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Psychopharmacology in America

Psychopharmacology in America. By Maclane Walsh. Growing Use. 1 in 5 Americans take at least one drug to treat a psychological disorder ( 2011 ). ADHD & ADD. Adderall & Ritalin

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Psychopharmacology in America

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  1. Psychopharmacology in America By Maclane Walsh

  2. Growing Use • 1 in 5 Americans take at least one drug to treat a psychological disorder (2011)

  3. ADHD & ADD • Adderall & Ritalin • “I went from D’s and F’s to straight A’s…But your brain adapts, you have to increase the dose…but I feel awful. My baseline anxiety level would be most people’s 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

  4. Antidepressants – SSRI’s • Prozac - 2010, 24.4+ million prescriptions filled in the U.S. • Paxil – 2007, 5th most prescribed, 18 million yearly • Zoloft - 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

  5. Big Pharma

  6. The Top 10

  7. Tactics • From 1998 to 2013, spent nearly $2.7 billion on lobbying expenses • ~1,100+ lobbyists • 2012, 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 • Ghostwriting • Paid FDA ~$300 million to review drugs on expedited basis

  8. Concerns • Side effects for AD’s: Suicidal thoughts, risk to baby’s lungs, Serotonin Syndrome (overdose) • Can eliminate the highs and lows of experience and replace them with a foggy middle ground • Physicalizing of Behavior – Broken mind being seen like a broken leg • http://www.southparkstudios.com/clips/151964/chef-concerned#searchterm=ritalin

  9. Concerns Cont. • Are the right people getting them? • depressed vsDepressed • Over-performance for most – Chevy can haul a trailer up a mountain, but you use it mostly to drive around town

  10. Medicating Kids • Is it the parent’s fault, do they not have enough backbone? Taking the easy way out? • Is it the Doctor’s fault? • Decision to medicate children not taken lightly and many parents see it as a last resort – Judith Warner • http://www.southparkstudios.com/clips/151955/ritalin-for-everyoneI • http://nyti.ms/10i09hO • http://youtu.be/G8k0iw1Kon4?t=10m30s

  11. Beyond the Cabinet • Meditation/Positive Outlook • Cognitive Behavioral Therapy for depression and anxiety • In 8 studies that compared CBT to meds in treating depression, 60% treated with meds relapsed vs. 30% treated with CBT • Patients know themselves the best and should be expected to be at the forefront of their recovery, not the doctors

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