Category: mental illness issues

Drug Trials, Antidepressants and Placebo Effect – Is it Bad?

Posted by Natasha Tracy | Dec 12, 2011

When drug trials are conducted, the gold standard (and requirement for FDA approval) is a double-blind placebo-controlled study. In this kind of drug study participants are randomly assigned to receive either the medication or an inert (does nothing) pill known as a placebo. Neither the doctor not the patient knows whether they are getting the placebo or the real drug.

The study then compares what happens to those who received the real drug versus those who received the placebo and determines the efficacy of the real drug.

The Placebo Effect

This is critical because of something known as the “placebo effect.” The placebo effect is this odd scenario where people get better just because you give them a pill, even if the pill does nothing. Doctors and scientists don’t understand the placebo effect but not only will people get better on a placebo, but they will even experience side effects – something that isn’t possible given that the placebo is inert. But the brain is a powerful thing and something we don’t fully understand.

And one of the problems with antidepressants (and many medications) is that sometimes they aren’t better than the placebo. Additionally, sometimes when they are better than the placebo, it’s only by a small margin. Drug companies have to prove that their drug is statistically significantly better than a placebo in order to get FDA approval but even this statistically significant amount can be very small.

However, this isn’t a piece about how effective are when antidepressants are compared to placebos. This is a piece about how effective antidepressants are compared to no treatment.

Personal Story of Medication Noncompliance

Posted by Natasha Tracy | Dec 7, 2011

It is politically incorrect to say medication “noncompliance.” I suppose this is because it gives the idea that the person taking medication is “complying” to some authority figure and not consciously making the decision on their own.

I get that. But whether you call it medication noncompliance or medication non-adherence, the result is the same – the person is not taking their medications as prescribed by a doctor.

And medication noncompliance can lead to devastating consequences not only in the short-term but in the long-term as well. One reader shares her experience in her own words.

A Damaged Brain and a Mind Trying to Deal with It

Posted by Natasha Tracy | Nov 30, 2011

My Twitter bio says I have, “a damaged brain and a mind trying to deal with it.” This confuses a lot of people. It’s OK. I get it. Most people don’t differentiate between the mind and the brain. But I do. In fact, I consider it a critical distinction for people with a mental illness.

Your mind is who you are; your brain is just what you are.

Bipolar Disorder Attacks the Brain

People don’t like that I say I am bipolar. People argue this suggests that all I am is bipolar. Well, it doesn’t. What it suggests is a grammatically correct English sentence that expresses exactly what it needs to – I am a person who has bipolar disorder. Much as diabetics aren’t just diabetic alone, being bipolar doesn’t make you bipolar alone either.

But again, I understand their point. I am more than bipolar. Of course I am. I’ve spoken of it many times. But I make that distinction without difficulty or without the need for wordplay. I understand innately that bipolar disorder has attacked my brain and I yet I am still as me as I ever was.

Defending Psychiatry

Posted by Natasha Tracy | Nov 28, 2011

I often find myself in the unenviable position of defending psychiatry. This, in spite of the fact that I am not a psychiatrist nor do I even play one on TV.

Nevertheless, I feel compelled to speak on psychiatry’s behalf. Maybe it’s because when left to their own devices, psychiatrists aren’t very good at it. Or more likely it’s simply because an unreasonable number of people attack psychiatry unreasonably and I think someone ought to bring the concept of reason into the discussion.

Antipsychiatry

There is a faction of folks out there who are antipsychiatry and every time I mention them I get hate mail. But here I am again. Antipsychiatry. Antipsychiatry. Antipsychiatry.

Mental Illness Words You Can’t Say

Posted by Natasha Tracy | Nov 14, 2011

As a writer I take claim to any and all words. They are mine and I do with them as I please. This includes mental illness / mental health terms. However, some people would argue that as a mental health writer and advocate, it is my responsibility to promote certain language and verbiage.

I did not agree to that.

I agreed to be a writer. I agreed to be opinionated. I agreed to be passionate. I agreed to be well-researched. I agreed to be intelligent. I did not agree to push a political agenda.

Mental Illness Words You Can’t Say

Nevertheless, people still insist that I not use the following words / phrases:

Whackjob
Nutjob
Nutbar
Crazy
Bonkers
Off his rocker
Mentally unstable
“The mentally ill”
Bipolars
“I’m bipolar”

And about a million other things. The politically correct people have told me I’m not allowed to refer to anyone’s mental capacity in anything but the most politically correct way. Which is, in case you were wondering, a person with a mental illness or a person with bipolar disorder, etc.

Again, not to flog a horse that happens to be dead, but I have poetic license which means I get to do whatever I want with words.

Letters to the West Virginia University Regarding Depression Article Feedback

Posted by Natasha Tracy | Nov 8, 2011

The following is a copy of the two letters I have sent to the West Virginia University (see why I’m fighting their stigma here). I have yet to receive a reply. You are welcome to copy and paste any parts that you like and send them yourself. The most voices the better.

