Psychobabble

Here is a quote straight from the horse's mouth of psychiatrist Daniel Carlat:

"We often talk about neuro-transmitters like serotonin and noroepharin. But that really ends up being neurobabble. It sounds impressive to patients and it makes them think we know what we're doing when we're prescribing the medications. But we don't really know how these meds work." Side effects, said Carlat, can be serious or in some cases, unknown. "We don't know enough about the side effects to know how many people we're putting at risk."

It irks me that patients and relatives have been saying this for years, then suddenly young Daniel Carlat "sees the light" and is gathering great respect and a book contract with this wisdom. My eyes used to quickly glaze over with all the psychobabble trash talk that meant absolutely nothing to me and only raised my suspicions. Seemed like a lot of smoke and mirrors. Neurotransmitters? Who cares? Serotonin, neurotonin, dopamine, up, down, down, up, blah blah blah blah blah.

No doubt Daniel Carlat still sees schizophrenia as a "special case", so I will not go out of my way to praise his latest efforts, but at least these things are starting to be said by people who supposedly count - the medical profession. Actually, as Gianna Kali points out, Carlat is still drinking the kool-aid. He's still digging into his grab bag of labels and symptom hunting. The only difference now is that he has expanded his world vision to include the possibility that meds don't solve everything.

Great quote about creativity, dopamine and schizophrenia

"Thinking outside the box might be facilitated by having a somewhat less intact box," says Dr Ullén about his new findings.

ScienceDaily (May 18, 2010) — New research shows a possible explanation for the link between mental health and creativity. By studying receptors in the brain, researchers at Karolinska Institute have managed to show that the dopamine system in healthy, highly creative people is similar in some respects to that seen in people with schizophrenia.

Rossa's comment: The "schizophrenic" brain apparently looks normal enough to these researchers.

Anatomy of an Epidemic and alternative mental health

In Robert Whitaker's Anatomy of an Epidemic there is no mention of alternative mental health remedies. This, I suppose, is understandable given that the book is about how pharma and her willing handmaidens have contributed to the epidemic of mental illness. However, from a consumer point of view it would be instructive to know if the people whose stories are told in the book ever seriously tried some form of psychotherapy or took vitamin supplements to help them get off the drugs.

It is clear even if you haven't read this book that psychiatry has been hijacked by drug prescription and that psychiatrists (American ones, anyway) are handsomely remunerated for prescribing not listening. Psychiatrists have convinced themselves that the drugs are needed to help them do their job better, but their patients aren't at all convinced. If they were, why is drug compliance such a problem? Why are people so fed up with their psychiatrists not listening to them?

Drug based psychiatry seems to be one area where the customer is always wrong. If manufacturers noticed that people were failing to use their products in they way they were intended, would they blame the customer? Of course not! Many psychiatrists, however, have this patronizing view that their clients are mentally ill and incapable of making rational choices when it comes to how they feel about what they are swallowing.

There is another way and people shouldn't lose hope.

Taking vitamins, undergoing certain psychotherapies, practicing yoga and changing your belief system is not a quick fix, but it does work over time. As a relative, I can vouch that this also works for me. We all can benefit from the experience. Vitamin support should be a first line of defence if you are trying to get off your meds. Some people may not need this, but many do. Not everybody is going to have a hard time withdrawing from the drugs, but they will be the exception, not the rule. The drugs change your biochemistry. Your biochemistry is not changed because you are depressed or schizophrenic. For every study that claims it is, there is a study that refutes this. So why buy into the former claim? It makes you worse off in the long term, as Anatomy of an Epidemic so rightly points out.

Like diabetics need insulin

I must confess that reading Robert Whitaker's book Anatomy of an Epidemic is getting me down. He has nailed the human carnage that usually begins with the psychiatrist saying to the patient, "you have an incurable disease and you are going to need meds for the rest of your life just like a diabetic needs insulin." We have all heard this Orwellian phrase and it is absolutely untrue but that is what we have all been told. So begins the slippery slope that we have all been on. And when I say "we" I include people like me in this because I am collateral damage. I suffer too from being told my son is incurable and needs the drugs.

