Posted on 01/05/2015 10:30:47 AM PST by Sean_Anthony
Part 4: A Walking Nightmare--Antidepressants and suicidality
Just last August, a study was published in JAMA in which adolescents were screened for depression and then randomized either to a collaborative care intervention or usual care. An accompanying editorial called for integration of depression screening into primary pediatric care, noting that “depression is associated with serious mental health problems (e.g., suicide).”
In fairness, it should be pointed out that in the above-mentioned study, the families of the children labeled depressed were offered a choice of medication or psychotherapy (54% chose medication in combination with psychotherapy, and 4% chose medication only). But if and when this sort of program is rolled out to the wider public, will families even be offered that choice? Or will they merely be told their child “needs” powerful drugs to correct a “chemical imbalance” in her brain?
(Excerpt) Read more at canadafreepress.com ...
Depression is a problem for sure and it is for all political stripes.
Tolstoy wrote some about the human spirit carrying on in spite of the unexciting nature of much in life. Peasants toil day after day. What for?
“…people are used to live like everyone around them lives, and they live in conformity with the principles which not only don’t relate to their faith, but are often opposite to the principles of faith; the teaching of faith doesn’t participate in their daily life; it doesn’t create any problems in their relationships with others and doesn’t require overcoming any obstacles in their personal life; the teaching of faith is professed somewhere far way from their life and isn’t connected with it in any way. You can face it only as an outward, unrelated to your life, phenomenon.” (L.Tolstoy, A Confession)
http://www.essays.riaikkenen.com/55.php
I don’t agree with everything Tolstoy writes, but he has certainly taken a great deal into account through his observations and writing.
Substituting drugging our children rather than:
1) providing discipline,
2) accepting the energetic nature of children and providing them an outlet,
3) providing PARENTAL OVERSIGHT, rather than outsourcing.
A BIG problem in our culture is the “meme” that if you are not ear to ear happy ALL the TIME then there is “something wrong” with you....
We have made it socially unacceptable to be sad these days, even if being sad is appropriate for one’s circumstances.
That’s why I heed what Frank Zappa said....
“Don’t expect friends, don’t expect fun, don’t expect a good life, don’t expect anything and if you get something, it’s a bonus.”
It works for me. YMMV.
I would bet that a lot of these issues could be resolved by a proper diet. People eat a lot of garbage, and it messes with your body and your mind.
Nice quote.
I have always thought that life was about managing your expectations. In business, managing the expectations of your clients is a key to success.
“Among adolescents with depression seen in primary care, a collaborative care intervention resulted in significantly greater improvement in depressive symptoms at 12 months than usual care,” the researchers wrote. “These findings suggest that mental health services for adolescents with depression can be integrated into primary care.”
In an accompanying editorial, Gloria M. Reeves, MD, of the University of Maryland School of Psychiatry, and Mark A. Riddle, MD, of the Johns Hopkins University School of Medicine, wrote that identification and treatment of adolescent depression can be improved by pediatric primary care clinicians.
“This study suggests that collaborative care treatment of adolescent depression can be structured to promote care that is evidence-based, personalized, and effective,” they wrote. “Further research on this type of model has tremendous potential to benefit both families and clinicians.”
no exercise is one big problem, too.
Check this out...
“The need for a dependable assessment of imminent suicide risk is heightened by pressure from insurance companies to avoid hospital admissions. These pressures will become even more pronounced with the upcoming mass switch to risk contracts, which aim to drastically reduce admission rates (and that may result in the referral of large numbers of patients at elevated suicide risk to outpatient offices). Moreover, these same pressures are likely to lead to the premature discharge of suicidal patients from inpatient psychiatric units. Ironically, completed suicide rates are the highest in the first week after discharge from a psychiatric unit; risk is 100 times higher for men and 300 times higher for women compared with those who were never hospitalized.”
www.healio.com/psychiatry/journals/psycann/2014-9-44-9/{7742daff-198b-41de-b061-24e53823f31f}/assessing-risk-for-imminent-suicide
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