Psychiatric Drug Facts via breggin.com :

“Most psychiatric drugs can cause withdrawal reactions, sometimes including life-threatening emotional and physical withdrawal problems… Withdrawal from psychiatric drugs should be done carefully under experienced clinical supervision.” Dr. Peter Breggin
Showing posts with label Sudden Death. Show all posts
Showing posts with label Sudden Death. Show all posts

Sep 18, 2012

Mental Health Advocacy and the Ethics of Journalism


The above quote could and does apply to many aspects of human life. I don't believe I will ever become adjusted to the manner in which mental health issues are reported by mainstream journalists. Specifically, the manner in which "the news" is presented is as if speculation, supposition and gossip are in "news."

Ethical journalism or reporting the news is (at least theoretically) an unbiased presentation of facts and information of interest to the public. Much of the journalism in our country is biased, it's used by some as a tool to further a specific agenda, or promote an ideology, idea, or perspective; i.e. as propaganda.

When there are fatalities and the supect is known to have, or is suspected of having a psychiatric diagnosis, the vast majority of what is initially reported is gossip and speculation. Depending upon the event, the amount of morbid or prurient interest, fear or revulsion that can be generated; influences how accurately "the news" will be reported. When a story titillates, awakens fear, revulsion or morbid fascination in the general public, our individual biases are reinforced. An individual’s biases are based on ignorance and fear; fed misinformation, our biases become bigotry. When the source of misinformation is the evening “news,” our biases are in effect, "validated." Our subsequent discriminatory perspective is in this way basically justified as "natural" or "normal;" if  recognized at all.

The subtle changes are gradual and because the changes are based on shared experiences the shift in our perspective is almost imperceptable. Biases grow into bigoted perspectives and discriminatory treatment. When our biases are fed and validated by the media, endorsed by advocacy groups, the people who do not agree with the biologically biased perspective or condone the discriminatory treatment, are "uninformed;" or perhaps even, one of those "mentally ill" people the advocates are advocating for. In the case of "advocates for the seriously mentally ill" individual members and individual groups can have self-interests that are contrary to the best interests of "the seriously mentally ill" they are advocating for. One major glaring Conflicts of Interest is being funded by pharmaceutical companies and advised by the unethical "professionals" who sell their products through the advocacy group's education and advocacy programs; these groups fail to advocate for the people who are disabled and otherwise harmed by the “safe and effective” drug or electro-shock treatments.

In some cases, the people are in fact Court Ordered to treatment that never "worked" or "successfully treated" their symptoms. Self-appointed advocates enthusiastically support and insist coercive treatment "saves lives;" and proclaim it is "necessary medical treatment. Some people say their lives were saved, or that involuntary treatment "helped" them personally; how do these anecdotes justify court ordering other individuals? While it is true that some people are "successfully treated," i.e. get better, become more functional; it is equally true that some are harmed grievously, including being permanently disabled and killed by psychiatric treatment.

Court Ordering people to special treatment with teratogenic drugs and/or electro-shock devices that are not safe, only minimally effective, illegally marketed or never safety tested, when the "treatment" risks are both disabling and fatal, is despicable; morally reprehensible.

When a person with a psychiatric diagnosis is the victim of interpersonal violence due to their symptoms making someone target them, it's not reported as a hate crime; incredibly, reporters and self-appointed advocates alike seem to believe it is acceptable to blame the victim, or to blame the victim's "untreated mental illness" for having been victimized. Advocates do not advocate for the victim by demanding that perpetrators be held accountable for victimizing people who are already in distress... In reality, it is tragic when anyone is victimized and a victim is killed. It is particularly heinous when the victim and/or their psychiatric diagnosis is used to excuse the criminal acts of a perpetrator who victimized them.

Psuedo-reporting compounds the tragedy, and inevitably it leads to calls for increased forced treatment, as if forced psychiatric treatment is the panacea which will cure society. Do people really believe that coercion, subterfuge, and inflicting distress is required to simply provide ethical "necessary medical treatment" eve that it is acceptable to mislead patients and the public about the subjective, (not scientific) nature of psychiatric diagnostic criteria and standard psychiatric treatment protocols, are based on subjective observations of psychiatric professionals which are then put to a vote to develop a consensus. Empirical data must be the foundation of a "standard" treatment; having  a statistical record of successfully treating a variety of patients for a particular illness or symptom it is HOW a particular treatment becomes the "standard" of care for a particular condition or symptom.

