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Happiness: Threat Or Menace?

pO157.

Posted to Business on Mon Jul 09, 2007 at 05:28:55 PM EST (promoted by port1080). RSS.

In 2005, a US government study found that of the 2.4 billion prescriptions written, 118 million were for one type or another of anti-depressant, making this the most commonly issued drug in the country.

Dr. Ron Dworkin takes issue with the high prescription rate, relating a story in his book "Artificial Happiness: The Dark Side of the New Happy Class" about an unhappy woman who confided in her doctor about her husband mismanaging household finances. Her doctor's response was to place the woman on antidepressants to make her feel better about herself. Ultimately, the pills relieved her anxiety as the husband frittered away the marital assets.

A government study showed that up to 2/3rds of those with depression can be helped if they find the right drug (13% requiring as many as 4), the more tries they make the more likely they are of having trouble down the road.

Dr. Kelly Posner states that a quarter of adults will suffer from major depression at some point in their lives. This is worrisome when considering a study published in the Journal of the American Medical Association which showed that actors pretending to be depressed who went to a physician were more likely to get drugs if they asked for them generally, versus those who requested a specific brand from an advertisement, or those who did not ask at all. Dr. Posner argues that physicians should be most worried about those who do not request help, saying "not enough people are getting the treatment that they need."

Depression remains a major issue as it is believed to be an important factor in many of the 30,000+ annual suicide deaths.

Bonus Link Appendix! What are some other things that are commonly depressing or believed by some to lead to depression? High Intelligence. Having children. Marriage.

Tags: edited by Port1080, written by pO157, depression, drugs, marriage, children, intelligence, doctors, medicine, Kelly Posner, Ron Dworkin (all tags)

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5

My Own Experience

uncarved block.

Tue Jul 10, 2007 at 12:50:06 PM EST

5.00 (interesting)

    About three years ago- very close to exactly, as it was monsoon season in Tucson- I had to make a trip to the emergency room for some shooting pains and minor tremors, conditions that had lasted for a couple days. After a fairly quick trip through the process*, the diagnosis was a panic attack, and I was sent to a physician. Following the advice of the emergency care doctor, I was diagnosed as depressed, sent to get two different anti-depressants, and sent on to get some blood work just to check things out.
    Turns out I had liver problems, early stages of cirrhosis kind of thing. While I may actually have been depressed, the quick diagnosis of a panic attack was a bunch of hooey: there was something wrong with my body, and it wasn't "just in my mind".~ The quick- I would even use the word "premature"- diagnosis of depression rankles even to this day, and makes me wonder just how often this sort of thing happens, and what troubles, even disasters, come about as a result.
    It certainly reinforced my opinion that a lot of medication is being handed out to deal with the shittier parts of life, though a recent experience with Vicodin has taught me some compassion on the issue. (The stuff made me feel 25 again, in a way, and this can be very attractive.) In the earlier years of medicine, I understand, patients called to them and told them what was wrong with them, rather than the reverse situation of the last hundred plus years; when it comes to anti-depressants, though, I wonder if a bit of the old ways has crept back into the system. (Another option is that the pendulum has swung far the other way, with doctors seeing depression to quickly rather than too slowly.)
    The subject is certainly complicated. Are doctors prescribing a lot of anti-depressants? Sure, but I'm not willing to place all the blame on them-- the demand by patients seems to have skyrocketed as well. Would regulation or oversight help? Maybe, though it seems a bit early to declare the "free market" side of this a failure-- yet.

    *Not sarcastic. It took about an hour, which, considering it wasn't anything that required immediate help, was pretty good time for the middle of the morning.
    ~Yes, I am sensitive to the troubles this word can raise when it comes to depression and mental illness-- but I'm still a little pissed off at the whole series of events.

Ex ignorantia ad sapientiam; e luce ad tenebras

6

^ 5

Re: My Own Experience

thefadd.

Tue Jul 10, 2007 at 04:12:04 PM EST

none

I know of similar experiences among friends -- it seems if you walk into an ER with those symptoms they tend to be quick to slap the panic attack diagnosis on you and send you on your way. In some cases it's turned out right later but in some cases, it's turned out wrong.

make it rain you nappy headed ho's

7

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Re: My Own Experience

pO157.

Tue Jul 10, 2007 at 08:36:01 PM EST

none

Well, isn't the point of the ER "treat 'em & street 'em?."  When you check out of one you usually get a notice saying to come back for follow up in 5-10 business days, but honestly who does that except for folks without a primary doc or health insurance? I can imagine most ERs and ER docs aren't set up to handle long term psych problems.

Hell, I bet half the time in small towns you are lucky if you get a doc specialized in your problem. A former family friend of my wife's specialized in urology and surgery and would cover midnights at the local ER as the only doc. Great news if you got an ice pick through your wang, but if you are in for a heart attack or a nasty rash due to starring in "Anal Camera 19" you are out of luck.

9

^ 6

Right And Wrong

uncarved block.

Wed Jul 11, 2007 at 09:46:57 AM EST

none

   Well, I don't fault the guy for the panic attack part of it-- I was definitely spooked down at the ER. What annoyed me, and still does, was the way my sense that there was a physical basis for the pain was- to my mind- totally disregarded by both doctors. The second guy in particular bugs me; a diagnosis of depression after five minutes? With fairly heavy duty anti-depressants just tossed out as a quick fix? I guess this is SOP for doctors, or so me mum assured me, but the chance for a serious error struck me as being a bit too high.

