Mental Health The Myth of The Chemical Cure: A Critique of Psychiatric Drug Treatment.

Rybee

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Hi Peeps,

After dipping in and out of chapters over a long period of time, I've just finished reading a book titled:
The Myth of The Chemical Cure: A Critique of Psychiatric Drug Treatment - written by Joanna Moncrieff, a Psychiatrist and University Lecturer.

It was a very interesting read, particularly regarding 'antidepressants' which echo's Dr. Ron Leifer's (M.D. Psych) view, which is:

'There is not one shred of credible evidence that any respectable scientist would consider valid, demonstrating anything that Psychiatrist's call 'mental illness' are bio-chemical imbalances of the brain.'

I've taken numerous 'antidepressants' (TCAs/SSRIs/SNRIs and other bits and pieces) for the treatment of 'Major Depressive Disorder' and 'General Anxiety Disorder.'

The book critiques a lot of areas of psychiatry, but it was the antidepressant chapter that I found most interesting. I remember going to my doctor and explaining that I felt very depressed and had done so for a long time, within a 10 minute consultation I was diagnosed with Major Depressive Disorder and told that there were certain chemicals in my brain that were causing it, because there was an imbalance. I needed to take a pill (Citalopram) that would help re-balance these chemicals and my depression would alleviate.

I was told that this re-balancing act would take about 2 months and needed to hold on in there. Which I did, though it was intolerable. The side effects were abhorrent.

After 3 months I went back to my doctor and told him I felt no change, if anything - worse. To which he told me that, that is completely normal and expected, that I just needed to increase my dose so these magic pills could do their balancing trick.

6 months down the line I was taking the maximum dose (60mg though recently it's been dropped down to 40mg) and still felt very depressed. I was told that perhaps the drug wasn't right for me 'after all everybody's different and this isn't an exact science'. Was this ever a mater of science I questioned...

'You need to switch to Prozac, it does the same thing but may be better suited to you.'

Prozac! That's what loonies take don't they? I didn't know much about Prozac other than what I'd heard in the media. I took it anyway, I was desperate for a 'cure'.

Different drug, same story. 'Perhaps it's not just Serotonin that's depleted' he mumbled to himself whilst flicking through medical charts.

'Uhuh! Here we go, here it is! Venlafaxine is what you need! You see, in your case it seems like there are a number of transmitters that need rebalancing, at a high enough dose, Venlafaxine will help restore the levels of your Serotonin, Norepineprhine and Dopamine. After 3 months of treatment, gradually increasing your dose every 2 weeks, your brain chemistry will have changed and you will be feeling much better' I was told. 'The chemicals will have been re-balanced' he mumbled once more...

This kind of story went on and on for 2 years, from doctor to doctor, psychologist to psychiatrist. I began to understand that there wasn't a one-size-fits-all antidepressant and I just had to see what worked for me, to help re-balance those brain chemicals.

Lost my long-term girlfriend.
Lost my job.
Flunked my degree.
Lost myself.
Lost the will to live.

Things took a turn for the worst last July when I started drinking heavily and abusing opiates everyday. I was in a horrible place and ended up going to quite a famous rehab clinic in London called The Priory for help. I saw an excellent Psychiatrist and unravelled my story to him. As I was telling him my past, my mission to balance these damned chemicals, he shook his head in such a manner that I thought he'd heard this story before.

'Bullshit' he said, 'You've been fed a lie of absolute bullshit. The medications you've been drugged to death with are no better than a sugar pill in treating depression, but with much worse side effects. There's a book you should read, The Myth of The Chemical Cure that will explain why. For now, lets get you off of this nasty stuff and in a better place, you're very unwell. I can't guarantee a cure, there isn't one, but with all my patients, I try to aim for a 50% improvement in symptoms within 6 months. I can help you.'

So I withdrew from the Duloxetine at a rapid rate, with lots of Diazepam to help the withdrawal symptoms and brain shocks that were literally torture. This was following by lots of one-to-one counselling, and help with the opiates too.

6 months after my first consultation with him and I no longer have 'Major Depressive Disorder' or 'General Anxiety Disorder.' Admittedly, I do have moments of bad anxiety, but I don't believe it to be a mental health problem. It's a part of living a stressful life in a not so great environment, but it's getting better and better.

I was confused, a Psychiatrist that didn't believe in 'antidepressants' - that's what they're for though, aren't they? To prescribe you psychiatric medicine for your psychiatric condition? Apparently not, in this case.