An ethical standard of care would not require using deceit, or justify it with an abuse of power and authority. An ethical standard of care would not rely upon coercion, force, and deceit; no ethical physician would purposely mislead or misinform a patient and/or their family members about the nature of their diagnosis and the actual effects of the recommended treatment, much less claim that it's a using subterfuge and social control tactics actually successfully treats "seriously mentally ill" people! We don't even count how many psychiatric patients are iatrogenically disabled or killed; there is no way to accurately, ethically, balance the hoped for benefits of psychiatric treatment against the potentially disabling, and fatal risks. Without considering all the data, including the adverse event data, there no way to ethically determine whether the benefits are worth the risks to and for a particular patient.

As a result of unethical reporting, the general public is misinformed, and consequently, is at a disadvantage when attempting to analyze the issues involved; unethical reporting in the main stream media misinforms the general public. Journalists are not reporting the news if they merely sharing of press releases from marketing departments or public relations firms. The results of psychiatric research, clinical trials, people with a diagnosed mental illness and pharmacological  treatments, are seldom reported ethically; i.e. reported after an independent verification of the facts. Just as importantly, when the results are controversial or disputed, the controversies are seldom reported; as the Ethics Guidelines for Journalism suggest. Reports in print or broadcast news are frequently only press releases written by marketing departments of the drug company that funded the study, or public relations departments of the University where research was conducted. Regardless of the source, without independent verification of the facts, this practice, is not ethical reporting. The failure to even attempt to provide an unbiased recitation of the facts or the issues involved when mental illness and the treatments used, is simply irresponsible, and it is not ethical journalism. It is in recognition of the fact that reporting events and issues without bias is difficult, since all people and groups of people have biases; that a Code of Ethics for Journalism was developed.

Mainstream media's quest for market share, increased ratings and profits contribute (unintentionally) to the innate biases of the uninformed general public. These biases are further fanned into flame when the pseudo-news reports misinform and the product of lax journalism ultimately becomes propaganda used by extremists, “grassroots” advocacy groups, columnists and other rightwing extremists to advocate for increasing the number of people legally compelled under Court Order to receive forced psychiatric treatment.

Lax ethical standards in journalism are intended to garner higher ratings, which in turn lead to increased revenue. Low standards are used because the intended goal of increased profits are realized. While I understand this is how business is 'done,' this is pseudo-reporting disseminating misinformation. This type of misinformation is used to put a veneer of legitimacy on bigotry; and used to gain the general public's acceptance of the mistreatment of people with a psychiatric diagnosis. It serves to increase the discrimination experienced by people with a psychiatric diagnosis in general; and in particular, of the people who are targeted for forced treatment.

From the Ethics Code for Journalism Preamble:

"Members of the Society of Professional Journalists believe that public enlightenment is the forerunner of justice and the foundation of democracy. The duty of the journalist is to further those ends by seeking truth and providing a fair and comprehensive account of events and issues. Conscientious journalists from all media and specialties strive to serve the public with thoroughness and honesty. Professional integrity is the cornerstone of a journalist's credibility. Members of the Society share a dedication to ethical behavior and adopt this code to declare the Society's principles and standards of practice." more here.

Rightwing extremists in the United States "reject federal authority in favor of state or local authority." Rightwing extremists, "may include groups and individuals that are dedicated to a single issue,"  according to the Department of Homeland Security Office of Intelligence and Assessment Analysis. One example would be advocates who are propoments of forced psychiatric treatment, inpatient or in the community. Court ordering people to take neuroleptic drugs to prevent violence is a seriously flawed strategy. Many advocacy groups for the mentally ill appear to see nothing wrong when the Constitutional Rights of individuals Court Ordered to Involuntary Treatment are violated, because their intent is to be helpful. These protections must be effectively preserved and defended for all people; they are Human Rights.

