Posted by Ritch on June 18, 2002, at 13:36:08
In reply to Great article on SSRIs and emotional blunting, posted by tabitha on June 18, 2002, at 3:59:06
> This article is long but really interesting. Much of it rings true for me.
> I found the link on the Depression Central site.
Fantastic article. He really spelled out a big controversy. I think he may be right that we are casually overmedicating some folks that really are not going to benefit from it that much. However..I still feel the basis for mental illness is *primarily* biological. I just think all of the blather about serotonin and synapses, etc. is simply people providing some form of explanation. Humans LOVE explanations. What are drug makers and researchers supposed to say?-- "Uh, here is some medicine that we have developed and we gave it to a bunch of people and there was a statistically significant improvement, but we aren't sure how it works-we are not even going to *try* to guess, so just take it because it works". Well, most people are going to be curious and want to try to understand how it works, and we *need* to have "categories" for the problems the medicines address. Well, maybe there *are* too many disorders? However, what I hear the guy saying in the article is we should all go to shrinks more frequently and do *therapy* with the shrink, limit using pharmaceuticals as much as possible, allow only shrinks to prescribe psych meds, and make the insurance companies pay for it. Sounds great if we all could afford that. What about making it easier (fewer unnecessary barriers) and cheaper to become a pdoc (by restructuring academia to provide necessary psychology and pharmacology training), pay pdocs less, and do exactly as he says? Then we would have more pdocs around doing more therapy for more people and we wouldn't be overmedicating. Somehow I doubt if that was what he was thinking about...