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2008.10.06 18:58:11
Bulldog

We in the recovery community are digesting with difficulty the stunning news that 180 million prescriptions for anti-depressants were written in the US last year.

 My math has never been the best, but that equates to roughly one out of every two Americans seeking solace in little purple, yellow, green or whatever colored pills. Am I the only one left who thinks occasional bouts of lifestyle depression are not only a necessary part of the human experience -- how could we be happy without them or for that matter, learn basic psychic coping skills -- but an affirmation of our innate humanity?




It seems that the powers that be -- big pharma and the increasingly lazy practitioner community have opted for the easy way out. Its a lot easier to psychically castrate folks than let them have and resolve their feelings.

It has become evident that dollars spent on youth prevention are totally wasted. There has been absolutely no measurable impact from the billions of dollars that have been spent on youth prevention programs on national drug use. The quote below excerpted from Professor Mike Male's excellent Op Ed piece in the New York Times on Jan 3rd illustrates an alarming but hardly surprising trend in American drug abuse.

"According to the Centers for Disease Control and Prevention, the number of Americans dying from the abuse of illegal drugs has leaped by 400 percent in the last two decades, reaching a record 28,000 in 2004. The F.B.I. reported that drug arrests reached an all-time high of 1.8 million in 2005. The Drug Abuse Warning Network, a federal agency that compiles statistics on hospital emergency cases caused by illicit drug abuse, says that number rose to 940,000 in 2004 — a huge increase over the last quarter century."

Why are so few Americans aware of these troubling trends? One reason is that today’s drug abusers are simply the “wrong” group. As David Musto, a psychiatry professor at Yale and historian of drug abuse points out, the war on drugs has traditionally depended on “linkage between a drug and a feared or rejected group within society.” Today, however, the fastest-growing population of drug abusers is white, middle-aged Americans. This is a powerful mainstream constituency, and unlike with teenagers or urban minorities, it is hard for the government or the news media to present these drug users as a grave threat to the nation.

Among Americans in their 40s and 50s, deaths from illicit-drug overdoses have risen by 800 percent since 1980, including 300 percent in the last decade. In 2004, American hospital emergency rooms treated 400,000 patients between the ages 35 and 64 for abusing heroin, cocaine, methamphetamine, marijuana, hallucinogens and “club drugs” like ecstasy.

Its time to stop trying to prevent the inevitable and treat the preventable.

SoberBulldog guest blogger, Rick Ohrstrom, has a personal knowledge of the disease of alcoholism and addiction and has been involved in the addictions treatment area in both professional and advocacy roles for the past 15 years. He is the chairman of the board for C4 Recovery Solutions and has an extensive history in business enterprises.


  Sober Bulldog | Recovery | Addiction | Alcoholism
 

Dame
2008.12.18 22:35:54

I get the pissed part.
Would you expand on the: "Its time to stop trying to prevent the inevitable and treat the preventable."


 
 
Bulldog
2009.02.23 22:00:00

Sure if you believe in the disease model than those who are genetically loaded cannot be stopped by prevention so those dollars wasted better spent treating folks. Basically 70-80 % will never have addiction problem so prevention wasted on them too. Therefor 100% prevenntion dolars chasing 10% 0f populace

 
 
adij
2009.02.23 19:01:38

While I agree that prescriptions are sometimes given unnecessarily, I think that antidepressants can often be exactly the right solution. Just because problem that existed in the past could not be dealt with pharmacologically, doesn't mean we shouldn't use available treatments today.

Also, I'm failing to see the connection between high antidepressant use and the increasing number of fatalities from illicit drug use. Are you saying that the drugs aren't working or simply that the society as a whole is becoming more "drug friendly?"

 
 
Bulldog
2009.02.23 22:02:50

if you look at the epidemiological data for SSRI issues than 90% of ssri meds are inappropriately perscribed there just isn't the actual incidence to support 1/10 the perscribing also 90 % of perscribing being done by non qualified folks I wouldn't want a nurse practicioner taking out my appendix or a proctologist operating on my back

 
 
miss1sassy
2009.03.09 19:04:30

I just read your article and have to say that some of us would be dead without medication. As my length of time abstinent, and living, eating, breathing the 12 steps my depression worsened. I am convinced that if I were not on medication I would be dead by my own hand. This is just me.

 
 
Bulldog
2009.03.09 19:08:25

Hi Miss1sassy,

let me start by saying I respect your journey and without question there are folks who need meds. I am the first to support doing what it takes. Yet there is an ever growing body of evidence to support the fact that we are in the midst of an un precedented epidemic of over medication. More disturbingly so few of the perscriptions are being written by properly trained professionals. None of us would want a proctologist doing our heart bypass. Why would we want a primary care doc or worse still a nurse practicioner treating our depression. Keep up the good fight.

Bulldogman

 
 
Madison
2009.05.13 03:07:17

I think that meds are prescribed too easily. Often anti-depressants are prescribed without any referral for talk therapy or CBT therapy. The solution is not to just prescribe meds, it is to educate people to make wise choices and learn more about living holistically. People need to learn better coping skills and also know that they are not alone in their experience and suffering.

 
 
rmcallistar
2009.11.16 17:50:04

While I support addiction education for all medical proffessional, I think what is being taught is part of the problem if not most of the problem. America moved to a western medical model proffessing that only a federally approved drug, operation or caterization can legally address a disease. This is a fact and has been the foundation of western medicine for over 100 years. This model is taught and has been integrated by the western populous. There must be a pill, or an operation for every discomfort I have.

Lifestyle, thoughts, diet, excersise, human support and spiritual development are considered "probably good for healthy people but hardly treatment" The reality is that In my home town there has been 4.3 million dollars in perscription opiates medicaid alone, on the kenai penninsula in Alaska this past year alone! there are about 100,000 people here! anti depressants are handed out like candy, true they are life saving to many, but they should be given along with a complete life style protacal addressing everything listed above, but even more aggreggess is the opiate dispensary, that should be reserved for the dying! Not creating a legion of drug addicts out of peoples wives, grandparents, and teens, Dispensors of Herion follow the trail of legal addicts like a pack of wolves. Drugs are not the answer, even our solution for this epidemic is another drug, Buprnephine, or methadone! Its almost like a consiprisy, I swear the carnage is wholesale.

 
 


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