Monday, June 27, 2011

America, We have a Problem

…And by the looks of it, it is out of control. Sadly, this graphic is not a surprise to me. I see the repercussions of this situation all too often. It is a huge frustration, and a constant source of extra work I have to do in my office before I am able to truly help someone.



Let me tell you a little bit about what this chart represents, and why it’s a problem.  Take a closer look here, as you might not catch all the details.

As you can see at the top, in the year this data represents, 2009; “doctors wrote more psychiatric prescriptions than there are people in this country.” Apparently, we all need a pill to set our minds right.

On the lower left, you will notice that $4.5 billion was spent on pharmaceutical advertising in 2009. $4.5 BILLION!!! Why do you think that is? It is estimated that the alcohol industry ‘only’ spends an estimated $750 million each year. If these drugs are meant to be selected and offered only in very specific situations, why should they be marketed so heavily? SO YOU WILL BUY THEM.

If you look to the right of the chart, you see the list of what these substances are meant to treat – EACH ONE of those diagnoses have been found through empirical scientific research to respond best with a COMBINATION of medication and some form of talk therapy (except fibromyalgia, which has pain management therapy), but how many of the people receiving these prescriptions receive a referral for the help they require to get better?

In fact, anxiety, depression, “panic”, obsessive-compulsive disorder, and PTSD can reach a point of improvement through psychotherapy, within a relatively short amount of time; less than 1 year in most cases, that medication CAN BE DISCONTINUED. Yet, all too often patients are kept on medication far past a year, long after the positive effects have lost their strength.

The facts that really drive me up the wall, the ideas that really just push my buttons and just tick me off: the three substances used for “A” and “P” – anxiety and panic. If you are being treated for these diagnoses, or know somebody who is, please take a moment to read my rant on it.

Anxiety and panic disorder medications – Xanax, Ativan, and Valium are CONTRA-INDICATED for the treatment of anxiety and panic disorders. That means they have been proven NOT to work time and time again. So much so, that not only can you find it in medical, psychiatric, and psychological journals, but in undergraduate level textbooks – the one form of documentation slowest to change! All the research and teaching states that these medications DO NOT WORK to treat anxiety and panic, so why are they two out of the top three mediations prescribed nationally?!

Panic and anxiety are best treated using a variety of thought changing techniques to alter patterns of behavior and the client’s anxious/panic reactions. Have you ever tried one of these substances? For most people, it is difficult to HAVE a thought while under the influence of these, much less work on changing thoughts. These substances act by numbing the entire central nervous system, brain to spinal cord, often freeing the patient from anxiety by making them unconscious, or so sleepy they can’t think straight. This is not a “treatment”, it is knocking the person out so that they don’t worry.

Just like any substance we use over extended periods of time, our body builds up a tolerance to these substances. The effectiveness at the begin doseage wears off, so that the patient needs more to have the same effect. Over years, this becomes extremely dangerous, and has the potential to turn in to addiction.

There are so many “other” and “better” opportunities to help these situations, we don’t have to be a nation of drug users.

If you are receiving medication for any of the concerns listed on this chart, make sure you are talking to your doctor about when to get off the medication – none of these should be a life-sentence. Better yet, if you or anyone you know is taking these meds, talk about the idea of getting help outside of the pill.

2 comments:

Unknown said...

Yeah, I'd say we have a real problem. A society of ill-informed members and an astronomically egregious pharmaceuticals industry create the perfect storm.

I always inform clients that it's best to treat anxiety from a non-medical approach, unless the anxiety/panic are seriously impeding daily function.

The benzos wreak havoc on the deep sleep cycle, as well.

Thanks for providing this startling resource, Dan.

Ana said...

Great post Daniel and right on! I have more horror stories about medications that patients have been prescribed. They find me or other therapists often on their own, without a referral to a psychotherapist. This from psychiatrists as well, who are rarely offering any form of psychotherapy anymore. This is tragic!