It appears rightwing mental health advocacy extremists reject government authority entirely. When I read the document the above bold face statements are in, I could not help noticing the description is applicable to right-wing mental health advocates who focus their efforts almost exclusively towards the strengthening and implementation of forced psychiatric treatment laws. This is due to an apparent belief that forced treatment is THE Holy Grail which will save the general public from being victimized. The outrageous claim that their advocacy is only to ensure these "poor unfortunates" receive needed “medical treatment.” These advocates further claim the only reason that the “seriously mentally ill refuse or object to "medical treatment" is because they have NO INSIGHT WHATSOEVER; and protest because they "don't know what is good for them." It is further claimed this lack of insight is due having a "brain disease." The fact of the matter is, there is no evidence that "serious mental illness" results from "brain disease." Besides, in medicine, brain diseases are treated by neurologists, not psychiatrists!

via The Free Library:
The loss of client agency into the psychopharmaceutical--industrial complex

Those disorders listed in the DSM-IV-TR for which a clear, undeniable disease process is present (e.g., Alzheimer's disease and other various forms of dementia) or a clear genetic defect has been located (i.e., Rett's disorder) fall under the purview of neurology, not psychiatry (Ducommun-Nagy, 2003; Encyclopedia of Mind Disorders, 2005; Glasser, 2003). Psychiatrist Kenneth Kendler (2005), co-editor-in-chief of Psychological Medicine, stated, "We [psychiatrists] have hunted for big, simple neuropathological explanations for psychiatric disorders and have not found them. We have hunted for big, simple neurochemical explanations for psychiatric disorders and have not found them. We have hunted for big, simple genetic explanations for psychiatric disorders and have not found them" (pp. 434-435).

"Despite the lack of clear evidence for neuropathological, neurochemical, or genetic explanations for psychiatric disorders, the beliefs in such are heavily perpetuated by psychopharmacologists and physiological psychiatrists (Valenstein, 1998), who differ from the declining number of psychiatrists and psychiatric nurse practitioners who appreciate the contextual factors affecting mental health. Psychopharmacologists and physiological psychiatrists believe that mental health problems reduce down to chemical and electrical exchanges between brain cells (neurons). With this philosophy, psychotropic medications are marketed aggressively and prescribed indiscriminately (Rosenheck, 2005; Schultz, 2004, Wazana, 2000) with the message that these medications will correct alleged brain defects related to psychiatric disorders." read more here.

The US Constitution is the preeminent law in the United States; the provisions and protections of this document supersede any and all State, County, or Municipal Laws and Codes whether passed by legislation or statutory authority. Any Laws which diminish Individual Liberty must only be undertaken when such infringement has been determined necessary by a Court of Law, and is only done lawfully when the individual's Constitutional Rights to Procedural Due Process of Law are protected. These Rights include: Proper Notice given and Affidavits of Service being filed, Rules of Evidence followed, Standard Court Procedures used and Effective Assistance of Counsel provided. The Constitutional Rights of those who are court ordered are in fact NOT preserved, by being described within the law. These individual rights can only be effectively preserved and defended for individuals that are properly served, notice filed with the Court clerk, Rules of Evidence followed, Standard Court procedures adhered to, and Effective Assistance of Counsel is available. When any of these protections are denied an individual, Justice is conspicuously absent.

It is common for the Rules of Evidence to be modified by Involuntary Treatment statutes; an effective lowering of the standards required to deprive individuals of their Liberty. Mental health professionals and advocates believe that using coercion and gossip is not only acceptable, but that it's necessary to facilitate obtaining these Court Orders which deprive an individual of their liberty. In these cases, proper notice is often ignored altogether. When people are Court Ordered in this manner, whether it is to inpatient or outpatient involuntary treatment, the commitment orders are illegal since using these lower standards violates the individual's Constitutional Rights as a matter of course.

Mainstream media becomes complicit by the using biased reporting to garner ratings or sell more copies. Failing to report relevant facts in an unbiased ethical manner is irresponsible and capricious. The reasoning of right-wing extremist advocacy groups who claim to be advocates “for the seriously mentally ill” seems to be based on bigotry; and is fueled by ignorance and fear. It's no surprise that this type of advocacy effectively serves the advocacy groups primary benefactor's financial interests. The majority of mainstream advocacy groups receive a significant percentage of their financial support from drug companies, and it is the drug companies who are the primary beneficiaries of compulsive psychiatric treatment.

Right-wing extremists in the "Mental Health Advocacy" movement exploit a variety of social issues and political themes to increase visibility and recruit new members; this has always been the case with extremist groups throughout history. These extremists remain focused on a predetermined agenda, forced treatment, regardless of new information, legal ramifications, financial and societal costs, or the real world outcomes of the individuals with a psychiatric diagnosis who are victimized. It is patently absurd for any advocate to claim that any negative effect of their advocacy is justified by their altruistic intent.

