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Mass Psychosis In the USA?

Hugh Pickens writes "James Ridgeway writes in Al Jazeera that with over $14 billion in sales in 2008, antipsychotics have become the single top-selling therapeutic class of prescription drugs in the U.S., surpassing drugs used to treat high cholesterol and acid reflux. While once upon a time, antipsychotics were reserved for a relatively small number of patients with hard-core psychiatric diagnoses, today it seems, everyone is taking antipsychotics. 'Parents are told that their unruly kids are in fact bipolar, and in need of anti-psychotics, while old people with dementia are dosed, in large numbers, with drugs once reserved largely for schizophrenics,' writes Ridgeway. 'Americans with symptoms ranging from chronic depression to anxiety to insomnia are now being prescribed anti-psychotics at rates that seem to indicate a national mass psychosis.' By now, just about everyone knows how the drug industry works to influence the minds of American doctors, plying them with gifts, junkets, ego-tripping awards, and research funding in exchange for endorsing or prescribing the latest and most lucrative drugs. According to Marcia Angell, former editor of the New England Journal of Medicine, under the tutelage of Big Pharma, we are 'simply expanding the criteria for mental illness so that nearly everyone has one.'"

33 of 542 comments (clear)

  1. Americans are generally psychotic by Anonymous Coward · · Score: 5, Insightful

    No surprise here!

    1. Re:Americans are generally psychotic by gilleain · · Score: 4, Informative

      and europeans are weak willed socialist groupies! yay we can all come up with fun adhominems!

      It's not an ad hominem, it's an insult you moron. Oh, and "you moron" was also an insult. I'm not saying your argument is invalid because you are a moron, I'm saying you are a moron because your argument is invalid.

    2. Re:Americans are generally psychotic by Hognoxious · · Score: 4, Funny

      It's exponentially annoying when people use it ad nauseum. It literally makes my blood boil!

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
  2. What?! by pinkj · · Score: 4, Funny

    That's crazy!

  3. Just call it "Soma" ... by Lazy+Jones · · Score: 4, Insightful

    Aldous Huxley was spot on ...

    --
    "I love my job, but I hate talking to people like you" (Freddie Mercury)
  4. Expensive drugs? by zAPPzAPP · · Score: 5, Insightful

    Maybe those drugs are just super expensive. A total number of consumers would be more useful.

    1. Re:Expensive drugs? by Hebbinator · · Score: 5, Informative

      DINGDINGDINGDING

      Most brand-name antipsychotics can go WHOLESALE for 400-500/month, some are even more than that. Most cholesterol drugs are now on the $4 list, or have a $4 equivalent, except for lipitor (debateable whether or not it could be substituted for another statin because of all the studies..) which will be generic soon. Acid-reflux drug sales bottomed out as omeprazole (Prilosec) went generic and over the counter - the PPI class used to be the big money maker here because there were no generic alternatives. The new generation of antipsychotics are ALL still on patent except for Risperidone.

      Also of note: "antipsychotics" are used to treat more than psychosis. They have been shown to be very helpful in several other psychiatric illnesses.. although I must say there are a *LOT* of cheaper/better alternatives for insomnia. These are not "off label" uses, by the way - many antipsychotics have been researched and gained FDA approval for more than one disease/condition. The class name is being substituted for the indication here to cause a stir.. "if you are on an 'antipsychotic,' then you must be psychotic!" A better name would be "selective d-2 receptor blockers with varying serotonin and anticholinergic receptor activity" but its a bit lengthy ;)

      The real headline here should be "PPI and Statin drug sales wiped out by generic replacements, antipsychotics still under patent. Also, some people havent heard about ambien yet."

  5. det67vasdfe4 by alostpacket · · Score: 3, Funny

    SDFCDXVPIs dsfousDF W3EIUSVCKNP09U Sdf8uiSDKn09 9ac9 9vskn23kjsfd90iasdf sd0-asvn98vns er923ns-sdfnsc90vusd[vfsdv -DJERPDFGN;fv9vbmn0fngb30dvnopsadng4w- df-09idfma-43k5df-0g dsf0g43590d df09gt3 fg0 4

    (I'm Amrecian)

    --
    PocketPermissions Android Permission Guide
  6. Re:Sure by FudRucker · · Score: 3, Insightful

    yeah, because the US FedGov wants everyone too doped up to care about how badly they are getting fucked by the system...

    infowars.com

    --
    Politics is Treachery, Religion is Brainwashing
  7. Everyone wins by alphatel · · Score: 3, Interesting

    Last year my wife was suffering from some anxiety during her pregnancy. An internal medicine doctor prescribed an anti-psychosis drug to treat bipolar disorder. The list of side effects included just about everything you wouldn't want to happen to a pregnant women. What would a drug like this do to an unborn child, let alone an adult!

