Archive for the 'Issues' Category

10% of Americans on antidepressants…that don’t work!

Monday, April 7th, 2008

The Willamette Week posted this story about a psychiatrist who simply states that antidepressants don’t work. He says it’s the industries “dirty little secret”. I was surprised, but not really, to find out that 1 in 10 people feel they have to have antidepressants in order to function in life due to depression. What would happen to the suicide and homicide rate if the pharmaceutical companies suddenly had a back-order and couldn’t supply people with their SSRIs? Horrible withdrawal symptoms reported…

Rebecca Riley’s psychiatrist on trial…

Saturday, April 5th, 2008

The Boston Globe reports that the tragic death after poor medical care of Rebecca Riley has spawned a lawsuit against her psychiatrist, Dr. Kayoko Kifuji in Suffolk Superior Court. The attorneys that are taking the case said, “They made her a 4-year-old zombie,” per Andrew Meyer, Jr, whose Boston law firm Lubin & Meyer specializes in medical malpractice cases. “We don’t believe that she did suffer from bipolar or that this was the appropriate medication.” I think nurses need to take a stronger role in mental health and begin to say we want better and safer practices in this specialty. If we only have drugs to rely on to “manage” our patients, we are going to lose this game. We won’t be bringing people back to health, mentally or physically. Nurses need to insist we want better outcomes for our children and elderly. Psychotropics shorten lives, create devastation to familes by their adverse side effects, and for the most part hide medical problems that are not being addressed appropriately. We need to be better investigators. One of my favorite TV shows is “House”. I like it because Dr. House keeps looking for the underlying causes, not just treating the symptoms. We all need to be a little bit more House. I believe we should outlaw psychotropics for children. That may be drastic or impossible, but I don’t think it is. I think the severist of retardation or autism must be managed, but the largest population is not these types of cases. It’s the school child who gets frustrated in our school system, acts out,  and gets put on psychotropics for mis-behaving. This is the area I’m concerned about. And you should be too, or we will have more Rebecca Riley cases to deal with.

Media perpetuates unscientific findings as fact…

Friday, March 21st, 2008

I often wonder how this pill of falsehood about chemical imbalances in the brain causes mental disorders gets swallowed by nurses. We so quickly accept ideas because they show up in medical journals. Not many of us even read the article in full. We’d rather read the summary or abstract and decide from there. We take such things as face value and don’t add our critical thinking skills to the mix. Nurses aren’t taught research methods unless you go on to a Masters and Doctorate program. Even then, the site’s of our critical thinking isn’t turned to substantiate findings from researchers.

From an article in FSU.com, Jill Elish writes that this theory of chemical imbalance is being challenged at least in this one Florida University. She quotes Jeffrey Lacasse, an FSU doctoral candidate and Jonathon Leo, PhD in physiology and professor of neuroanatomy at Lincoln Memorial University in Tennessee. I think the article should be considered by nurses and particularly psychiatric nurses. I give you one quote here and hope you read the article and rethink what we are doing to our mentally ill:

“The media’s presentation of the theory as fact is troublesome because it misrepresents the current status of the theory,” Lacasse said. “For instance, there are few scientists who will rise to its defense, and some prominent psychiatrists publicly acknowledge that the serotonin hypothesis is more metaphor than fact. As the current study documents, when asked for evidence, reporters were unable to cite peer-reviewed primary articles in support of the theory”.

Where is the science behind drugging millions of sufferers from depression and anxiety?

 

 

Informed consent on antipsychotics passes in New Jersey…

Monday, March 17th, 2008

Newsblog Pharmalot reports that New Jersey has passed an informed consent bill that requires any persons under 18 to be given full informed consent before being prescribed or administered psychotropic medications with black box warnings. You can view this bill in pdf here ( New Jersey’s Informed Consent Bill ) and also from the Pharmalot site.

This includes any nurse practitioner who prescribes a medication that has a black box warning and this bill makes them liable in a court of law should they not perform informed consent. This bill should be applauded by nurses everywhere and hopefully this trend will spread nationally. Physicians, psychologists and Nurse Practitioners will all be subject to disciplinary actions by their States Board of Nursing or Medical Board of Examiners.

Sign this petition and lets get this enacted across the US:

http://www.ipetitions.com/petition/NrseCall2Arms/

Massage or Zyprexa….which would you prefer?

Wednesday, March 12th, 2008

Nice article from the Wall Stree Journal about massage therapy being used in lieu of antipsychotic medications on the elderly. It seems there is success in using alternatives to drugs on the elderly and it more aligns with what we nurses like to do for our patients. Hands on nursing is the most gratifying aspect of what we do. With a little training, we have license to put our hands on our geriatric patients and ease their pains and discomfort. For all we know, it’s these little nagging pains that exacerbates demenita or mental agitation. I’m just specualting here but what if we find out that human physical contact -massage, hugs, and touching - all contribute to our mental health? What if - we find out that touching and massage can “reset” the neurons and calm mental agitation? Sort of blows the chemical imbalance or brain abnormality theories out of the water, right? But what do I know…I’m just a nurse.