Why does psychiatry, with it's history of lobotomies, water tortures, Electric Shock, forced sterilizations and other outrageous tortures and it's ongoing collusion in pharmaceutical fraud have Police Powers? What has this profession done that could conceivably justify granting it such power? How has society allowed psychiatry to effectively gain unprecedented authority and society's passive participation in the inhumane treatment of an entire class of people?

I doubt the families of American Veterans returning from Afghanistan and Iraq traumatized who have died in their sleep, here and here or who commit suicide/homicide here due to drug induced psychosis, would agree the drugs are "safe and effective." In 2008, 52 Marines taking psychiatric drugs took their own lives.

Children are given psychiatric drugs that are approved and not approved for pediatric use; psychiatry calls drugs which are not approved for pediatric use, "off label" drug use, the FDA, "experimental" drug use. Would the parents of children who have died suddenly from cardiac arrest, respiratory failure, other drug induced causes; or parents whose who child is now brain damaged and/or disabled by iatrogenic illness or disease from psychiatric drugs agree the drugs are "safe and effective?" Between 2000 and 2004 the FDA adverse drug reaction reporting system linked antipsychotic drugs to 45 child deaths and 1,300 serious adverse reactions, such as convulsions and low white blood cell count. These are the very same drugs recently approved by the FDA for widespread use in children. Child Deaths here and here.

Psychiatry does not, and never has held itself to the Ethical Guidelines of the Medical Profession, or to any law or social norm recognized. The tactics utilized and the position of power granted to psychiatry validate oppression, elevated the oppressors; placing them above the law.

Lobotomies and mass sterilizations were still happening when I was a kid, and I am the mother of a son who was used in Drug Trials. Drug trials of the "new safer more expensive" antipsychotics; now APPROVED based on these trials for WIDESPREAD use in children!? I am horrified. I am my son's caregiver, and I am grateful he is still alive. How many children will die or become disabled before the FDA and the Department of Justice prosecute the psychiatrists and other "mental health professionals" are complicit in a massive criminal enterprise that is defrauding public health systems and who fail to disclose the risks, and fail to obtain Informed Consent?

Psychiatry is a specialty whose methods are unethical; they are often not therapeutic, but harmful. These methods and treatments are killing our children, our traumatized Veterans and our elderly; with impunity. Claiming to be treating “brain diseases,” yet failing to provide any empirical data, e.g. scientific evidence “brain diseases;” even exist! Any and all signs and symptoms of distress are now considered evidence of "brain diseases;" if they actually were diseases, these "diseases" would be treated by a neurologist.

When will the general public realize that the "special treatment" provided by force is not therapeutic; not only does it not enable recovery, but it can cause those "treated" to die? Psychiatry now has been given Police Powers and has perverted the Court System to sentence people to treatments which can cripple and kill them; without preserving their individual rights to Procedural Due Process of Law. It is inhumane, unjust and is unconstitutional!

Members of America's Armed Forces take an oath to defend Our Country and The Constitution of the United States of America against all enemies, foreign and domestic. Some of those lucky enough to return home have then been killed by psychiatrists "practicing medicine." None of them have been jailed for their crimes, it is unconscionable. 
 

Jon McClellan, the psychiatrist who gave my son huge amounts of neuroleptic drugs without Informed Consent for either the drugs or for inclusion in the TEOSS drug trials; repeatedly stated my consent was not needed; my opinion was irrelevant, my parental rights denied. My boy's protests were met with coercive tactics: specifically, he was told he would never get to leave the locked psychiatric facility he was held in as a “voluntary” patient, if he did not take the drugs. The fact is, no psychiatrist who has caused death or iatrogenic illness and disability with "safe and effective treatments," drugs or Electrical Shock, has been held accountable.

Incredibly, unethical research psychiatrists like Harvard’s Biederman, can become a Scientific Advisor to the Child and Adolescent Bipolar Foundation, a "patient advocacy" group. Psychiatry continues to use his fraudulent research to teach those who diagnose and treat our Nation’s children. No articles in psychiatric journals from this or any other discredited researcher are redacted out of psychiatric journals. Jon McClellan is still the Medical Director of a Washington State Psychiatric Facility, and a professor at the University of Washington, and has participated in an ethics workshops at the The Hastings Center.