Someone on another blog, a psychiatrist no less, accused Robert Whitaker of sensationalizing the negativity, especially when it comes to the drugs. I don't see it and the fact that a psychiatrist doesn't see this is troubling, especially if he's taken the time to read the book. Whitaker's book is factual, he interviews psychiatrists, researchers and patients alike, and what they report is what I know to be true. People used to have mental illnesses and got over them or suffered from them episodically. Whitaker links the rise of the number of people collecting disability for mental illnesses to the long term use of drugs - they are being treated as if they have an immediate, life-threatening, chronic illness.

Teenagers, a group in which depression was almost unheard of a few decades ago, are particularly vulnerable. Antidepressants can kick start a lifetime merry-go-round of drug use. The number of young people in the book who went in for depression, were treated with an antidepressant, went manic and told they were bipolar is not surprising. I have learned enough on my own to know this happens. We are not anecdotal evidence. We are real and numerous.

Who ever heard of bipolar disorder a few years ago? I hadn't until about fifteen years ago when a friend went fairly loopy. Now, bipolar disorder is the flavor du jour - seems like everybody has it and may include those who would prefer not to say they might be schizophrenic. You are never not bipolar these days, probably due to the drugs that you need to take like a diabetic must take insulin. I had heard of manic-depression, but only knew of one person over the course of my life who was diagnosed with it. Every so often she would flip out and have to be hospitalized and take her lithium. Otherwise she carried on as the life of the party - and died at a fairly ripe old age.

Nobody today is going to die at a ripe old age if they permit their doctor to turn their personal coping skills into a biological disease. Judging from the swollen ranks of those collecting long term disability they won't even be working.

Postcards from the edge

I have been travelling by car for the past four days with my husband, my mother-in-law and sister-in-law through a popular tourist destination. Where doesn't matter because what is usually more memorable is the interaction between all the vibrating molecules in the car, while tramping through tourist sites and over dinner.

We had a lovely time with few hiccups. My husband has now locked himself in the bedroom and is practicing Emotional Freedom Technique, hoping he can make it through till tomorrow. I may have to resort to this technique after they leave to relieve the double-duty pressure of loyal wife and in-law. (I'm on everybody's side!)

A few years ago after one of my mother-in-law's visits, it became clear to me how emotional vibrations and can affect our health. We often try to keep things "in" while we entertain our guests, without even being aware that we are doing so. A couple of days after she left, I suddenly felt extremely ill from what felt like high blood pressure. I became quite concerned that I would need to go to the hospital and therefore started to do some Emotional Freedom Technique. I tried out a couple of possible explanations for the way I was feeling, without much success. Then, I thought, maybe, just maybe, the way I am feeling is linked to the pressure of the visit and being simultaneously the loyal wife and loyal daughter-in-law. I started to tap out the problem and within five minutes I felt completely well.

The family visits now go quite well because we have found a great stress reliever in Emotional Freedom Technique.

The hallucination of separateness

A message from Eric Allen Bell, founder, Global One TV - Online Spiritual Television for a New Age

A message to all members of Global One TV

I want to thank everyone who participated in the live chat with Deepak Chopra on Sunday. The topic was "Oneness" and he had quite a bit to say on the subject.

What I found particularly interesting was this notion that the internet has become the modern Akashic Records. And that if you wanted to know the state of humankind, look at what's popular online. Of course this has been a fascination of mine for some time and is much of the reason for my decision to launch Global One TV in the first place.

I asked Dr. Chopra a couple of questions and I wanted to share with you the answers that he gave...

The first question I asked was a rather general one, but perhaps a classic when it comes to one of the obstacles so many people have in believing in a Divine intelligence. I asked Deepak, "Why is there suffering in the world" and he answered.."All suffering comes from the hallucination of separateness".

There was a lot of talk about non-duality. Although I don't personally have a religion, if I did it would be that of Advaita Vedanta - the Vedic mystic tradition of non-duality. Separateness is clearly an illusion. It causes us to perceive ourselves as being separate from God. That and the idea that we are separate from one another has been the source of most wars. The concept of us and them exists only in the mind, which leads me to the second question I asked Deepak:

I asked,"Does the mind exist in time or does time exist in the mind?" to which he answered..."Neither. Time and mind exist in non-local consciousness."

Someone asked where we go when we die and he answered, "You do not go anywhere as there is no time and space."