Ex ignorantia ad sapientiam; e luce ad tenebras

1

Re: Happiness: Threat Or Menace?

thefadd.

Mon Jul 09, 2007 at 09:14:37 PM EST

none

Her doctor's response was to place the woman on antidepressants to make her feel better about herself. Ultimately, the pills relieved her anxiety as the husband frittered away the marital assets.

This story seems somewhat apocryphal even if it's itself true. Under proper medical care, the woman should have been relieved of her anxiety so that she could maturely address the situation and take action to better her own life. This is why pharmaceuticals and talk-therapy tend to go hand in hand to help people better their lives. But we already knew this.

make it rain you nappy headed ho's

2

^ 1

Re: Happiness: Threat Or Menace?

joshv.

Mon Jul 09, 2007 at 11:59:19 PM EST

none

Anxiety is a natural response to a threat - it promotes action to remove the threat, and thus alleviate the anxiety.  Remove the anxiety with drugs and the impetus to correct the underlying problem disappears.

3

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Re: Happiness: Threat Or Menace?

thefadd.

Tue Jul 10, 2007 at 09:58:58 AM EST

5.00 (astute)

Ideally. However, anxiety that requires medical attention is frequently crippling. I've known many people who couldn't work because of anxiety and needed it relieved before they could face the pending issues. Only at that point can people who suffer from such crippling anxiety look at a situation dispassionately and make the right decisions for themselves. It doesn't look to me like the drug specifically is to blame here, but the medical care in general -- which is overly dependent on the drug. But I take that to be po's point.

make it rain you nappy headed ho's

4

Threadjack

pO157.

Tue Jul 10, 2007 at 10:30:06 AM EST

none

In response to the question in the Q, I have not seen Sicko. I just think M. Moore is just too abrasive and sensationalistic sometimes and I don't need to spend $8.75 to learn something I already know (the health care system is all farbled up).

How about you?

8

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Re: Threadjack

skeptic.

Wed Jul 11, 2007 at 08:30:14 AM EST

none

Like yourself, I don't spend the money to see Michael Moore documentaries in movie theaters, given that these movies tell me things which for the most part I already know, however, I do watch them when they show up on television, and they are certainly interesting enough to be worth watching if I don't have to buy tickets.

11

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Re: Threadjack

thefadd.

Wed Jul 11, 2007 at 12:29:19 PM EST

none

It's been a long time since there's been something I liked in a theater so now I'm sort of caught in the do I go see Sicko, do I go see Die Hard cause I kinda wanna see both of them but only in a four dollar sunday afternoon with nothing else to do way. I think I'm waiting til Simpsons.

make it rain you nappy headed ho's

10

Speaking of not depressing...

pO157.

Wed Jul 11, 2007 at 12:23:07 PM EST

none

At this time tomorrow I will be on a moderately priced tropical vacation. Please don't expect any posting from me for at least a week.

So, if anybody needs me I'll be at Señor Tadpole's having a margarita made in my mouth.

12

PMS or orgasms?

spinerfemme.

Wed Jul 11, 2007 at 01:40:20 PM EST

none

Here I am, dipping in with an intensely personal post after lurking for months.

I was on Zoloft for a few weeks years ago after visiting my OB/GYN with complaints of PMS.  Depression, anxiety, lethargy, severe mood-swings (I was even worried about possible Bipolar issues), etc.  I was given a hefty supply of free Zoloft with a 'script for more.

I took the free samples and within a week, I was in this bland, khaki-colored stupor that was oh, so pleasant.  Nothing could touch me.  And speaking of touching, I also could no longer have orgasms.  I ask you, what is more depressing than not being able to have orgasms?

As such, I weaned myself painfully off the Zoloft and went for a more holistic approach; yoga, better diet, getting plenty of rest, etc.  This seems to work, but I still do occasionally lose my marbles before my period.  Fortunately, Mr. spinerfemme would rather deal with my mood swings than do the lovely with someone who seems to barely care about what's going on.

The whole experience really soured me on my doc.  I quit going to her and chose someone else.  Why was she so quick to hand off the pills?  Was it easier for her?  Did she need to off-load a huge supply of free samples from the manufacturer?  She didn't even ask me to follow-up with her once I'd tried the new meds.  Either way, it was clear to me that she didn't really have my best interests in mind.  And this part is what really let me down.  Here I am, stupidly assuming that my health care professionals actually care about my health.  I know, I'm naive.  Guess I need to go see SiCKO.

"Did you see that?" he asked, excitedly. "My thought just hit your jacket and then floated to the ground like my favorite piece of cheese!"

13

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Re: PMS or orgasms?

thefadd.

Wed Jul 11, 2007 at 01:53:18 PM EST

none

A little over a year ago, my gf was really down and negative, not outwardly unhealthy but also a lot of pms issues. I made her go to my holistic doc who got her living right and she ended up getting into acupuncture through him. She can't afford it all the time but a sustained regimen for a little while really, I mean, really helped. I'd never seen anyone with pms like hers. She'd be laid out immobile three days a month whereas now it's barely a blip.

make it rain you nappy headed ho's

14

Re: Happiness: Threat Or Menace?

rEvolution inAction.

Wed Jul 11, 2007 at 05:51:19 PM EST

none

Just take drugs they have less side-effects.

Tipping Sacred Cows

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