Psychiatry is more a system of political and social control than a "medical" specialty; of this, I have no doubt. Whether you agree with me or not, I urge you to consider if it's prudent to allow psychiatry to use the Police and the Courts as it's medical instruments of treatment compliance. These are the very same tactics used in Germany that enabled the Third Reich to "legally" torture and kill millions of people; and the very same standards that psychiatry utilized in the United States to "legally" strip people of their dignity and their Human Rights in order to lobotomize and/or sterilize them.

Psychiatry is still using the same tactics, calling the new ways of causing brain damage, terror, trauma, iatrogenic injury and iatrogenic disease "safe and efficacious medical treatment" for "brain diseases;" without producing any evidence of a disease pathology that is being treated, or even exists. Psychiatry has a history when carefully considered, does not justify the position of power and authority that it wields with impunity. As a medical specialty, it has not demonstrated the integrity required to be trusted or respected.

If psychiatry's treatments are safe and effective, why are so many children, the elderly and traumatized Veterans, (among others) disabled before dying prematurely? More importantly, why are the Courts and the Police needed to practice medicine? Why are psychiatric diagnoses legally adjudicated instead of medically diagnosed? Psychiatric diagnoses become a permanent legal record, even though the diagnoses are the result of subjective opinion, and are not verified by facts that would comply with the Rules of Evidence required for every other Civil or Criminal Court proceeding.

Do journalists who simply "report" without independently verifying facts have a conscience? Do they not remember World War II? It was psychiatry that provided the efficient methods of control used to exterminate millions--it was psychiatry that was already killing the "mental defectives" in institutions so efficiently that the Third Reich asked psychiatrists to help carry out Hitler’s diabolical plan.

People are inundated with direct-to-consumer marketing pf prescription drugs on the internet, in print and broadcast news stations; does this contribute to the type of "reporting" that is done by journalists? Has the income from the advertising and direct-to-consumer marketing of drugs created a Conflict of Interest and compromised the integrity of the Journalism profession?

My sense of morality will not allow me to adjust to unethical psychiatric standards. Advocacy groups champion unethical psychiatric standards and pharmaceutical fraud and corruption. Extremist mental health advocacy groups ignore victims whose lives are laid to waste, while proclaiming they are advocating for what is in the victim's "best interest." Victims are further traumatized and victimized in no small part due to this type of advocacy. I will not adjust to the Constitution being set aside for psychiatry to "safely treat" emotional and behavioral difficulties they rename "brain diseases" in an effort to validate their questionable practices. I will not adjust to psychiatry being given the power to maim and kill under Color of Law, by Court Order.

It is definitely unethical for advocacy groups for the seriously mentally ill to be funded by the pharmaceutical industry, and use the information developed by marketing departments of the pharmaceutical industry in educational and advocacy activities conducted "in the public interest."

If I were to adjust to how psychiatry is currently practiced, I would in effect be approving and supporting crimes against humanity, crimes that have been perpetrated by mental health professionals which have seriously harmed my son and my fellow man.


"I believe we must speak our conscience in moments that demand it, 
even if we are but one voice" 
Richard B. Sanders


"God grant me the courage not to give up what I think is right even though I think it is hopeless." 
Chester W. Nimitz


"Whenever a doctor cannot do good, he must be kept from doing harm." 
Hippocrates

I pray for Humanity to heal and hope to see evidence of it in my lifetime
Until then, I can only imagine...


First posted on January 21, 2011 in response to the shootings in Arizona, and titled, 
"Mental Health Advocacy Extremists are Aided by Lack of Journalism Ethics"

Jul 16, 2012

Neurotrauma and Psychological Health Project and Cooperative Studies

Violating the Hippocratic Oath and the Oath to preserve and defend the Constitution.


via Stars and Stripes:


Army, VA partner for PTSD drug study

"An Army office at Fort Detrick and a veterans program are teaming up to study drugs that could help treat combat-related post-traumatic stress disorder.


"The U.S. Army Medical Materiel Development Activity's Neurotrauma and Psychological Health Project Management Office has signed an agreement with the Department of Veterans Affairs Cooperative Studies Program that will help guide the studies, which could begin in about a year.


"Clinical studies at locations across the U.S. will take an additional 24 to 36 months to complete, according to Maj. Gary Wynn of USAMMDA, which is based at Fort Detrick.


"We're not just looking to do a study, we're looking to do a program," Wynn said.


"Wynn, a research psychiatrist who also works at Walter Reed National Military Medical Center in Bethesda, is chairing the effort for the Department of Defense.


