Monthly Archives: May 2011

The business of ADHD

As the DSM-V looms closer to becoming a reality, I can’t help but think of words from the man who chaired the committee for the DSM-IV. Allen Frances, M.D., wrote in the in the LA Times:

As chairman of the task force that created the current Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which came out in 1994, I learned from painful experience how small changes in the definition of mental disorders can create huge, unintended consequences.

Our panel tried hard to be conservative and careful but inadvertently contributed to three false ‘epidemics’ – attention deficit disorder, autism and childhood bipolar disorder. Clearly, our net was cast too wide and captured many ‘patients’ who might have been far better off never entering the mental health system.

The Small Group of Thoughtful, Committed Citizens Has Been Drugged

Movements for justice have historically been driven by a small percentage of any population. One percent of Americans nonviolently occupying Washington, D.C., could make Cairo and Madison and Madrid look like warm-up acts. It is certainly true that a small group of thoughtful, committed citizens is the only thing that ever has changed the world for the better.

So, what happens if a society picks out a significant slice of its population, one including many thoughtful and committed citizens, and drugs them?

Mother battles Michigan over daughter’s medication

Frustration over her physically impaired daughter’s medical care led Maryanne Godboldo to lash out at what she considered state interference and into a 12-hour standoff when Detroit police came to take the girl away.

When it ended, the unemployed mother was in handcuffs; her daughter placed in a psychiatric hospital for children.

Godboldo now is locked in a bitter battle with Michigan’s Department of Human Services over her right to determine whether the girl should continue taking the anti-psychotic drug Risperdal and the government’s responsibility to look after the child’s welfare.

Ending a Midlife Affair with Meds by Paulina Porizkova

I felt guilty. I felt unnatural. I felt ashamed. Finally, I broke down and confessed my dirty little secret to a girlfriend and found that she not only knew what I was talking about, but she was doing it, too. And the more I opened up about it, the more I found that I was not alone. Women in their late 30s and 40s were all having the same affair. With an antidepressant…

My affair with an antidepressant reinforced what I already knew: I’m not one for affairs. I’d rather fight tooth and nail to keep and restore what I have than take a break from it. But that is so much easier said than done with a Klonopin in my pocket.

The Problem With Rehab: Medicalizing Drug Addiction

The clients are receiving expensive inpatient care for services and treatment that could easily be managed in cheaper and less-acute-care outpatient settings, like intensive outpatient or partial hospital programs. And, most importantly, the clients are continuing to rely heavily on pills to combat their anxieties, mood changes and addiction.

Problem? Relying on pills got them to rehab in the first place. So what’s the point of attending and paying for — or charging a commercial insurance carrier, Medicare or Medicaid, or any other third-party payer — for an expensive retreat that leaves you in virtually the same mental place, or worse, than you started? Not that much.