Disability and Mood Disorders in the Age of Prozac

When I was researching Anatomy of an Epidemic and sought to track the number of people receiving a disability payment between 1987 and 2007 due to “mental illness,” I was frustrated by the lack of diagnostic clarity in the data. The Social Security Administration would list, in its annual reports on the Supplemental Security Income and Social Security Disability Insurance (SSDI) programs, the number of people receiving payment for “mental disorders,” which in turn was broken down into just two subcategories: “retardation,” and “other mental disorders.” Unfortunately, the “other mental disorders,” which was the category for those with psychiatric disorders, was not broken down into its diagnostic parts.
Full Article

Categorized In:

Is This Depression? Or Melancholy? Or…

We live in a culture bombarded by media and sped up by rapid-fire social interactions. It’s definitely useful to grab hold of a simple, short, sound-bite term, to quickly describe what we are feeling or suffering. “Depression” is such a word – it evokes and encapsulates, conjures the images of that ugly pit of despair that can drive so many to madness and suicide. Yet at the same time the words we use, strangely, become like those pens deposited in medical offices and waiting rooms around the world: ready at hand, easily found, familiar — and tied to associations, marketing and meanings we were only dimly aware were shaping how we think.
Full Article

Categorized In:

“Why is Depression Incidence Increasing?”

In Psychology Salon, Randy Paterson compares life in the present to life in the past, to try to see if there are any clues there as to why the incidence of depression seems to have been increasing so dramatically. More →

Categorized In:

Antidepressants Seem to Increase Heart Disease in the Elderly

Depressed elderly people are more likely to suffer heart disease not because of their depression, but apparently due to antidepressant medications, according to a study published in Psychological Medicine. More →

Categorized In:

Antidepressant-Induced Mania

It is generally recognized in antipsychiatry circles that antidepressant drugs induce manic or hypomanic episodes in some of the individuals who take them. Psychiatry’s usual response to this is to assert that the individual must have had an underlying latent bipolar disorder that has “emerged” in response to the improvement in mood. The problem with such a notion is that it is fundamentally unverifiable.
Full Article

Categorized In:

Probiotics and Prebiotics May Ease Anxiety and Depression

The ingestion of prebiotics that feed good bacteria in the human gut shows promise as a way to help alleviate anxiety and depression, according to a University of Oxford study in Psychopharmacology. The study adds to previous research showing that probiotics, which add good bacteria to the gut, can also have beneficial psychological effects, the researchers said. More →

Categorized In:

“The Medicalization of Mood: Worse Than Nothing, or Just Ineffective?”

In his blog Psychology Salon, psychologist Randy Paterson explores what the balance of evidence is showing us after 60 years of increasing medical treatments for depression. Are drug treatments ineffective, or worse than ineffective? More →

Categorized In:

Ketamine: Promising Path, False Prophecy, or Producer of Psychosis?

In the journal Neuropsychopharmacology, Yale University School of Medicine's Gerard Sanacora and Stanford University School of Medicine's Alan Schatzberg examine the scientific literature on ketamine, and discuss some of the promises and dangers surrounding the recent resurgence of interest in the drug as a potential treatment for depression. More →

Categorized In:

Depression: It’s Not Your Serotonin

What if I told you that, in 6 decades of research, the serotonin (or norepinephrine, or dopamine) theory of depression and anxiety – the claim that “Depression is a serious medical condition that may be due to a chemical imbalance, and Zoloft works to correct this imbalance” – has not achieved scientific credibility? You’d want some supporting arguments for this shocking claim. So, here you go:
Full Article

Categorized In:

Depression: “Can Mood Science Save Us?”

The November/December issue of the Psychotherapy Networker is called "Depression Unmasked: Exposing a Hidden Epidemic." It includes articles such as, "Can Mood Science Save Us?", "The CBT Path Out of Depression: Two Perspectives on How It Works" and "The Power of How: Helping Depressed Clients Make Better Choices." More →

Categorized In:

Enough is Enough Series: An Hallucinogen for Depression? Psychiatry is Testing Ketamine (‘Special K’) for Depression

The article “Special K, a Hallucinogen, Raises Hopes and Concerns as a Treatment for Depression,” by Andrew Pollack in the New York Times, December 9, 2014, tells how far afield my field, psychiatry, has really gone – that it is even a consideration to use an hallucinogen for the treatment of depression.
Full Article

Categorized In:

Strong Placebo Response to Antidepressants Forms Even Before Drug Trials Start

A strong placebo response is apparently more often caused by people's expectations coming into a randomized, blinded clinical trial, than it is caused by the supportive care that surrounds all the trial participants, according to a study in the British Journal of Psychiatry. More →

Categorized In:

Depression Caused by an Infection?