"The goal is to identify drugs already on the market that may help in treating PTSD and seek U.S. Food and Drug Administration approval for their specific use in treating the disorder, Wynn said. In some cases, health care providers may already be using certain drugs off-label to help, Wynn said, but they are not approved for use.


"Providers have found certain drugs help aspects of (PTSD), but nothing has been studied to the FDA level," Wynn said.


"Only two drugs, paxotene, known as Paxil, and Zoloft, are approved for the treatment of PTSD, Wynn said.


"The disorder's symptoms include flashbacks, loss of sleep and nightmares. Its cause is unknown, according to the National Institutes of Health.


"Studies have shown that 10 to 15 percent of soldiers who deploy in a given year may develop PTSD, Wynn said.


"Researchers are eyeing 10 to 20 drugs that might be helpful for treatment, Wynn said, including Seroquel, an antipsychotic, and Lunesta, which is used to treat insomnia." here

This announcement comes less than three months after the Army Surgeon General and Army Medical Command warned doctors against using psychotropic drugs for PTSD; citing fatal risks and lack of efficacy.

The question is why is the DoD and the Department of Veterans Affairs partnering to study drugs that are known to have fatal risks when it is known the drugs are not effective treatment for PTSD? The answer is given by Major Gary Wynn; a psychiatrist, who reports the purpose of the drug trials will be to, "seek U.S. Food and Drug Administration approval for their specific use in treating" PTSD.  This is not a valid ethical purpose for conducting a drug trial using human subjects. It is what is referred to as a 'seeding trial,' the primary purpose of which is to expand the market for a particular drug; or in this case, multiple drugs.  Why is the US Government planning on conducting and paying for research which is obviously unethical, and plainly nothing more than a part of the pharmaceutical industry's drug marketing strategy?

Why is the DoD and Veterans Affairs not announcing that it is going to make it a priority to fund the type of treatment that has empirical evidence of being effective for treating PTSD?  Apparently, ensuring that the military continues to be a source of revenue long term for the pharmaceutical industry takes precedence over providing effective non-lethal treatment for our troops with Post Traumatic Stress Disorder.


Major Gary Wynn is a psychiatrist and is going to head this project.  Since the drugs are already known to be ineffective, and multiple warnings have been issued cautioning against using them to treat PTSD due to risk of fatality and the drugs inefficacy; it is a violation of the ethical guidelines of the medical profession, to even prescribe them for PTSD. "First, do no harm..." These drug trials are not for the primary benefit of the troops who have PTSD. It is obvious that the preservation and defense of the individual rights; i.e. Constitutional Rights, of the troops who will be used as research fodder in what is clearly Human Experimentation is not even a concern; it's morally reprehensible. 


last month in Navy Times:
DoD cracks down on off-label drug use
"The message from Air Force Lt. Gen. Brooks Bash informed White that U.S. Central Command had decided in March to remove the powerful antipsychotic drug Seroquel from its approved formulary list." here


via Air Force Times: 
Army launches study of PTSD meds
By Patricia Kime - Staff writer
Posted : Tuesday May 8, 2012 16:21:49 EDT

"Military and Veterans Affairs Department physicians often prescribe medication to ease the symptoms of combat-related post-traumatic stress disorder, even though only two antidepressants — Paxil and Zoloft — are approved specifically by the Food and Drug Administration to treat the disorder.

"But little data exists on which “off-label” medications work and which don’t.

"The Army is hoping to change this, launching a major research initiative next year on the effectiveness of commonly prescribed medications for PTSD.

"Speaking at the American Psychiatric Association meeting in Philadelphia on Monday, Army Maj. Gary Wynn of the Walter Reed Army Institute of Research and Col. David Benedik, associate director for the Center for the Study of Traumatic Stress at the Uniformed Services University of the Health Sciences, said the service will start clinical trials next year to evaluate commonly prescribed PTSD medications such as the antidepressant Cymbalta, mirtazapine, prazosin, and atypical antipsychotics like Seroquel." 
here

via NextGov Broken Warriors April 25, 2012:

ARMY WARNS DOCTORS AGAINST USING CERTAIN DRUGS IN PTSD TREATMENT


"The Army Surgeon General's office is backing away from its long-standing endorsement of prescribing troops multiple highly addictive psychotropic drugs for the treatment of post-traumatic stress disorder and early this month warned regional medical commanders against using tranquilizers such as Xanax and Valium to treat PTSD.