    --
    When the foot seeks the place of the head, the line is crossed. Know your place. Keep your place. Be a shoe.
    1. Re:Everyone wins by Opportunist · · Score: 3, Funny

      I did. He got rid of my cold but now I'm hooked on MSG.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
  8. Re:bring on the trolls by 1u3hr · · Score: 3, Insightful

    Can't we block foreign IPs from this website? Or at least foreign IPs posting as AC?

    Can we block redneck bigots from this site? Or at least start Americans with karma -1 by default?

  9. The Century of the Self by Anonymous Coward · · Score: 4, Interesting

    Check out the BBC show "The Century of the Self"

    http://www.bbc.co.uk/bbcfour/documentaries/features/century_of_the_self.shtml

    When you see that, it becomes pretty clear that the US population were unsuspecting guinea pigs in what's certainly the biggest experiment in mass psychology ever done. And that experiment FAILED.

  10. Evidence & Problems by Oxford_Comma_Lover · · Score: 4, Interesting

    The point is that it's evidence of overprescription, not of excessive psychotic behavior.

    There is also a problem in the observations in the summary--notably, the mere fact that we are expanding our clinical definitions of psychological diagnoses is NOT a bad thing--the problem is when people treat them wrong. The good thing about expanding and re-working the definitions is that it lets you describe and identify conditions better in each generation than you did in the generation before, and maybe learn something more about how they should be best treated.

    The problem is that almost nobody does real psychotherapy anymore (except for the filthy rich), so in most cases all people do is prescribe medication as if that would treat the problem. There are cases where it will, and there are more cases where it will treat the symptoms, but it often is very much the wrong approach. You can't sit down with someone and cure a psychological issue with a talking-to or folk medicine--they can be complex and very time-consuming and difficult for people to learn to live with or move past or adapt to the world in spite of--but conversations, activities, and the development of a support network in almost every case I have seen has made a bigger impact by far than the use of drugs.

    --
    -- IANAL, this isn't legal advice, and definitely isn't legal advice for you. Also, Squee!
  11. Re:bring on the trolls by ctid · · Score: 4, Funny

    That sounds a bit paranoid to me. Perhaps you should talk to your doctor. You could probably get drugs to help you with that.

    --
    Reality is defined by the maddest person in the room
  12. Lack of exercise by antifoidulus · · Score: 4, Insightful

    Well, as is obvious from our ever expanding waistlines, Americans are getting less and less exercise?and probably sunlight too). I wonder if this is, at least in part, contributing to our increased depression. Several studies have shown pretty clearly that exercise is a great, if not the best, treatment for mild to moderate depression. So instead if sucking down big pharma and big agra's endless supply of shit, maybe we should try getting off our ass and going out for a run or bike ride.

    1. Re:Lack of exercise by Brewmeister_Z · · Score: 5, Interesting

      I started dealing with depression about 10 years ago. I have tried many drugs with little benefit but plenty of the worse results such as weight gain, sexual side effects, and mania. I have been hospitalized multiple times on both sides of the spectrum but nothing was ever stated as a physical cause other than stress.

      Only in the past year was a test done to check for imbalances that may lead to depression. It turns out my vitamin D levels were very low. Many people cannot create or absorb vitamin D very well (especially a problem in winter). To treat it, I was told to take 5000 IU of D-3. Guess what, it worked! And within a few days and not 30 days like some drugs that must build up in your body. Now I take a lower dose (2000 IU) as supplement. If I feel a bit off mood-wise, I can take a dose and it makes a difference within 30 minutes. Also, it significantly cheaper. I can get a 100 doses of D-3 5000 IU for $5 or 200 doses of 2000 IU for $6. I would pay at least $25 for a 30 day supply of anything else as a prescription and that is only if my deductible was met.

      Big pharma always downplays nutrition supplements (even studies that support it) as natural cures because they cannot patent it and charge $5 and up per dose. That being said, some of these drugs do genuinely help people with certain conditions. The problem is the lack of diagnosis to determine the cause of the problem and just trying to chase symptoms with drugs that create more problems than they may fix and may take a month before any benefit is seen. With depression, that is a long time to basically go without help and subjected to immediate side effects only to make a person feel even worse about life.

      Exercise and diet is not downplayed because they know that people do not have the drive, resources and/or time for it be a factor in not needing to take their drug for whatever condition.