Both him, and the book showed me a very different side to Psychiatry, quite a dark one, shrouded in controversy.

Now, I can't talk for everyone, but I can talk for myself from my own experiences. I never have had, don't currently have, nor will ever have, a 'chemical imbalance of the brain that causes depression.' I think it's important to state that I believe there to be several types of depression, some of which may be genetic, some of which may be environmental, but none of which that may be caused by a chemical imbalance of the brain. What do I believe in?

The myth of the chemical cure.






Thoughts?
 
Okay admittedly I did not read all of it, however, this isn't a "myth".

Institutions seek to grow unto themselves and do this in various and sometimes unfavorable ways. Now the problem of 'chemical cures' is a rather complex one. So let us take for instance:
Lost my long-term girlfriend.
Lost my job.
Flunked my degree.
Lost myself.
Lost the will to live.

How are drugs supposed to cope with "loss". You mentioned loss a lot and that seems to be some barrier for you that no chemical will do. So there is no myth. Either the problems you have in your life can be coped with or they cannot without some external aid (and this includes all other drugs as well, cannabis, blah blah blah). Or in some cases you may need the chemicals and some sort of counseling. I do not see a myth here.
 
Wouldn't genetic causes of depression be caused by chemical imbalance in the brain...?

Personally I believe STRONGLY in the role of brain chemistry and ones mood for the simple reasoning, that I was once a heroin addict, I have the knowledge that chemicals can indefinitely bring your brain UP, resulting in happiness and energy and good moods, so why, for any reason, could brain chemistry not also go in the opposite direction and bring one low moods, low energy, low libido, etc? (As a former drug addict I know for a 100% fact that substances can change your natural biological makeup of chemicals) If there is good there must be bad, you know? Brain chemistry most definitely exists and can affect moods just as much as drugs can.

I am almost positive that both my parents suffer from chemical imbalances, their cognitive functioning is not normal, and I feel I have been affected.

This is also backed by my opinion that SSRI's and anti depressants are all 100% bullshit. I will never put an anti depressant into my system in hopes of it balancing my brain. I do not trust any non-natural chemicals to bring my brain, the most organic and mysterious organ of the body, to a natural state. No drugs will ever benefit the human body.

I do not know what this book is about as I have not read it.

But I do know that western culture is based upon finding "band-aids" for problems. such as medication. No doctor will get to the root of the problem and fix it from the ground up like it should be done, instead they attempt a band-aid. can a band-aid fix a broken arm? Hell nah.


I have read "The Mood Cure" by Julia Ross, https://www.moodcure.com/
which is a holistic and organic approach to recovering brain chemistry. The supplements include amino acids (the building blocks of the body, every cell, muscle, tissue, is created of amino acids. They create protein.) and the consumption which reconnects synapses in the brain for optimal moods.

Why wouldn't the basic building blocks of the human body, not work as a good replacement/real healing power towards recovery?

I have taken these amino acids as recommended. And I have seen results. I am not cured but I have seen results. Positive ones. Results that have given me hope for recovery without the chance of setbacks.
 
I agree with everything Rybee wrote. "Loss" was only mentioned once, and doesn't seem to be a major theme of the post. I don't think overcoming loss is relevant to the story at all. I don't know how someone could glean from this story that the poster's only real problem is overcoming the barrier of loss.
 
I agree with everything Rybee wrote.
So do I.
"Loss" was only mentioned once, and doesn't seem to be a major theme of the post. I don't think overcoming loss is relevant to the story at all. I don't know how someone could glean from this story that the poster's only real problem is overcoming the barrier of loss.

Okay admittedly I did not read all of it, however, this isn't a "myth".
Is it that hard to read a post of a couple of hundred words? I don't understand some posters' need to preface their 'contribution' with words to the effect of "I didn't read what you wrote, but here's my opinion".
If you're going to dismiss and rebut someone's thread, wouldn't it make sense to hear them out?
Depression has a lot of causes; sadness is a part of the human experience, and medicating/medicalising an emotion as valid as any other makes little sense. Some people respond to anti-depressant medications, some people suffer terribly from the side effects.
All of us are prone to responding to the placebo effect.
The overprescription of SSRIs and other drugs of that nature is a health issue in and of itself.
 
