Tuesday, March 12, 2013

Drugging Our Younger Generation


“Over the last decade the percentage of Americans who took at least one prescription drug in the past month increased by 10%. The use of multiple prescription drugs increased by 20% and the use of five or more drugs increased by 70%. By 2007–2008, one-half of Americans used at least one or more prescription drugs; and 1 out of 10 used five or more. One out of every five children used at least one or more prescription drugs compared with 9 of every 10 adults…”  -National Center for Health Statistics (NCHS) Data Brief; No 42 September 2010



               Today most people will agree that one of the most pressing issues in our society are the drug wars. Illegal drugs are linked to violence, crime, and even hard hits against our economy’s welfare; however, you rarely hear about the major addiction that our nation, as well as many other nations, has to prescription medication- specifically, psychiatric medication. Almost everyone I know has taken some form of psychiatric drug, given to them for everything from depression, anxiety, aggressiveness, to more specifically diagnosed disorders such as bipolar disorder, ADHD, manic depressive disorder, etc. The funny thing about all of these “disorders” is that we are made to believe they are really physical diseases. Doctors push the prescription of medication so hard by leading us to believe that these disorders are caused by chemical imbalances, when really there is absolutely no way to prove what a chemical imbalance even is. When a person is diagnosed with a mental disorder, there are no blood tests, no CAT scans, no lab work that is performed to determine the cause. They are simply diagnosed ("Real Disease").  

           Of course mental disorders do exist, but according to the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders there are thousands of different mental "diseases" that have basically been identified based on certain behavioral symptoms. They are voted into this database by a board of psychiatrists. There is no way to determine differences between one disorder and another--it's like they gave one disorder a thousand different names. Furthermore, the only reason doctors treat them as if they were physical ailments is to sell drugs. In the US, the distribution of prescription medication has become a 76 billion dollar industry (“Hooking Your World On Drugs”). It is true that many of the drugs prescribed to treat “mental illness” can be effective for a time, but in many cases psychotropic drugs immensely increase the risk of suicidal or homicidal behavior, having the complete opposite effect on the patient than what was intended. (Kuba, Teizo et al. 241) The number of adults taking various medications for these mental issues is troubling enough, but even more so is that of the growing percentage of children and young adults also being prescribed these medications. Currently 1 out of every five children take at least one prescription drug regularly (that's over 7 million children) and 9 out of 10 adults. (NCHS Databrief, 2010).



              We teach our children to say no to drugs. We know that illegal drugs such as marijuana, cocaine, LSD, heroin, and even legal substances like alcohol and cigarettes are harmful to our bodies. What many people don't understand is that prescription medication can be just as if not more dangerous, especially in youth. Common and well-documented side effects of psychiatric drugs include mania, psychosis, hallucinations, depersonalization, suicidal ideation, heart attack, stroke and sudden death. These side effects although clearly documented in the fine print of the prescription papers given with the medication, are hardly addressed in the doctor visit prior to the prescribing of the medication. (I can say this from personal experience!) Doctors are only too quick to write off a prescription for each and every symptom, and soon we are overwhelmed with the amount of medication we are taking for problems that might have been managed otherwise- perhaps by exercise, dietary adjustments, therapy, etc. 
            Another fun fact--over 80% of prescription medication prescribed to children have never been tested in children ("Drug Research"). Doctors prescribe these medications "off label" meaning that the drugs have never been approved by the FDA for use in children based on well controlled clinical trials. Why is this? Basically pharmaceutical companies "...generally have viewed children as a market that would bring only small financial benefits."("Prescription Drug Use"). It's also harder to conduct clinical studies for medication in children, as they don't have the same ability to retain all information, way the risks, and feel secure in the testing processes the way adults do. By law, children over 7 years of age have the final say whether or not they will participate in a clinical study. True, prescription drug testing can be difficult and expensive, but that doesn't mean we can just skip doing it ("Prescription Drug Use")!
           