      --
      I Cater to the Needs of Stupid People. - from a coffee mug Christmas gift
  13. Forced by ChaoticCoyote · · Score: 5, Interesting

    Over a decade ago, a school psychologist noticed "odd" behavior in one of my daughters. Under the guise of "vigilence", they looked for people to put on drugs. My girls, in grades 1 and 3, were interrogated -- without my permissions or knowledge -- by a school psychologist, who diagnose them with various psychotic disorders. Why? Because the girls told wild tales -- one claimed to know how to fly, and the other told dark tales ala Poe and Lovecraft.

    This bitch of a psychiatrist demanded that we drug our children, and began the process of forcing us to give the girls "medicine" (i.e., anti-psychotic and ADHD drugs), even when other psychiatrists said that my daughters were fine. When asked why she was so insistent on treating my daughters for something that didn't exist, the offending psychiatrist said:

    "I've been taking these drugs most of my life. I know they're good for your kids."

    Needless to say, I no longer live in Colorado, where this travesty was legal. My girls are intelligent, creative, productive young adults (with lots of quirks, like any smart person). Now that they're adults, they can chose what the do and do not put in their bodies.

    American society is driven by a need by people's to feel like a victim, by fear, and by selfish greed. It is a recipe for disaster.

    1. Re:Forced by hitmark · · Score: 3, Interesting

      "we have been doing it like this for generations, it must be right", the foundation for religion. Tho these days also the basis for a lot of basic political thinking (see Hobbes, Locke and Rousseau being deemed basically infallible).

      --
      comment first, facts later. http://chem.tufts.edu/AnswersInScience/RelativityofWrong.htm
  14. I Am Not Surprised by improfane · · Score: 5, Interesting

    I imagine it's pretty easy to become depressed in our society.

    • Consumerism people judge themselves by products (Apple, car brands, discount retailers), they depend on corporate products to do what they could otherwise do, they are powerless to the system, they buy cake mixtures or microwave teleivsion dinners.
    • Devoid of meaning I'd hazard that most people feel that their life is meaningless which brings me to my next point.
    • Life = job People (by necessity) live life a job, not a life. office workers and labourers.
    • Unchecked capitalism Capitalism doesn't feel soft and fuzzy. You feel powerless. Advertising is harmful.

    People who live a job rather than a life do things that advertising and media tell them to do or what other people in their situation do to escape. They turn to alcohol, nightclubs, meaningless sex*, gambling, smoking or anything that is meaningless or self destructive.
    * Not that meaningless sex means anything to Slashdotters but I hope my point is made intellectually.

    I imagine that these factors, plus the fact that everyone seems to be a big asshole these days contribute to people turning to drugs. Ultmately, people feel disconnected from other people, they are ostracized and bullied. Drugs don't solve problems. You do.

      I feel powerless because of the following:

    • My Privacy invaded day by day
    • My Government and the US government is massively corrupt, doesn't tax companies
    • The unjust succeed while the moral wither
    • Everyone thinks they are right so nothing gets done

    As Adam Smith said, agriculture is the root of all progress. Our society is unsustainable and growth seems to be on top of artificial markets. For example, digital markets like the domain market. Or on advertising.

    --
    Slashdot needs Geekcode | Can anyone recommend any good SCIFI? My tastes: Foundation, Startide Rising, CITY, Ringworld,
    1. Re:I Am Not Surprised by Servaas · · Score: 4, Funny

      Wasn't this a scene in the extended ultra mega remix ultimate edition Blue-ray disc of Fight Club?

    2. Re:I Am Not Surprised by improfane · · Score: 3, Interesting

      If I took the pill, I wouldn't be taking responsibility for what I feel.

      What is the biological reasoning behind people who are depressed anyway? How can it be evolutionary? Surely it doesn't serve any good purpose besides feeding predators?

      Perhaps it's a side effect of sapience? (of which sapience is a side effect of something else) Perhaps are consciousness and sapience is so unbelievably complex that it simply has 'failures' from times to time, overstimulation or sensitivity. In that case, that makes the pill more like a mechanical fix rather than a cop out.

      --
      Slashdot needs Geekcode | Can anyone recommend any good SCIFI? My tastes: Foundation, Startide Rising, CITY, Ringworld,
    3. Re:I Am Not Surprised by clifyt · · Score: 4, Insightful

      " I feel powerless because of the following:

              My Privacy invaded day by day
              My Government and the US government is massively corrupt, doesn't tax companies
              The unjust succeed while the moral wither
              Everyone thinks they are right so nothing gets done"

      This is all external, and nothing is an internal. Your privacy? Who cares...the problem is that you think someone does care. Stop worrying about how others judge you, and it doesn't matter about your privacy. The gov't is corrupt? The gov't has always been corrupt. The world has always had more corruption than it has righteousness. It is far easier to be corrupt than it is to be righteous. What does this matter towards your powerlessness? You have the choice to be corrupt or righteous. This seems as though it proves you have power. Same with the very next argument...the unjust succeed. How are you defining success? Money? Power over others? These shouldn't determine your success. You are allowing it to determine your success and you have defined success in a way that allows the unjust to get the upper hand in your world.