I agree with everything Rybee wrote. "Loss" was only mentioned once, and doesn't seem to be a major theme of the post. I don't think overcoming loss is relevant to the story at all. I don't know how someone could glean from this story that the poster's only real problem is overcoming the barrier of loss.

After dipping in and out of chapters over a long period of time, I've just finished reading a book titled:

1. The topic is a book. To "glean the story" I would read the book.
2. To describe how the myth is a multifaceted answer I used some of his post (and then admitted that I did not read it all)
3. I am sorry for offending Joanna Moncrieff. In fact to appease the two nit-pickers I read the whole post and I would refer you to post #2
Why would I refer you to post number 2?
Because it asks a functional question. Some people need drugs. Some people do not. Some need both. What that person decides as to which category of the three they fall is a matter of numbers. There's quite a few that show they benefit and there's opposition too. Myth? No.

And pardon me spacejunk for any drug the "placebo effect" has to undergo a trial where the margin of error is slim. Don't hold an ideological grudge because you agree with a book that already has a misleading title.
 
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When capitalism became tied to medicine it corrupted the entire system.

The money is in treatments, not cures. When was the last time the medical industry cured anything?

As pessimistic as it sounds I wholly believe if there was a cure for cancer big pharma would snatch up the patents and shelf it for all eternity. Much like the oil industry did when a few intelligent individuals learned how to get well over 100 miles per gallon by making a simple modification to the carburetor.

When ever you ask yourself why (fill in the blank), the answer is invariably going to be money.

It's the world we live in, until we either all die or take a stand. My bet is on the former.
 
I don't know, that is pretty pessimistic indeed, there's often things on Australian news about big steps towards curing cancer. It would be outrageous at least in Australia if big pharma patented the cure or something. You'd think people would just storm the HQ and hurt everyone inside or something.

I have let myself fall into extremely dark and pessimistic views about our world but it's a matter of being part of the status quo and seeing what things are really like, rather than being so abstract, which will eventually lead to you just making it all up and not realising. Sort of thing.
 
They don't care about the cure. The money is in the treatment. If they can keep you coming back for more drugs and expensive testing they will do that rather than worry about curing anything. If they came out with a cure they would lose all that revenue. Pharmaceutical companies are owned by shareholders who care about the profit & loss, not the people the company is helping.

It's not pessimistic, it's reality.
 
OP, please keep reading! I read Robert Whitaker's book (The Anatomy of an Epidemic) which sounds like a similar read. I recently found out about a foundation that is gaining ground called the Foundation for Excellence in Mental Health and their focus is to change the attitudes about mental health diagnosis, treatment and most importantly to challenge the myths of emotion as disorders that must be medically "treated". Americans in particular latched on to the phrase "chemical imbalance" with an almost religious fervor. It fits pretty well with many of our most troubling national characteristics: the desire to avoid personal responsibility for our own individual character, the desire to have something to blame and, maybe most insidious of all, our desire to find magic-bullet fixes for everything that is hard, from controlling our appetites to studying or finding happiness.

We all need to wake up to the reality that huge and hugely profitable corporations are declaring all of our behaviors disorders in order to market medications/treatments/cures. As an older person this both makes me furious and makes me depressed (quick, somebody hand me a pill!=D). I have been hospitalized in the past and I am thankful every single day that it was the distant past because if it were today I would have been condemned to see myself as sick with a "chemical imbalance" and in need of medication for the rest of my life. I am not anti-medication for everyone and I recognize that it is actually life-saving for many people. I need to make it clear that what I am against is this mass hysteria that has taken over the medical field and is being handed down to the rest of by the "experts" from pediatricians to school counselors. We now have documented cases of children in the United States being diagnosed with everything from bipolar to ADHD to (my personal favorite) Oppositional Defiance Disorder before they ever reach school age.

These kinds of threads often degenerate into polarized arguments and I don't wish to have my opinions contribute to that. I do have strong opinions, however because of my own history as well as seeing first hand these myths applied to my late son in the world of mental health. The state of mental health in my country makes me think of our national obsession with diets as we continue as a nation to get fatter and fatter. We are now obsessed with disorders and with the medications for them while we get further and further from internal health.

