Thursday, June 21, 2018

Despite the Evidence, Overprescription of Stimulants Continues

A new study finds that stimulant prescribing rates to children continue to rise despite the well-established evidence documenting overdiagnosis of ADHD and overprescription of stimulants.
risk versus reward

Randomized Controlled Trials of Psychiatric Drugs Tell of Harm Done

The most important data in an RCT is not whether the drug provides a statistically significant benefit over placebo. The most important data is the “number needed to treat” calculation (NNT). For the person considering taking an antidepressant or an antipsychotic, the NNT data provides the “math” needed to weigh the potential benefit of taking the drug against the potential harm of doing so.
man contemplates suicide

Rising Rates of Suicide: When Do We Acknowledge That Something Isn’t Working?!

Scapegoating a purported unseen "illness" may provide temporary comfort from acknowledging the horrors and injustice of the world, but it is a delusion — and one with fatal consequences for many. When 45,000 people a year would rather die than live in this world any longer, it might behoove us all to consider what is happening in the world to cause this.

Review of Pediatric Antidepressant Studies Finds Evidence of Benefit Lacking

Review of pediatric antidepressant studies finds the vast majority are negative on primary outcomes and an increased risk for suicidality.

New Clinical Guidelines on Deprescribing Benzodiazepines

New guidelines recommend deprescribing benzodiazepine receptor agonists for adults.

Unnecessary and Accidental Use of ADHD Drugs Increases

From CNN: According to a new study, exposure to unprescribed ADHD drugs has increased by more than 60% among U.S. children since 2000. "The study, published Monday...

Review Finds Lack of Evidence for Antidepressants in Treatment of Insomnia

Results from a Cochrane meta-analysis find that the common practice of prescribing antidepressants to treat insomnia is not supported by current evidence.

More Evidence That Physical Activity Prevents Depression

Higher levels of physical activity serve as a protective factor for the future development of depression.

Antidepressant Use Linked to Higher Risk of Premature Death

From CTV News: A new study found that the risk of premature death increased by 33 percent in people who use antidepressants. Article →
neurofeedback

Neurofeedback is Not For Everyone: The Dangers of Neurology

One thing I noticed, from the moment that I stepped out of my psychiatrist’s office, was how strangely blank and yet clear my mind was. I felt surprisingly calm and relaxed, and I decided to go back for another treatment the next week. What I couldn’t have known then was that after that next “treatment,” life would be completely destroyed for me.

QuarterWatch Reports: Perspectives on Emerging Drug Risks

A new issue of QuarterWatch critiques the recent Ciprani meta-analysis on antidepressants and reports on the adverse effects of the newest antidepressant, vortioxetine. Report →

Intimate Partner Violence Doubles Risk for Postnatal Depression in Malaysian Women

Women in Malaysia exposed to intimate partner violence are twice as likely to experience postnatal depression.

Mental Health Industry Should Embrace Choices Beyond Drugs

In this video for NowThis, Yana Jacobs critiques the mental health industry standard of prescribing drugs as the first-line treatment for "mental illness." She emphasizes...

Increasing Antidepressant Dose Does Not Improve Outcomes

A systematic review of literature and meta-analysis indicates that there is no clinically or statistically significant effect of antidepressant dose increase after nonresponse to initial treatment.

The Sound of Madness

From Harper's Magazine: People who hear positive, encouraging voices often seen as spiritual guides or messages and people diagnosed with schizophrenia are usually thought of as...

Rethinking Madness and Medication: Researcher Discusses Psychiatric Drug Withdrawal and Survivor Movements

New understandings of medication and withdrawal experiences warrant rethinking conceptualizations of health and “madness."
doctor

Benzo Withdrawal: Why Don’t Doctors Know?

Many have asked: “Why doesn’t my doctor/provider know what is happening to me?” Benzodiazepine tolerance and withdrawal are not new. So, why isn’t it simple to diagnose and treat? As both a health care provider and a withdrawal sufferer, I’d like to offer an inside and outside perspective on this question.

Xanax: Children As Young As 11 Taking Anxiety Drug

From BBC: The abuse of the anti-anxiety drug Xanax is becoming widespread among children and adolescents as young as 11 years old. "To gain an idea of the...

The Never-Ending Misuse of Antipsychotics in Nursing Homes

From Health Affairs: Although the problem of antipsychotic misuse in nursing homes has been raised to policymakers numerous times over the past six decades, the...

Antidepressant Use Linked to Higher Dementia Risk

From The Telegraph: A major new study has found a strong association between long-term exposure to antidepressants and risk of dementia. "Researchers warned there may be...
pregnancy

How Should We Treat Depression in Pregnancy?

What depressed pregnant women need is compassionate care and accurate information that recognizes the potentially severe consequences of depression while making it clear that chemicals going into a baby throughout its development will likely have consequences for that development.

Effort to Tackle Overuse of Antipsychotics in Older Adults Backfires

A partnership designed to decrease antipsychotic use in elderly patients may have led to increased use of medications with even worse risk/benefit profiles.
depression sleeping woman

The Breaking Point

How did I become someone who could barely function? I was a high-performing sales executive ranked in the top 2% of an international business communications company. But now, after using powerful psych meds for depression and anxiety for more than a decade, I couldn’t do basic things like go to the grocery store, plan a meal, make dinner, or get together with friends.

Antidepressants and Withdrawal: Readers Tell Their Stories

More than 8,000 people responded to the recent New York Times article on antidepressant withdrawal. Here, reporter Benedict Carey describes differences in the way various...

Antidepressants and the Problem of Withdrawal

In this episode of WBUR's On Point Radio, Benedict Carey, author of the recent New York Times report on antidepressant withdrawal, discusses the topic of discontinuing...

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