I’m one for statistics and evidence based outcomes. So, here is what I think about this:

“The results are startling. Nationwide, some 30% of nursing-home patients are put on antipsychotics, according to federal data, but Providence Rest has cut its own use down to 2% or 3%. That’s the lowest rate of any nursing home in New York, and among the lowest in the country, according to the New York Association of Homes & Services for the Aging.” WSJ

In Russia, Psychiatric treatment is punishment…

Sunday, March 2nd, 2008

MSNBC reports that old habits are hard to break in Soviet Russia. Once upon a time Stalinist Russia used mental health facilities to detain, drug, and abuse government dissidents. This report says it’s happening again. What should be noted here by nurses is that after only a few months of treatment with antipsychotics, the victims sustain permanent neurologic damage. If psychiatry is truly a medical profession and follow an oath, why would they agree to do such things to a human being? The fact that psychiatry would agree to be a detaining point and involuntarily commit normal people who otherwise would not need treatment on the orders of a government is a human rights abuse issue. I haven’t heard any American Psychiatrist denounce this treatment or band together to protest. Why? Nurses, we need to protest and let our legislators know that we don’t agree that this is done on human rights issue numbers 3 and 5 of the Universal Declaration of Human Rights. Exercise your political will. Sign this petition:

http://www.ipetitions.com/petition/NrseCall2Arms/

Antidepressants no better than placebo…

Tuesday, February 26th, 2008

The Financial Times reports that researchers found no evidence that today’s SSRIs had any effect on treating depression. According to their findings after reviewing over 50 clinical trials “we found that new-generation anti-depressants worked no better than a placebo – a dummy pill – for mildly depressed patients”. This is what Dr. Timothy Scott also brought to light in his wonderful book America Fooled. Dr. Scott showed clearly that the clinical trials were skewed toward showing effectiveness when really they were saying that they had no better effect than placebo.

What’s also interesting about the article is that the recommendation by a mental health charity called MIND that urges General Practitioners “to consider alternative therapies such as exercise – particularly outdoor exercise – which it believes has shown to be very effective in combating depression”. SSRIs are a dangerous drug to be handing out in our society for the very reasons of earlier articles…the creation of violence. Nurses should not be supporting the use of SSRIs for depression when clearly the best practice is diet and exercise. First, do no harm. Healthier lifestyles are the answer to our mental health issues.

New blog chronicles new articles on psychiatric overdrugging…

Monday, February 18th, 2008

This new blog is a collection of newpaper articles and headlines for the nation’s top newspapers exposing the rampant drugging of our most vulnerable population to abuse: children and the elderly. As long as nurses obey and don’t speak out this kind of abuse goes un-noticed. But obviously this is a concern to the average person when we start reading in the newspapers the widespread financial incentives for drugging our kids and the elderly. Somebody is making a lot of money and it’s not nurses! But we are the ones caring for these patients and have to intervene when the side-effects of these drugs do their damage. As the side-effects continue to destroy the patients lives we end up being busier caring for these victims of psychiatry and the pharmaceutical industry. Side-effects such as diabetes from atypical antipsychotics, tardive dyskinesia from SSRIs and antipsychotics, depression as a side-effect, loss of memory, loss of initiative and apathy for their own care, GI upsets, ataxia, drug dependency….need I go on? When you look at the effects of using these drugs on people and weigh the alternative of not using them, you will find, in study after study, that it would be better NOT to use harmful psychiatric drugs at all. I’m not talking about the violent, psychotic criminal here, I’m talking about little Jeffrey or Melissa who is on ADHD drugs and antipsychotics, etc. We are talking about millions of kids who are being farmed in our schools with subjective symptoms of a “disorder”. Nurses, where is your conscience? Where is your application of our Nurses Code of Ethics? Go back and read Article 5 of the Declaration of Human Rights….

While US Congress debates on waterboarding…US Mental Health system tortures with shock!

Monday, February 4th, 2008

People have a fascination with electricity these days. Who hasn’t laughed at the drunk getting tazered for being obnoxious. We are then horrified, at least some people are, with the idea of waterboarding enemy prisoners. Most captives survive physically with the “near drowning” experience of waterboarding, at least that’s the argument that it’s not harmful. This isn’t the case here in our own US Borders under today’s mental health system. This article in Mother Jones details the use of electric-shock as an aversion therapy. While most survive the incidents of these shocks, some live with long-term emotional scars from the abuse. Is this the best that psychaitry can come up with in treating mentally handicapped, autistic, and emotionally troubled kids? Any nurse who would support such therapies should turn in their license. You have violated your Nurses Code of Ethics at it’s core. Read this article and then sign the petition below:

http://www.ipetitions.com/petition/NrseCall2Arms/

 

Anti-seizure meds increase suicidality…per FDA

Friday, February 1st, 2008

A release by the FDA warns practitioners that anti-seizure meds increase the suicidality of patients as compared to placebo. There is no doubt that a practitioner should be including this information on Informed Consent.

“The higher risk of suicidal thoughts and behaviors was observed at one week after starting a drug and continued to at least 24 weeks. The results were generally consistent among all the different drug products studied and were seen in all demographic subgroups. There was no clear pattern of risk across age groups.”

See the letter and list of meds here: http://www.fda.gov/bbs/topics/NEWS/2008/NEW01786.html