           Parents should seriously consider the side effects these drugs might have on their children before they put their entire well being on the line. Even when these drugs do work to stabalize behavior, or calm a hyperactive mind, they can change the entire personality of the individual. Not only do these drugs take the "edge" off of anxiety, depression, hyperactivity, etc.; they also take the edge off of life itself. They numb the mind and the senses and make it difficult to be fully present in all of life’s situations (“Hooking Your World On Drugs”). Another point is that once a person has taken one psychiatric drug, they are more than likely prone to take others, sort of like the way marijuana is a “gateway drug” to more dangerous illegal substances. Many people who begin taking one antidepressant will soon find they suffer from anxiety. When they take a pill for anxiety, they will learn that they have insomnia. When the insomnia is under control, they might feel that the antidepressant isn’t strong enough and needs a “helper drug” such as Abilify. It’s a big circle. People, especially parents, need to know what they are getting into when they open themselves up to the world of psychiatry. It doesn’t have to be this way, but we need to educate ourselves and know exactly what we are putting into ours and our children’s bodies.

So. We know that the drug wars are a big issue in our society today. Hopefully more people will see what a rising issue the drug war between society and pharmaceutical companies is too. We need to realize that pills aren't the answer to everything. There are other methods of treatment available. Medicine is a wonderful thing. Prescription medication can also be a great asset to our health care; however, we must stop the over prescribing or soon we will all be hooked on something. 

Sunday, February 10, 2013

Dependent- Another Memoir

January, 2009

I can hear my alarm going off. It's been buzzing for about five minutes now, but I just can't seem to find the strength to lift my bony arm to turn it off and get out of bed. When I finally do hit the off button, I just lay there for a while. Why am I always so tired? Didn't I just sleep for ten hours? I can't seem to get it right. It doesn't matter if I get 4 hours or 12 hours, I'm still going to fall asleep in each class today. People will laugh and think I don't care, but there isn't much I can do about it. 

I get up and stumble to my bathroom. My stomach feels empty, and yet, as though I swallowed a ten pound weight. In the past few months I've gone from 125 lbs to 110...I just don't have an appetite anymore. I turn on the fluorescent lights. First, let's put our contacts in so we can see, I say to myself. Next I look at the various pill bottles along my counter, each with my name neatly printed along the white label. I go through my list of medications and wonder again to myself if any of them are actually making things any better.

Morning Meds: 
Ritalin- For ADHD...supposedly to help me focus.
Provigil- Supposedly to help me stay awake.
Cymbalta- Antidepressant. You know, so I don't kill myself.
Abilify- To "enhance" the effects of the antidepressant...
Lortab- For my constant head ache. (These usually stay with me throughout the day...)

Nighttime Meds:
Clonopin- Sleep-aide. Much better than the Ambien I was taking, which made me hallucinate...
Flexoril- Muscle relaxer, self explanatory.
Lyrica- Muscle relaxer, supposedly to help specifically with Fibromyalgia and its other symptoms.
Ativan- For anxiety, so I don't wake up and have a panic attack after dreaming about my mom....
Lortab- Again.

I really would stop taking this crap if I could, but the last time I didn't take my medication for a couple days, my body went into withdrawals and I ended up in the ER. 

I can hear my dad snoring in the next room. No matter how overly medicated I think I am, I can't compete with this guy. He takes everything I take, or something similar, and then a bunch more pills to help his heart and his lungs and his stomach...and who knows what else. I'm glad he is home from the hospital. It's the second time this year he's had severe pneumonia. This time he stayed for a whole month, and I was left at home. Alone. I hate being alone. It's been four months since my mom passed away. I still feel like it's a dream. Maybe it is. I can only hope, right?

Four Years Earlier...

I'm sitting at my new doctors office, waiting for Dr. Cheddar to come back and tell me what the heck is going on with me. His name is spelt, Tschetter, but it sounds like Cheddar. As I wait, I stare at this picture on the wall. It's by some guy named M.C. Escher. It's a picture of a chessboard planted between a light New York and a dark New York, and as you move up the squares turn into birds....the longer I look at it the more my head hurts so I decide to stare at my untied shoe laces instead. My dad is dozing off in the corner and my mom is reading a magazine. I look up when I hear the door click.

"Okay, Karllen. We got your blood tests back and nothing seems out of the ordinary. Why don't you explain to me a little more about your symptoms and we'll see if we can't get an idea of what's going on, hmm?" Dr. Cheddar says. 

"Well," I start, "I'm having trouble sleeping. My muscles shake a lot and it wakes me up. My body is also really sore lately, especially when I wake up..."