      As for everyone thinking they are right...maybe you need to stop trying to be right as well. I'm probably wrong about all of this...I'm right in my world, but my success in life doesn't depend on you agreeing...if you do, that's cool...but I'm not going to base my concept of success on this. If someone else wants to be right, let them...if you want to be right, don't make your success based on others believing it. Believe that you can be right and someone else can hold an opposing view and still be right too. In most complex situations, there can be multiple paths to the right solution...

      Again, who knows if I'm right...I do know I'm happy more often than most people I know...

    4. Re:I Am Not Surprised by Anonymous Coward · · Score: 3, Insightful

      Fuck me, I hate reading this shit. Going to post anonymously for this one.

      Depression on the whole, is not induced by something like "Unchecked capitalism". While there is a subset of them which may have depression due to social circumstances, last I read, this was a very small subset, and it was argued that this might not be actual depression, or might be much lower on the scale.

      Depression is mainly a physical problem you have. It can be induced by drugs, but for many, it's just your unlucky biochemistry. For these people, everything could be awesome. Just won the lottery, got a promotion at work, etc, everything could be better than they could have ever imagined it, but they feel like shit, they have a warped perspective, maybe suicide ideation, and so forth.

      It has nothing to do with some "objective" measure of the quality of their life.

      Please don't talk about shit you know nothing about.

      Also, just so you know, many psychological studies have shown that everything you said about advertising and consumerism, is actually the opposite. Though, there are studies which do come to your conclusion also.

    5. Re:I Am Not Surprised by mjwx · · Score: 3, Insightful

      * Not that meaningless sex means anything to Slashdotters

      If it meant something, it wouldn't be meaningless wouldn't it?

      Believe it or not, I'm someone who engages in a lot of "meaningless" sex. The problem is not that the entire process doesn't have anything more "deep" then sexual gratification but rather that some people try to attach something else then simple gratification to it.

      Just as the parent pointed out in his post, people use it as an escape and this is actually a good thing(TM) but the distinction the GP did not make is the difference between "an escape" and "living in a fantasy world". Having a vice does not automatically make one an addict, for example, a person who drinks is not automatically an alcoholic because they can be capable of stopping and exercise it at will, the ability to keep under the legal limit or to say "no thanks, I've had enough".

      By the same token, there are people who can have "meaningless" sex without trying to attach anything to it. The same with all the other vices the GP listed, one can enjoy gambling, smoking, drinking or clubbing in moderation without actually becoming a victim to that action.

      --
      Calling someone a "hater" only means you can not rationally rebut their argument.
  15. Why is it nobody is happier? by improfane · · Score: 3, Interesting

    Ask yourself.

    Why aren't you happy? You (probably) have: electricity, abundance of food and water, computers, video games, (some) free time, a job, a loving girlfriend/wife? Money?

    You're not happy because you cannot be you in this society.

    It's that trite cliche that materials do not bring happiness but they are necessity for happiness. You cannot be happy about something before you have shelter, food and water. (Maslow's Hierarchy of Needs)

    Our society lacks somethin that people need. Drugs really don't give that to you.

    Arguing about happiness on Slashdot. Very odd.

    --
    Slashdot needs Geekcode | Can anyone recommend any good SCIFI? My tastes: Foundation, Startide Rising, CITY, Ringworld,
    1. Re:Why is it nobody is happier? by derGoldstein · · Score: 3, Interesting

      I know that it's cliche, but someone has to bring up nietzsche at this point. He kept pointing out that people in "the modern era" were really just carts on a rail, regardless of their social-economic status. Whoever you are, there are things that "are expected of you", which, if you chose to avoid, either make you "weird", or even downright rejected.

      It doesn't matter that you have food and shelter. These things don't provide you with real freedom. You're still restrained by society and forced to choose between several pre-determined, "acceptable" paths. If you do anything else, there will be social penalties. His famous collapse at the reigned horse was him weeping for mankind -- we're all shackled and bound, because if we weren't, we'd be too destructive.

      We can't change our lives in order to become happy, so the next logical step is to change our brain chemistry. Maybe then we'll be slightly happier broken-in horses.