Send Your Email to the Newspaper and Other University Staff

I sent this letter to everyone at the paper as well as psychology and journalism heads at the school:

To: ‘DAnewsroom@mail.wvu.edu’; ‘DAPerspectives@mail.wvu.edu’; ‘Alan.Waters@mail.wvu.edu’; ‘Tracy.Morris@mail.wvu.edu’; ‘Kevin.Larkin@mail.wvu.edu’; ‘William.Fremouw@mail.wvu.edu’; ‘Maryanne.Reed@mail.wvu.edu’; ‘Diana.Martinelli@mail.wvu.edu’; ‘CHERUKURI@huffingtonpost.com’; ‘Danielle.Faipler@mail.wvu.edu’

CC: ‘velasconyc@yahoo.com’; ‘DASports@mail.wvu.edu’; ‘DAA&E@mail.wvu.edu’; ‘Erin.Fitzwilliams@mail.wvu.edu’; ‘John.Terry@mail.wvu.edu’; ‘Alex.Koscevic@mail.wvu.edu’; ‘Mackenzie.Mays@mail.wvu.edu’; ‘Lydia.Nuzum@mail.wvu.edu’; ‘James.Carvelli@mail.wvu.edu’; ‘Ben.Gaughan@mail.wvu.edu’; ‘Berry@mail.wvu.edu’; ‘Jeremiah.Yates@mail.wvu.edu’; ‘Jakob.Potts@mail.wvu.edu’; ‘Charles.Young@mail.wvu.edu’; ‘DACalendar@mail.wvu.edu’; ‘Matthew.Sunday@mail.wvu.edu’; ‘DA-Editor@mail.wvu.edu’; ‘BoFisher@mail.wvu.edu’; ‘Kyle.Hess@mail.wvu.edu’; ‘Alan.Waters@mail.wvu.edu’; ‘Pam.Dodson@mail.wvu.edu’; ‘chris.mcelroy@mail.wvu.edu’; ‘Jami.Christopher@mail.wvu.edu’; ‘roy.batesr@mail.wvu.edu’; ‘danewsroom@mail.wvu.edu’

To the Editors and Management of the Daily Athenaeum as well as the psychology and journalism professionals at West Virginia University,

After a lack of response regarding my prior feedback on the Depression can be treated through lifestyle changes article, I’m forced to again express my extreme disappointment in the handling of this situation.

I would like to encourage the editorial team to take this as an opportunity not only to acknowledge the questionable reporting, but also to help remove stigma from the mental health community. I strongly ask for:

A retraction and correction of the published piece posted online, on Facebook and Twitte
A series of education-focused articles on the mental health services available for WVU students and mental illness stigma
A guest column on mental illness to be published (I would be happy to contribute this)

I am asking for professional journalism behavior as are the hundreds of other people who have read my articles on this subject. I look forward to your reply.

Natasha Tracy

Mental Health Advocate and Writer

https://natashatracy.com

Disallowing Depression Misconceptions – Newspaper Response

Posted by Natasha Tracy | Nov 6, 2011

Last week many people read my article Disallowing Depression Misconceptions containing critical remarks about a piece in West Virginia University’s school paper, The Daily Athenaeum. The piece was entitled Depression can be treated through lifestyle changes and suggested, among other inaccuracies, that all people needed to help depression was, “a walk in the park.”

I found Depression can be treated through lifestyle changes to be stigmatizing and just plain inaccurate and I said so both here at the Bipolar Burble and in the comments on The Daily Athenaeum’s website as well. I’m pleased to say many of my readers also stopped by to express rather notable disapproval of the article.

The Daily Athenaeum’s Response to Criticism

And so what did The Daily Athenaeum do?

They removed all comments from the piece and disallowed new ones.

Is There a Cure for Bipolar Disorder, Mental Illness?

Posted by Natasha Tracy | Nov 2, 2011

In the world of mental illness we talk about “response” and “remission” and not cure for mental illness. The reason is very simple – we don’t know of a cure for mental illness. One may exist, but we don’t know of any such cure for bipolar disorder, depression, schizophrenia and other mental illness.

Disallowing Depression Misconceptions

Posted by Natasha Tracy | Oct 31, 2011

I despise bad reporting and I don’t care if you write for a newspaper with a circulation of 3 people or the New York Times – there is no excuse to report badly on mental illness, there is quality information available everywhere.

Point in case is Depression can be treated through lifestyle changes by Danielle Faipler in West Virginia University’s student paper, The Daily Athenaeum.

Comments on Depression can be treated through lifestyle changes

This article contains some of the most widely-spread mistruths about depression and mental illness and is inexcusable. It doesn’t even pass a sanity check (even by an insane person).

Antidepressants are good for short-term treatment, but they do not facilitate with the long-term changes needed to treat the illness, and they add to the growing prescription drug abuse problem in the U.S.

That is absolutely false and I would enjoy seeing any research that indicates otherwise. As I have shown, depressed people who take antidepressants do better long-term and antidepressants are not addictive. Stating otherwise is ignorant or untruthful.

A side effect of antidepressants is hallucinations, and most of the time, different medication is prescribed to the patient.

If the number of people who experienced hallucinations from taking antidepressants alone were to get together for a party, they could fit in my freaking apartment. Yes, it can happen with some antidepressants, but it’s far from common.