An April 10 policy memo that the Army Medical Command released regarding the diagnosis and treatment of PTSD said a class of drugs known as benzodiazepines, which include Xanax and Valium, could intensify rather than reduce combat stress symptoms and lead to addiction.


The memo, signed by Herbert Coley, civilian chief of staff of the Army Medical Command, also cautioned service clinicians against prescribing second-generation antipsychotic drugs, such as Seroquel and Risperidone, to combat PTSD. The drugs originally were developed to treat severe mental conditions such as schizophrenia and bipolar disorder. The memo questioned the efficacy of this drug class in PTSD treatment and cautioned against their use due to potential long-term health effects, which include heart disorders, muscle spasms and weight gain."  read here


via NextGov Broken Warriors August 2011: 
VA SPENT $717 MILLION ON A DRUG DEEMED AS EFFECTIVE AS A PLACEBO
"Over the past decade, the Veterans Affairs Department spent $717 million for an anti-psychotic drug to treat post-traumatic stress disorder that a recent study shows is no more effective than a placebo."

"While the paper on risperidone published earlier this month reported the results of the first large trial measuring the effectiveness of second-generation anti-psychotics in the treatment of PTSD, previous research found little evidence the drugs were effective and VA's own clinical practice guidelines, first published in 2004, when the department spent $66 million on risperidone and $56 million on Seroquel, warned against using the drugs to treat PTSD." here


In 2011 it was announced that Venlafaxine became a "First- Line Treatment" for PTSD even though it is not FDA approved to treat PTSD.

via Clinical Psychiatry News 3-11-11
Venlafaxine Becomes First-Line PTSD Therapy in Latest VA Guidelines


"The new Veterans Affairs/Department of Defense (VA/DoD) evidence-based guidelines strongly recommend that all adults with PTSD be offered pharmacotherapy with a first-line agent. That means either an SSRI, for which the strongest evidence of benefit exists for sertraline, paroxetine, and fluoxetine, or a serotonin norepinephrine reuptake inhibitor (SNRI), among which venlafaxine has the strongest supporting evidence, said Dr. Villarreal, a psychiatrist at the University of New Mexico, Albuquerque, and the New Mexico VA Health Care System." here

Jul 10, 2012

Children With Neuroleptic Induced Tardive Dyskenisia

Neuroleptic drugs are called "antipsychotics" and are now used for everything but hangnails, it seems.  These drugs are now approved for use in children for behavioral symptoms like aggression,who have a diagnosis of Autism---although there is no evidence these drugs "treat" behavioral problems.  There is however evidence that they shrink brains, and cause  Diabetes, Tardive Dyskenisia, brain damage and alter how the parasympathetic nervous system functions. The alterations of multiple physiological processes are not corrections of dysfunctions, but are evidence of drug induced, iatrogenic illness.  The eyes, the entire digestive tract from the esophagus to the rectum, the cardio-vascular, the metabolic and the endocrine systems all rely on the parasympathetic nervous system to function properly...





Jun 14, 2012

The Drugging of U.S. Troops


via NextGov:
ARMY WARNS DOCTORS AGAINST USING CERTAIN DRUGS IN PTSD TREATMENT
By Bob Brewin April 25, 2012
Flickr user deanslife 

The Army Surgeon General's office is backing away from its long-standing endorsement of prescribing troops multiple highly addictive psychotropic drugs for the treatment of post-traumatic stress disorder and early this month warned regional medical commanders against using tranquilizers such as Xanax and Valium to treat PTSD.

An April 10 policy memo that the Army Medical Command released regarding the diagnosis and treatment of PTSD said a class of drugs known as benzodiazepines, which include Xanax and Valium, could intensify rather than reduce combat stress symptoms and lead to addiction.

The memo, signed by Herbert Coley, civilian chief of staff of the Army Medical Command, also cautioned service clinicians against prescribing second-generation antipsychotic drugs, such as Seroquel and Risperidone, to combat PTSD. The drugs originally were developed to treat severe mental conditions such as schizophrenia and bipolar disorder. The memo questioned the efficacy of this drug class in PTSD treatment and cautioned against their use due to potential long-term health effects, which include heart disorders, muscle spasms and weight gain.