In my own life I have chosen two fronts in which to focus my energies: advocating for a return to sanity in the psychology/medical/psychiatry fields and research into the use of short term therapeutic usage of psychedelic drugs that lead people further in rather than further outside of themselves. The bottom line is that you have the nature and brain your genes determined and you have all the common human struggles to contend with--existential loneliness, a search for meaning, reconciliation between the larger and smaller selves, to name but a few--and you have this one life in your particular age and culture in which to explore all that. Drugging all the emotions away that actually make us human is a bleak way to go. Talk to anyone that is faced with the reality of needing to take a psychiactric drug and they will tell you both what is lost and what is gained. I have the utmost respect for people like Elyn Saks who came to terms with her own need for medication (schizophrenia) but is an advocate for all the alternatives.

Last point and I will get off my soapbox. I work in education and last year was told that one of my third grade students was now on an anti-depressants. This is a kid that is homeless; he and his family live in a shelter or on other people's couches. His mom has four kids from 3 different Dads. No one at my school even blinked an eye at starting a 9 year old on a powerful, brain altering drug for his depression. How can we accept this? That is not a "chemical imbalance". That is deep sadness and confusion that has already morphed into hopelessness.
 
They don't care about the cure. The money is in the treatment. If they can keep you coming back for more drugs and expensive testing they will do that rather than worry about curing anything. If they came out with a cure they would lose all that revenue. Pharmaceutical companies are owned by shareholders who care about the profit & loss, not the people the company is helping.

It's not pessimistic, it's reality.

I forgot the source but I have seen several "prototype" cures for cancer that were tested on several people and proven to be working. However on all of these "cures" the labs and research has been pillaged burned and destroyed in exactly the same way. Pessimism has nothing to do with it, it is a reality sadly. I don't blame the people though, a monetary system like we have simply brings out the worst in us. Honesty just doesn't work in a system where you can only thrive by competing with others.
 
^ I don't know without citation that just seems like bull shit, and to use the word several?

At any rate "money brings out the worst in us" doesn't solve any general question as to why competition is bad. Maybe the wrong people are rich.
 
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Everyone is different

Elavil(tricyclic AD)worked well for me until after a few months it just stopped working. Then nothing worked. I tried many different AD's until I found Effexor. I've been on it for 9 years, and it keeps me going day after day.
I think that many people who are depressed do not have a chemical imbalance which is why AD's do not work for them. Either that or they are 'treatment' resistant. Which is what I was for years after my initial experience with Elavil. AD's 'try' and treat what my counselor refers to as 'chemical' depression.
AD's do help 'some' people. For them and me, their effectiveness is not a myth.
 
Just managed to catch up with this thread, and properly read your post herbavore, and a great post it is!

I'm currently reading a book by Dr. Steve Ilardi called 'The Depression Cure: The Six-Step Programme to Beat Depression Without Drugs' and it touches on the use of anti-depressants. It cites the fact that studies into depression within the Amish population, who lead a very different lifestyle to the western world, show that a diagnosis of clinical depression (or Major Depressive Disorder as per the 'Diagnostic and Statistical Manual of Mental Disorders' vol.4) during the life span of any given person was at a rate of 1%. This is compared to a diagnosis of clinical depression of American citizens at any point in their life at 10%. A ten-fold increase in those who are suffering from depression. An issue of a 'chemical imbalance' or lifestyle?

Furthermore, a 10 year long study was undertaken in hunter-gatherer tribes in the Amazon. During this time, ~5,000 people were regularly consulted and matched against the exact same diagnostic criteria (as per the DSM)... the result? A diagnosis of just 0.1%. 100x less than in America. An issue of a 'chemical imbalance' or lifestyle?

Those who have:
- A healthy and balanced diet, high in Omega 3 fatty acids. The Amish and Hunter-Gatherers. Not the Western world.
- Substantial and engaging daily social activity. The Amish and Hunter-Gatherers. Not the Western world.
- Long periods of exposure to natural sunlight. The Amish and Hunter-Gatherers. Not the Western world.
- Daily physically demanding exercise. The Amish and Hunter-Gatherers. Not the Western world.
- Enhanced sleep, without stimulants to wake you up in the morning, or drugs to help you sleep at night. The Amish and Hunter-Gatherers. Not the Western world.

... Are much less likely to be diagnosed with major depressive disorder. Dr Ilardi too argues that MDD or Clinical Depression (amongst other 'mental illnesses' - in 99% of cases) is not an issue of a chemical imbalance, but an issue of lifestyle. The worse our lifestyle has become over the last century, the higher the rate of diagnoses of depression.