On the subject of oneness and non-duality Dr. Chopra went on to say that "You are the ocean and the drop of water" meaning that we are not one or the other. There is a beautiful saying I heard once at a Science of Mind conference that says, "God in me, as me, is me." Chopra put it differently referring to a quote by Franz Kafka which says, "All of our problems are the result of an inability to sit quietly and do nothing."

But of all the insight that Deepak Chopra had to share with us, what stuck with me the most was this quote: "I am that, you are that, all of this is that and that is all there is."

Big NIMH

One of the saddest lessons of history is this: If we’ve been bamboozled long enough, we tend to reject any evidence of the bamboozle. We’re no longer interested in finding out the truth. The bamboozle has captured us. It is simply too painful to acknowledge — even to ourselves — that we’ve been so credulous. – Carl Sagan

I swiped this quote from Beyond Meds because Robert Whitaker's new book Anatomy of an Epidemic*, currently on my reading table, points to the "Big Bamboozle" in the pharmaceutical industry when it comes to the treatment of the mentally ill. As it was with Ida Tarbell and Standard Oil, Upton Sinclair and the meat packing industry, let's hope that the Whitaker book will put an end to the encroachment of the big pharma/academia/American Medical Association alliance on your brain.

The meticulously documented book explains that it was the Medicare and Medicaid legislation enacted in 1965 that allowed the discharge of chronic schizophrenia patients from unsubsidized state mental hospitals into subsidized nursing homes, not the invention of Thorazine in 1955, as it is so often attributed. Patients treated with neuropleptics in a 1956 studied cited had a lower discharge rate for first psychotic episodes than those who had been treated with a neuroleptic. The general opinion of researchers back then was that patients treated with neuroleptics had lower discharge rates than patients for whom no neuroleptics were administered.

Unfortunately our societal belief that it was this medication that emptied the asylums, which is so central to the "psychopharmacology revolution" narrative, is belied by the hospital census data.

Numerous studies in the 1980s cited in the Whitaker book came to the conclusion that there was no evidence that the dopamine function of the brain is disturbed in schizophrenia. Still the public continued to be told that people diagnosed with schizophrenia had overactive dopamine systems, with the drugs likened to "insulin for diabetes," and thus former NIMH director Steve Hyman, in his 2002 book, Molecular Neuropharmacology, was moved to once again remind readers of the truth. "There is no compelling evidence that a lesion in the dopamine system is a primary cause of schizophrenia," he wrote.

The pharma bamboozle is particularly poignant because of the millions of lives wasted and lost. Parents have been told, by a medical profession that they trust, that their child has a brain disease, just like diabetes, and that in order to "protect the brain," they must continue to take these medications, just like a diabetic must do with insulin. That guilt is overwhelming because it is personal and had we been less credulous, the outcome may have been different.

Having heard Dr. Thomas Insel, Director of the National Institute for Mental Health (NIMH), I have no great confidence that that organization, despite it being a supposed watchdog of public mental health, will suddenly "see the light". He stated very clearly in that seminar that research has demonstrated again and again that current and past drugs are ineffective in treating mental disorders, but they were shining their flashlights looking for the key in the wrong areas! They just haven't found the right drug targeted to the particular problem! There's a term for that in business that eludes me. . . when you trash the old product in order to stimulate sales of the new one. Don't worry, in the NIMH's world, there are always exciting new drug possibilities. So, the Big Bamboozle will continue as long as the public is gullible. It will take a different pharmaceutical tactic, that's all. The insulin for diabetics idea has been exposed, so we're not buying that one, but what will it be? It'll be clever, that's for sure.

Here is where Dr. Insel's flashlight is looking:
We must address mental illnesses, from autism to schizophrenia, as developmental brain disorders with genetic and environmental factors leading to altered circuits and altered behavior. Today’s state-of-the-art biology, neuroscience, imaging, and genomics are yielding new approaches to understanding mental illnesses, supplementing our psychological explanations. Understanding the causes and nature of malfunctioning brain circuits in mental disorders may make earlier diagnosis possible. Interventions could then be tailored to address the underlying causes directly and quickly, changing the trajectory of these illnesses, as we have done in ischemic heart disease and some forms of cancer. For serious mental illness, this is a new vision for prevention, based on understanding individual risk and developing innovative treatments to preempt disability.
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Anatomy of an Epidemic: Magic Bullets, Psychatric Drugs, and the Atonishing Rise of Mental Illness in America, author Robert Whitaker