There was a nice article in the Lancet last month. The article posed the question: “When should grief be classified as a mental illness?” The author criticized the APA’s draft version of DSM-5 for blurring the distinction and for making it more likely that people in bereavement will be “diagnosed” as depressed and, of course,… Continue Reading
Major Tranquilizers and Seniors
In 1997 I worked part-time for a nursing home. This facility had an open-door policy and had a reputation in the state for being able to accommodate even the most difficult and unmanageable clients. Some of this reputation was attributable to their generous administration of major tranquilizers, but in addition there was a high level… Continue Reading
SSRI’s and Suicide Risk for Adolescents
This issue has been debated for years, but was finally considered to have been put to rest by NIMH’s 2004 Treatment for Adolescents with Depression Study (TADS). This study essentially “found” that fluoxetine (Prozac) was effective in treating depression and did not involve an increased risk of suicide. Robert Whitaker’s most recent post points out… Continue Reading
More about Antidepressants and Placebos
The debate is over. Antidepressants are only very marginally more effective than placebos. And yet the “depression-is-an-illness” lobby continues to grasp for straws. Fiona Godlee, editor of the British Medical Journal, recently cited “evidence” of the efficacy of antidepressants. For a critique of the Godlee article go to Duncan Double’s website “Critical Psychiatry.” Surprise finding!… Continue Reading
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