I truly believe that in 99% of cases, depression is an issue of lifestyle and culture, not 'chemical imbalances.' The facts and figures speak for themselves. Those who lead a better lifestyle (such as The Amish and Hunter-Gatherers) are anywhere between 10 to 100 times less likely to be diagnosed as having Major Depressive Disorder at any point in their life.

I understand that there are some very unfortunate people out there in the western world who have had a far-from-pleasant upbringing and as a result suffer from a poor lifestyle. But to sit back and blame depression as an unavoidable 'chemical imbalance' that magically needs 're-balancing' by paying for branded drugs that are heavily marketed towards magically 'rebalancing your serotonin/norepinephrine/dopamine' such as:

Celexa
Lexapro/Cipralex
Paxil/Seroxat
Prozac
Luvox
Zoloft/Lustral
Cymbalta
Effexor
Desyrel
Vivalan
Wellbutrin
Vyvanse
Elavil
Prothiaden
Tofranil
Remeron
... and the list goes on.

I just don't buy it. I was once sold this disgusting lie by many doctors and it ruined my life. I didn't need drugs, I needed help. I stress again, that the first thing my Psychiatrist did was immediately take me off of Effexor. We have regular psychotherapy sessions mixed with big lifestyle changes, without the use of 'anti-depressants', and my life has never been better.

I once again echo the statements of the highly regarded Psychiatrists, Dr. Ron Leifer and Dr. Joanna Moncrieff, respectively.

'There is not one shred of credible evidence that any respectable scientist would consider valid, demonstrating anything that Psychiatrist's call 'mental illness' are bio-chemical imbalances of the brain.'

'With regards to Clinical Depression, there is no such thing as a chemical-imbalance of the brain, and there is no such thing as an 'anti-depressant'

So in spite of the fact of these two statements, that firstly, there is no credible evidence that 'depression' is caused by chemical imbalances of the brain and secondly, that there is no such thing as an anti-depressant.

Why do you take them?
 
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AD's are not a disgusting lie. They work for some people. If they don't work for you, then don't take them.
Depression is different for different people. For example, I am chemically depressed, but I am unable to cry. Now when I was coming off heroin, I cried at the beginning of withdrawl. In my world, without treatment everything is dead. Trees are dead, the sky is dead etc. Effexor helped me with that. I'm not completely unfucked, but life is now livable. If you don't wish to believe that it's your choice.
Your body is one big chemical furnace. Example: MDMA creates a chemical imbalance. The brain releases a massive amount of serotonin. Don't you think it's possible that maybe in some people, the brain releases too little serotonin?
Another example: some people have too little free testosterone. One symptom of low T is depression. this is a chemical imbalance.
 
AD's are not a disgusting lie. They work for some people. If they don't work for you, then don't take them.
Depression is different for different people. For example, I am chemically depressed, but I am unable to cry. Now when I was coming off heroin, I cried at the beginning of withdrawl. In my world, without treatment everything is dead. Trees are dead, the sky is dead etc. Effexor helped me with that. I'm not completely unfucked, but life is now livable. If you don't wish to believe that it's your choice.
Your body is one big chemical furnace. Example: MDMA creates a chemical imbalance. The brain releases a massive amount of serotonin. Don't you think it's possible that maybe in some people, the brain releases too little serotonin?
Another example: some people have too little free testosterone. One symptom of low T is depression. this is a chemical imbalance.
What exactly do you mean by 'chemically depressed'? Is this in contrast to some other type of depression?
 
Have you ever tried ecstasy? Have you ever woke up after doing ecstasy? Depressed, yeah? Have you ever taken mushrooms and then had a piercing horrible thought that dug your trip to the grave? If someone isn't "chemically depressed" they have a "thought disorder" or both.
 
By chemically depressed, I mean a depression that is caused by chemical imbalance. And that is treatable by drugs that aim to correct the imbalance. I'm by no means an expert on depression, but there are different types. I mentioned the depression that heroin withdrawl causes(in me). I've gone to MDA(LOL) Mood Disorders and Addiction groups, and there are very few people that AD's have helped. We are in a minority when it comes to the type of depression that we have. My addiction counselor came up with the term 'Chemical Depression.'
Now get a load of this: Before becoming depressed, I smoked weed quite a bit and never had a problem with it. As soon as depression hit, weed has made me extremely paranoid and anxious. It's just not smokable. I've tried growing different strains in order to find a strain that doesn't bother me, but I have not found it. I no longer grow btw.
 
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