-life-20090724-dw3i.html?page=-1

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