My mom jumps in, "She's been sleeping with me the past few nights and I've tried to watch her. She'll be fast asleep and all of a sudden her body starts to spasm. It's like she is shivering. It's causing her to fall asleep in school. We're just getting a little concerned..."

"What other medications has she taken in the past?" Cheddar asks. 

"Well, these symptoms haven't shown up until now, but in the past she's been diagnosed with Anemia and Acid Reflux Disease. She stopped taking her iron medication for the Anemia a couple of years ago and has been doing fine without it, and for the acid reflux she takes Prevacid before meals," My mom answers.

"And you've noticed no side effects prior to now?" Cheddar asks.

"No," My mom and I both answer.

"Alright then. Karllen, I want you to hop up on the table here and I'm going to try a couple things, okay?" Cheddar prompts.

I do as he says. He begins by pinching, massaging, and tugging at my biceps and shoulders and calves. He asks if these areas are tender at all, I tell him they are. Lately it feels like my whole body is bruised. Like I just raced a 10 K or something. After he is finished poking at me he asks how I've been feeling emotionally. I have to think about that for a minute. I suppose I haven't been as energetic lately, maybe even a little down. School is stressful, but what kid doesn't feel that way? My mom has been sick lately as well, so that has been hard, especially since the doctors can't figure out what is wrong with her either. After I explain all of this, he thinks for a moment before saying,

"Karllen I believe you have what is called Fibromyalgia. It's a muscle disorder common among older women and is brought on by anything from hormonal or chemical imbalances, to other illnesses, to stress and emotional trauma. This would explain the pain in your joints and muscles, and would also explain any anxiety or depression you might be experiencing," Cheddar explains very matter-of-factly.

The rest of the appointment consists of my parents asking questions about treatment and whether or not it will go away. Dr. Cheddar explains that with some medication and staying physically active, it might not go away, but will be very manageable. I end up leaving with three prescriptions, an anti depressant (which bothers me for some reason, I feel like I don't need it...), a muscle relaxer, and something for pain. 

***

As the years passed, Cheddar would add on to my list of medications: sleep-aides, more pain-killers, other antidepressants, higher dosages for everything. My mom would continue to get sicker. We would eventually find out that she has stage 3 breast cancer. She would then go through two years of harsh chemo therapy. She would be told that the cancer is gone and she will soon be on her way to remission.

And then she would die. 

***

January, 2010

So here I am. Another year has gone by. I stare again at the pill bottles along my counter. Most of them are almost empty. I'm afraid of what will happen when I run out. In April I will turn 19, and my government funded health insurance will be taken away--rightly, I might add. I am old enough to go find a job that gives me health insurance...the problem is I just can't find one. I've decided to try to wean myself off of some of these medications. I still wonder if they even help. I'm still in pain most days, I'm still pretty dang depressed. I've begun to build quite a lot of resentment against that Cheddar, for each time I entered his office, complaining of a head ache or night terrors--did he ever once try to find out what exactly was causing all of this? No! He'd just happily write off another white slip for me to take to my friend the pharmacist to give me more happy pills or pain pills or any other kind of pills to make me "normal" like everyone else. And now here I am. 18 years old and addicted to the medications my 60 year old father takes. It's ridiculous. 

You know what I think? I think this is crazy. I think it's anything but normal. I just heard from my older sister that her 12 year old son is starting an antidepressant and a heavy sleep-aide for his insomnia. 12 years old. Will he end up like me? Where the side effects of these medications have caused me to forget 75% of my high school experience? Causing me to sleep through most of it? To not graduate? To be terrified of what happens if I don't take them all? I certainly hope not. 

Present Day

So.....here I am. I am now 22 years old. I did wean myself off of all those medications and I am better now than I've ever been. I can think clearly, I sleep fine most nights, I have an appetite and I have the energy to do everything I need to do. All those years I was given medication to help me perform better mentally and physically, and all those years I only got worse. I am writing this because I am angry that I wasn't given another option. That the effects of these drugs weighed down on me so heavily that I couldn't function enough to graduate high school. I want others to learn from my experience. I don't think it's right for children to be given these heavy medications with no alternative. There are other alternatives.

It starts with you, parents. Don't let a doctor feed your child with narcotics and addictive medication just because it's an easy fix. It has taken me years to escape the effects of those drugs and I will never do that to my child, not if I have other options. Be informed. Know what you are putting in your child's body and what it's really doing for them. 

The End.