300 likes | 429 Views
proactiveplanning.org. proactiveplanning.org. considering the risks of long term use of psychotropic medications; a proactive and informed approach to determining reduction or withdrawal and alternatives to support long term wellness. your facilitators susan smith carolyn petit-lange.
E N D
proactiveplanning.org considering the risks of long term use of psychotropic medications; a proactive and informed approach to determining reduction or withdrawal and alternatives to support long term wellness • your facilitators • susan smith • carolyn petit-lange
proactiveplanning.org the goal of this workshop share a responsible and informed approach to evaluating the use of psychotropic medications offer a framework based on a proactive, solution focused approach an overview of nation and world trends
proactiveplanning.org considering the risks of long term Use of psychotropic medications
what does the research say? proactiveplanning.org • every day • 850 adults • 250 children • increased even more with second generation drugs in 1988 Source: Whitaker, Robert; Anatomy of an Epidemic; Magic Bullets, Psychiatric Drugs and the Astonishing Rise of Mental Illness in America. Pages 1-5
proactiveplanning.org • functionally disabled • 1 in 468 1955 • 1 in 76 today • “for life” vs. episodic • third world vs. developed nations outcomes are drastically different Whitaker; Summary of Findings
proactiveplanning.org what are some of the potential risks with long term use of psychotropic medications?
proactiveplanning.org • “black label” warnings on anti depressants and stimulants Dr. Ann Blake Tracy; International Coalition for drug awareness
proactiveplanning.org • serious side effects • physical, emotional, psychological dependence WWhitaker, Robert; Anatomy of an Epidemic; Suffer the Children, An Episodic Illness turns chronic P150, An Epidemic explained P 211 Whitfield, Charles L.; Psychiatric Drugs as Agents of Trauma; Drug Stress Trauma Syndrome www.fda.gov/NewEvents/Newsroom/PressAnnouncements/2007/ucm108905.htm
proactiveplanning.org • iatrogenic Illnesses • “legal drug toxicity” • chemically induced neurologic illnesses • discrimination • loss of a sense of self Whitfield, Charles M.D.; Psychiatric Drugs as Agents of Trauma [Peter Breggin M.D.]
proactiveplanning.org • shortened life span average 25 years of those not taking psychotropic drugs • diabetes • heart disease • metabolic diseases
dr. paula caplan on informed consent Those criteria are: (1)The person recommending a treatment must learn about and disclose to the patient everything that is known about the potential benefits and potential kinds of harm that that treatment carries. (2)The person recommending a treatment must learn about and inform the patient about the whole array of things that have been helpful to those who have suffered in similar ways (not just the traditional, medicalized approaches but all approaches). Those in emotional pain long for that pain to stop, but that longing makes them more susceptible to pitches for products that allegedly will help but can do great harm. People who have been labeled seriously mentally ill are dying 15 to 25 years earlier than normal [1], and it is clear that this is largely because of the effects of the drugs they are given. [2] It’s alarming enough when makers of deodorant, for instance, conceal the risks attendant on using their product; how much more reprehensible it is when marketers play not on the fear of having body odor but on the intense suffering of those who are likely to be advised to take powerful psychiatric drugs .Before proceeding, it is essential to state that I believe that suffering people have the right to try anything to ease their pain, as long as two criteria are met – and they almost never are. Source: http://www.psychologytoday.com/blog/science-isnt-golden/201109/full-disclosure-needed-about-psychiatric-drugs-shorten-life
proactiveplanning.org things to consider before taking action
proactiveplanning.org building support • core relationships • social • peer • Physician • supporting titration • one word: SLOWLY • www.psychrights.org/articles/SSRIDiscontinuationSyndrome.htm • therapist • trauma Informed • educated on or willing to learn about the withdrawal process as it relates to psychotropic drugs
proactiveplanning.org action planning for safe reduction or withdrawal • being proactive is being empowered • I am responsible to know: • my rights AND my responsibilities • my available resources • the process before I engage in it • and understand the consequences of my decisions
proactiveplanning.org understanding the process of reduction or withdrawal • titration and withdrawal symptoms • physical indicators of and the changes to expect in the process • emotional and cognitive changes and stages • Denial • Bargaining • Anger • Sadness • acceptance Elizabeth Kubler Ross; Stages of Grief James Prochaska and Carlo DiClemente; Stages of Change
proactiveplanning.org • some resources • Your Drug May be You’re Problem • Dr. Peter Breggin • The Ashton Manual • Dr. Heather Ashton • Protocol for the treatment of benzodiazepine withdrawal • The Harm Reduction Guide • Will Hall • Dr. Ann Blake Tracy • www.drugawareness.org
proactiveplanning.org www.bipolarblast.wordpress.com www.survivingantidepressants.org
proactiveplanning.org creating, living in and supporting long term wellness • for those who access MH services, those who provide MH services and other interested persons
proactiveplanning.org healthy coping and life skills to cultivate well being
proactiveplanning.org Inner Wisdom • Meditation and Mindful Awareness • Mindfulness for Dummies by Shamash Alidina • RAIN formula for dealing with difficult emotions • Recognize • Accept • Investigate • Non-Identification • www.shamashalidina.com • Local mindfulness or meditation group • google is your best friend
proactiveplanning.org • Emotional expression • Acknowledging vs avoiding • Experiencing vs resisting • 3 creative expression tools • Journaling • Art therapies • Physical expression
proactiveplanning.org Physical Foundation • Nutrition • Sleep Hygiene • Physical Activity
proactiveplanning.org Alternative and Holistic Therapies • Reiki • Bodywork • Acupuncture • Yoga • Laughter Yoga
proactiveplanning.org proactiveplanning.us empoweringsolutionsnow.com kipcentral.com nationalallianceformentalhealth.com www.facebook.com/susankingsleysmith
proactiveplanning.org I've never been forced on psychiatric medications. I've never taken them; yet, the whole strangle hold that the drug companies have on the information most people are given is devastating, when you need an answer. Even when you're not on medications but just looking for an answer. I've actually had what psychiatry would label as psychosis for 20 years. I finally found exercises I can do in a book called A Course in Miracles where it gets me to not invest in fear based thoughts. Thus, I don't get into that state where the adrenaline starts making up paranoia (or mania) or whatever it is I'm just using a word -- adrenaline-- that's associated with something producing fear. It's really just me checking my thoughts that I'm really thinking and not just going along with how one is supposed to respond investing in fear based thoughts…Now that I've learned to stop responding and am gaining perspective (I'm not escaping in a "psychotic" episode) ~R.A.
proactiveplanning.org Overview of What’s Happening Around the Country and Throughout the World
proactiveplanning.org Models of Peer and Provider Resources to Support a Harm Reduction Model of Care • Thrive Program – England based • Vermont – Steve Morgan • Oregon – Medication Optimization • California – Sunrise Center • Whitaker Foundation • Healing Homes – Finland • Open Dialog - Finland
proactiveplanning.org “Restoring mental health does not mean simply adjusting individuals to the modern world of rapid economic growth. The world is ill, and adapting to an ill environment cannot bring real mental health. Psychiatric Treatment requires environmental change and psychiatrists must participate in efforts to change the environment, but that is only half the task. The other half is help individuals be themselves, not by helping them adapt to an ill environment, but by providing them the strength to change it. To tranquilize them is not the Way.” ~ Thich Naht Hanh
proactiveplanning.org proactiveplanning.us