The Medicated Masses
Friday, May 30th, 2003It seems like for the past 10 or 15 years, various forms of mental illness have been sweeping the masses. I’m not necessarily talking about Baker-Act type insanity, I’m talking about your run of the mill mental illnesses that psychiatrists diagnose and prescribe stuff for. Some classic examples are clinical depression, ADD, and anxiety disorders. What I’m trying to figure out is this: Have people always had these mental illnesses in such large numbers and they just went undiagnosed for millennia, or are the psychiatrists of the world overdoing it?
Okay, before people get offended without me intending to offend them, please note that at no point in this entry do I mean to claim that I do not believe that these mental illnesses are real. I dated a girl who was clinically depressed, and believe you me – you did NOT want to be anywhere near her on a day that she missed her medication. What I intend to do here is to investigate the question of whether or not the magnitude of people today who are currently being medicated actually needs to be so great.
Let’s start off investigating the first possibility that I suggested at the end of the first paragraph: Maybe the same exact percentage of people who are diagnosed with some form of mental illness today have had mental illness since the dawn of man. This is definitely possible, and there are instances where historians believe that certain famous historical figures did, indeed, suffer from some form of mental illness that would be diagnosable and could take medication for today. Of course, this is what one would expect who believes that these mental illnesses are, indeed real. The question we are asking, however, is quite different.
Are these mental illnesses over diagnosed, and how might history help us to decide? I think that, looking at history, these mental illnesses are almost certainly over diagnosed. I mean, imagine if in, say, the early to mid 1900s, ADD was exactly as significant a problem as it is with children today. Back then there were two kinds of kids: Those who were fairly well off and went to school, and those who were immigrants and worked in sweat shops. In either of these cases, ADD would be a huge problem; however, we do not hear many stories about kids in sweatshops with ADD who were fired, for example.
Another place to look at for evidence is that our over diagnosis of mental illnesses might be a cultural phenomenon. Is there as much diagnosis of these same medications in Australia, for instance, as there is in the US? I’m not going to look up this information, because quite frankly, I wouldn’t know where to find it. If you do, then please educate the rest of us. Until then, however, I’m going to assume that this medication is almost certainly diagnosed less in other cultures, especially non-western cultures. Do these people just fundamentally suffer less mental illness due to their biological makeup? I doubt it.
Again, I admit that much of this would be a lot clearer with more empirical evidence, as I am kind of asking an empirical question here. But in terms of mere plausibility, I think that my assumptions are probably correct. I mean, most countries can’t even begin to afford anywhere near the magnitude of medication that the US consumes for mental illnesses. Yet, does that mean that they have thousands of clinically depressed people jumping off buildings? Maybe hundreds, but certainly not thousands, or we would be hearing more about it in the news, don’t you think? As stated earlier, the claim is not that these mental illnesses do not exist, just that these mental illnesses are exaggerated in our current society.
Okay, that’s my stance, and I’m sticking to it. You probably saw it coming from the first paragraph. But now comes the fun part: What should be done about it? If these mental illnesses are being over diagnosed, then how do we prevent this exaggeration? Well, I think one obvious solution is for psychiatrists not to be such slackers. I mean, recommending medication is the easy way out. When they get a patient in who says that he is kind of depressed, many of these psychiatrists immediately write out a prescriptions for Prozac and send him on his way. Instead, the psychiatrist can just ask him a few questions and realize that he was just divorced, for instance. I have a hunch, however, that there is a general preference to write prescriptions, which makes the psychiatrists jobs easier, and more lucrative, as you shouldn’t be surprised if these large drug companies give doctors a kickback who are loyal prescribers of their medication.
Other than the doctors needing to stop slacking off, I think people need a different attitude about things too, as it’s their fault as well. What am I talking about? Well, people need to stop thinking that a pill can solve all of their problems. Yes, in some instances, people actually do need this medication, but in many (or dare I say most) others, it’s just the easy way out. If you have a kid who is just being a kid in school, and doesn’t always pay attention, that doesn’t necessarily mean you need to get him on Ritalin ASAP. Medication should become a “last resort†not a “first line of defenseâ€.
I know I’m cynical, and some of that is coming out in this I’m sure. But it just seems like on all sides of the discussion, the problem is that people are too damn lazy. Doctors are too lazy, so they just write out prescriptions on a whim; people are too lazy, so they just take a pill instead of trying to work out problems in their life. The really bad part about the current state of mental illness medication in our society is that it actually has begun to minimize the mental illnesses of those who actually are suffering from them. I mean, when most people hear that a kid is on some anti-ADD drug, they usually chuckle, but some kids really do need the drug. But I guess as a society, we make our own destiny, and as the days progress, I just think we get closer and closer to Aldous Huxley’s vision; we are becoming a Soma nation.