      --
      Entomologically speaking, the spider is not a bug, it's a feature.
    2. Re:Why is it nobody is happier? by improfane · · Score: 5, Interesting

      "The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man."

      I can be happy in my circumstances but not completely content given all the things that are happening in the world. Call it idealism.

      --
      Slashdot needs Geekcode | Can anyone recommend any good SCIFI? My tastes: Foundation, Startide Rising, CITY, Ringworld,
    3. Re:Why is it nobody is happier? by Surt · · Score: 4, Insightful

      Also this idea is a self-fulfilling prophecy. A child who is abused and manipulated is far more likely to abuse and manipulate others as an adult. If you stick a kid in a classroom and humiliate and punish him for any deviance from "the plan", they will try to punish and humiliate those they find who have deviated because they have integrated a fear of deviation into their personalty in order to survive the humiliation and punishment of their teachers..

      This is exactly why the wealthy send their kids to private school. Public school is for the sheep, private school the wolves.

      --
      "Who is the Journal of Quantum Physics going to believe?" --Stephen Hawking
  16. It's not my fault!!! by Vinegar+Joe · · Score: 4, Funny

    I'm a victim! It's the environment! My mom was cruel to me! Hormones make me eat too much! Video games make me violent!

    All I need is some understanding. And another pill.

    Or I'll kill you.

    --
    "The average reporter we talk to is 27 years old......They literally know nothing." - Ben Rhodes
  17. The headline is definitely misleading by sl3xd · · Score: 4, Informative

    TFA's headline talks about anti-psychotic medications, yet the article itself is about the entire class of psychoactive drugs.

    Antipsychotics are a small sliver of the class of psycoactive drugs.

    Antidepressants are psychoactive, but they are not anti-psychotic. The same applies for anti-anxiety durgs, such as Xanax, mood stabilizers for bipolar disorder (such as lithium), and for drugs used for Attention Defecit, such as ritalyn.

    The problem is TFA lumps drugs used for depression and anxiety disorders in the same category as drugs used for treating schizophrenia.

    In other words, the headline is misleading. Psychoactive != antipsychotic. The headline is purposefully misleading the reader into thinking that because someone takes a psychoactive drug, they are psychotic, and since americans take a lot of psychoactive drugs, Americans are psychotic.

    This isn't a surprising headline for a news service whose primary audience isn't fond of Americans.

    I'd expect to see the same sort of headline in a Scientologist publication.

    --
    -- Sometimes you have to turn the lights off in order to see.
  18. I'm a shrink and I can tell you why this is... by Harvey+Manfrenjenson · · Score: 5, Informative

    The expansion of antipsychotic use has nothing to do with the number of people being diagnosed with psychotic disorders. AFAIK, that number hasn't increased much.

    The real reason is that over the past 10 or 15 years, antipsychotic meds (i.e. dopamine antagonists) have been used with increasing frequency in patients who do NOT have psychotic symptoms. ("Psychotic symptoms" basically means either hallucinations or delusional thinking). Many of these meds are marketed as "mood stabilizers" for bipolar disorder-- and the criteria for bipolar disorder are so broad and so subjective that just about anyone can be diagnosed with it. Indeed, one of the popular "screening tools" for bipolar disorder is something called the Mood Disorders Questionnaire, which is a bit like those Scientology quizzes that tells you whether Scientology is right for you. (It always is). The MDQ was designed by doctors who work for drug companies-- I've met one of them.

    There are three other groups who tend to get lots of antipsychotics-- the elderly (especially in nursing homes), the mentally retarded, and people with plain old depression. The last one is actually the easiest to justify, since there are some studies which suggest that certain antipsychotics can work as adjunctive treatment for depression-- they have managed to get FDA approval for that indication. The first two-- elderly and MR-- are impossible to defend. They don't benefit the patient, they cause cognitive slowing and deterioration of functioning, and they increase overall mortality. Lilly in particular has been guilty of marketing their antipsychotic (Zyprexa) to nursing homes and claiming that it improves "behavioral disturbances of dementia". It doesn't, and they eventually had to pay out billions of dollars in fines.

    Any psychiatrist with half a brain knows what's going on here. In the mid 90s all the new antidepressants (Prozac, etc) started to go off-patent and the drug companies lost a major cash cow. Ever since then, the drug companies have sought new indications for dopamine blockers, since they are mostly still on-patent, and most of them are fiendishly expensive.

  19. Funny by Das+Auge · · Score: 3, Funny

    It's funny when you think about it. Some Americans take drugs to feel better about themselves, but non-Americans talk shit about Americans to make them feel better about themselves. Well, I guess the later is cheaper...