In the New York Times, Anna North discusses research looking into infectious causes of depression, and theories that depression may be an important evolutionary adaptive trait. In Biology of Mood & Anxiety Disorders, psychologist and neuroscientist Turhan Canli elaborates on these arguments that infectious diseases may cause inflammation and lead to depression, and examines a variety of possible causes such as parasitic, bacterial, or viral infections. Canli also presents "examples that illustrate possible pathways by which these microorganisms could contribute to the etiology of major depression." More →

Categorized In:

The Vicious Cycle of Depression and Lack of Exercise

Does depression make us lethargic, or does lack of exercise make us depressed? The Mental Elf tries to answer this question, and reviews a recent study of the relationship between exercise and depression and whether or not exercise can be an effective "therapy." More →

Categorized In:

“Can psychedelic trips cure PTSD and other maladies?”

The Washington Post explores some of the history of research into the therapeutic potentials of even just one session with a psychedelic drug, and discusses some of the newer understandings about the drugs' effects on the brain emerging from contemporary neuroscientific research as trials begin to occur again. In addition, the new book "Acid Test: LSD, Ecstasy, and the Power to Heal" is reviewed on Reason.com and in The Lancet Psychiatry. More →

Categorized In:

“4 Surprising Advantages of Being Depressed”

PsyBlog reviews a recent study that found people who feel depressed are more effective and efficient than others at certain types of activities. More →

Categorized In:

Special Issue of Nature Takes on Depression

The November 13th issue of the journal Nature is titled "The Great Depression," and includes various feature stories and commentaries about research into depression, including arguments for more genetics studies, and evaluations of the global impacts of depression. More →

Categorized In:

Farming with Pesticides Linked to Increased Suicidal Depression

Exposure to pesticides is linked to significant increases in suicidal depression in farmers, according to a study by US National Institute of Health researchers discussed in Munchies. "These dangerous chemicals, researchers found, alter farmers’ brain chemistry, increasing their risk of depression by up to 90 percent." More →

Categorized In:

Suicide Warnings on Antidepressants Debated in NEJM

In the New England Journal of Medicine, Richard Friedman and Marc Stone present very different arguments about the reliability of the body of research into antidepressants, suicidality, and FDA black box warnings, and what that body of research is truly telling us. More →

Categorized In:

40,000 Suicides Annually and America Still Shrugs

In my last two posts, Back in the Dark House Again: The Recurrent Nature of Clinical Depression and Am I Having a Breakdown or Breakthrough? Further Reflections on a Depressive Relapse, I have shared my recent relapse into depression. Although it has been tough, when I wake up each morning I am grateful for one thing — I am not suicidal. Others are not as fortunate.


Full Article

Categorized In:

Mindfulness Effective for Depression In Community Mental Health Settings

Mindfulness meditation was an effective treatment for mild to moderate depression outside hospitals in a community public mental health setting, according to research in PLOS One, which Dutch researchers described as the first of its kind. More →

Categorized In:

Even Depressed People Expect a Better Future

Most people believe their lives will improve in the future -- and so do most people who are depressed, according to research published in Clinical Psychological Science. This counterintuitive finding that depressed people expect their future to be better has important implications for attempts at therapeutic intervention in depression, wrote the two psychologists from Canada's Brock and Acadia universities who authored the study. More →

Categorized In:

Am I Having a Breakdown or Breakthrough? Further Reflections on a Depressive Relapse

In my previous blog, “Back in the Dark House Again: The Recurrent Nature of Clinical Depression,” I reported on my recent relapse into depression that began this summer. As I have comtemplated the seriousness of my episode, the question has arisen, “Am I having a nervous breakdown?” Although I couldn’t see it, there was a reason for hope — for a breakdown can be a precursor to a breakthrough.
Full Article

Categorized In:

Letter to a Patient

Through my years in the medical system, I have learned that depression (or whatever tentative variants and labels have been offered therein) won’t disappear with pills. Nor it is something I can just will away by inflicting pain upon myself and saying ‘never again’ with every bout. Although I loathe the inevitable ups and downs of recovery, I am starting to recognize that they are simply a fact – and that progress IS being made. Living beyond medication, I have learned that even the worst days will end, I can still hope for the sun where there seems only cloud, and that every given moment is a chance to move on and keep going.
Full Article

Categorized In:

Corporations Want to Cure Depression in the Workplace

The Ottawa Citizen has published two feature stories exploring a growing collaboration between scientists involved in the US National Institute of Mental Health-funded brain initiatives, European and North American multinational corporations, and mental health organizations in Canada. Their goal is to develop more "ambitious" workplace mental health strategies and "cure" depression. More →

Categorized In: