PowerPoint Presentation

Psychopharmacology in AmericaBy Maclane WalshGrowing Use1 in 5 Americans take at least one drug to treat a psychological disorder (2011)

http://theweek.com/article/index/221575/americas-startling-use-of-mental-illness-drugs-by-the-numbers 2ADHD & ADDAdderall & Ritalin

I went from Ds and Fs to straight AsBut your brain adapts, you have to increase the dosebut I feel awful. My baseline anxiety level would be most peoples highest...Adderall suddenly turned its back on me. It enabled me to focus, got me to a higher place academically. But then I could no longer rely on it. I was on my own. Steven Roderick, 24 http://www.youtube.com/watch?v=E0ihO1KFxkQ

Antidepressants SSRIs Prozac - 2010, 24.4+ million prescriptions filled in the U.S. Paxil 2007, 5th most prescribed, 18 million yearlyZoloft - 2005, ~30 million prescriptions (most popular antidepressant). 6th most prescribed brand-name grossing nearly $2.6 billion.How effective are they? http://www.youtube.com/watch?v=yufQe2-_Yqk Big Pharma

The Top 10Manufacturer20122011Johnson & Johnson$67.2 Billion$65 BillionPfizer$58.9 Billion$65.3 BillionNovartis$56.7 Billion$58.6 BillionRoche$47.8 Billion$45.2 BillionMerck$47.3 Billion$48 BillionSanofi$46.4 Billion$44.3 BillionGlaxoSmithKline$39.9 Billion$41.4 BillionAbbot Laboratories/AbbVie$39.9 Billion$38.9 BillionAstraZeneca$28 Billion$33.6 BillionBayer HealthCare$24.3 Billion$22.5 BillionUse Charles Barber stat of how anti depressants topped the list6TacticsFrom 1998 to 2013, spent nearly $2.7 billion on lobbying expenses ~1,100+ lobbyists2012, invested nearly $3.5 billion into direct-to-consumer advertising Internet, TV, radio and other outlets. U.S. 1 of 2 countries who allow TV ads for prescription drugs - http://www.youtube.com/watch?v=6vfSFXKlnO0 GhostwritingPaid FDA ~$300 million to review drugs on expedited basisConcernsSide effects for ADs: Suicidal thoughts, risk to babys lungs, Serotonin Syndrome (overdose)Can eliminate the highs and lows of experience and replace them with a foggy middle groundPhysicalizing of Behavior Broken mind being seen like a broken leghttp://www.southparkstudios.com/clips/151964/chef-concerned#searchterm=ritalin Concerns Cont.Are the right people getting them?depressed vs DepressedOver-performance for most Chevy can haul a trailer up a mountain, but you use it mostly to drive around town

Rand Corp. in 2002 surveyed close to 700 adults who had received a prescription for an antidepressant. Of those who reported receiving the medication for depression, just 20% tested positive when screened for the disease. Fewer than 30% of those receiving the medication had any depressive symptoms at all.9Medicating KidsIs it the parents fault, do they not have enough backbone? Taking the easy way out?Is it the Doctors fault?Decision to medicate children not taken lightly and many parents see it as a last resort Judith Warnerhttp://www.southparkstudios.com/clips/151955/ritalin-for-everyoneIhttp://nyti.ms/10i09hO http://youtu.be/G8k0iw1Kon4?t=10m30s The Food and Drug Administration warned in May 2007 that SSRI antidepressants were increasing suicidality in children and teens, but most of that is swept under the rug in her bookWarner, whose book exudes "the passion of a new convert," as her Times colleague aptly notes, relies far more on journalism than scientific studies of medication10Beyond the CabinetMeditation/Positive OutlookCognitive Behavioral Therapy for depression and anxietyIn 8 studies that compared CBT to meds in treating depression, 60% treated with meds relapsed vs. 30% treated with CBTPatients know themselves the best and should be expected to be at the forefront of their recovery, not the doctors