Anti-Depressants - Is the cure worse than the illness? (Part 1 of 2)

This is the sort of book you wish your doctor would read.

It looks holistically at depression considering the biomedical model (i.e. there is something wrong with your body and in particular your brain) as well as psychosocial factors, lifestyle changes and other environmental influences. Is It Me or My Meds is penned by David Karp, who has long term depression and anxiety. He interviewed 50 people (including teens) with major depression and manic depression to gauge their attitudes about taking antidepressants and dealing with depression and the stigma around it.

Why people take antidepressants

Commonly accepted wisdom is that depression is caused by a biochemical balance in the brain which can be helped by taking antidepressants. Not everyone accepts this hypothesis. Some believe that depression and other mental illnesses can be fixed through meditation, counselling or other types of therapy, dietary changes, exercise or sheer willpower.

According to an anonymous academic who blogs here

Please. There may well be brain issues in people with various “mental illnesses,” but this whole ‘chemical imbalance’ thing is 95% marketing, 5% science. Find a serious scientist who will step up to the mic (sic) and tell us about the definitive chemical imbalance that causes bipolar, schizophrenia, or much of anything else in the mental disorder world.

While there were many people that resisted medication there were some who welcomed it with relief. Many patients were anxious for anything that might grant them some relief from unrelenting feelings of sadness, worthlessness and at times suicidal ideation.

Individuals reported varying degrees of success with antidepressants. For some, taking medications were a lifesaver that enabled them to feel more confident, overcome feelings of hopelessness and get on with life. However large numbers of people reported dissatisfaction with the side-effects of meds, failure of the meds to work effectively, gained only short-term relief from antidepressants or felt ostracised by being labelled as someone who needed to take psychotropic medications.

There were several patients who refused to take meds, or found themselves hopeful that they would one day be able to wean themselves off antidepressants. Overall, the majority of patients interviewed did not like taking meds for depression, bipolar or anxiety.

This attitude is also reflected in the attitude of the author, who has tried unsuccessfully to withdraw from taking antidepressants and antianxiolytic meds.

The people interviewed referred to searching for identity and not knowing whether the self on drugs is the ‘normal’ person or the one off drugs. Many felt pressure to conform to society’s expectation of normalcy.

The book includes a quote from Francis Fukuyama:

There is a disconcerting symmetry between Prozac and Ritalin. The former is prescribed for depressed women lacking in self-esteem; it gives them more of the alpha-le feelings that comes with high serotonin levels.
Ritalin on the other hand, is prescribed largely for young bots who do not want to sit still in class because nature never designed them to behave that way.

How your relationship with your doctor affects you

It was also evident throughout the book that the relationship of the individual to their health professional made a substantial difference. In situations where the individual felt that the health professional listened to their needs and offered trustworthy advice, patients were more likely to take meds and more likely to have success with them.

In this respect the placebo effect of medications was influenced not only by the knowledge that they were taking meds for their depression but also by their trust in the Health Professional prescribing the meds.

Part 1 of our review of Is It Me or My Meds?: Living with Antidepressants by David A. Karp
You can read Part 2 here

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