Throughout more than a decade of war in Afghanistan and Iraq, the military services have relied heavily on prescription drugs to help troops deal with their mental health problems during and after deployment. In a June 2010 report, the Defense Department's Pharmacoeconomic Center said 213,972, or 20 percent of the 1.1 million active-duty troops surveyed, were taking some form of psychotropic drug -- antidepressants, antipsychotics, sedative hypnotics or other controlled substances.

The Army, in a July 2010 report on suicide prevention, said one-third of all active-duty military suicides involved prescription drugs.

Dec 6, 2011

Let's Be Real: there is ample data

Let's be real, there already exists ample data---there is no need for further 'study' of the drugs, no need to continue conducting unethical seeding trials.  Seeding trials are trials conducted primarily as a function of a marketing agenda; to expand the market for the drug being trialed.    It is unethical to not inform trial participants of the purpose for the trial. Failing to inform trial participants the purpose for the trial violates their Human Rights; violates the AMA's guidelines for Informed Consent;  and it violates the Office of Human Subjects Research Human Research Protection Guidelines.


The Veterans Administration continued allow testing of  dangerous Neuroleptic Drugs which are known to have a risk of fatality particularly when given to elderly patients---on elderly Veterans with dementia.  The FDA issued a Black Box warning in 2005 warning that this class of drug causes elderly patients to die precipitously; yet the NIH funded a Drug Study in 2006 for Seroquel, one of the drugs given a Black Box warning, to be tested on elderly veterans with dementia; patients who cannot give informed consent for participation in the drug study. 


Why in the hell are Veterans being used as guinea pigs in Drug Trials?  Who are the geniuses on the Institutional Review Board that approved this unethical marketing strategy disguised as a drug study?  And why is the VA allowing a drug trial with a contraindicated drug for dementia to "treat" people who can not give Informed Consent?  Why is the NIH approving funding for drug trials testing drugs that have been given a Black Box warning because they cause patients to die?  It is unethical and just plain WRONG!  

If any of the neuroleptic drugs were used to treat a "physical" disease or biological dysfunction, I suspect they would have been banned long ago; due to the iatrogenic illnesses, disability and increased mortality that neuroleptics cause.  These teratogenic drugs have a lot in common with psychiatric treatments used in the past; treatments that in their turn, were proclaimed to be "safe and effective"--- insulin shock, cold water baths, and lobotomy, none actually were safe or effective, but all were decreed to be safe and effective treatments by the psychiatrists who used them.  The claim was not based on the patient's outcome; but in spite of  a high rate of adverse and even fatal real world outcomes of psychiatric patients.


Neuroleptics are neither safe nor effective for a significant percentage of people.  Neuroleptics are being prescribed "off-label" to children, to the elderly and to traumatized Veterans---with devastating consquences.  The number of bio-psychiatry's victims has to be in the millions since the advent of neuroleptic drugs; but this fact is not acknowledged by psychiatrists or mainstream mental health advocates. Proponents of Involuntary Treatment in fact lobby for unconstitutional Involuntary Treatment Laws. 

I know from experience, that my son's rights were neither protected, nor defended, when court orders were sought and obtained by mental health professionals.  My son's Individual Rights to Substantive and Procedural Due Process were violated, and I know this is not an isolated incident---Perjury and Forgery were used by two licensed "mental health professionals," acting Under Color of Law as agents of the State of Washington; one of them a psychiatrist. There was no criminal investigation conducted of the crimes that were promptly reported. The blatant criminal conduct that AGAIN victimized and further traumatized my son compelled me to start writing this blog.  I could not openly share the story without Isaac's permission--he wasn't willing to let people know what had been done to him as a psychiatric patient until the illegal court proceedings in the summer of 2010. 

"Practice Parameters" are developed by members of the American Psychiatric Association by consensus---not derived from valid research or scientific data. Consensus, a quasi-democratic political process is not at all scientific, nor is voting a scientific method that can quantify the safety or effectiveness of a treatment standard. Nonetheless, psychiatrists rely upon consensus and a vote of the APA membership to "validate" the Standards of Care used in standard clinical practice. 

Psychiatric diagnoses themselves are based on subjective observation and opinion, not empirical data; patients are diagnosed based on opinion, and a consensus of opinions is used to develop standard treatment protocols.  The neuroleptic drugs have fatal risks, and their use as a first line treatment for schizophrenia is based not on empirical data demonstrating their effectiveness, but on the opinions of so-called medical experts more than fifty years after their introduction!  Is this because the evidence base does not support using them as a first line treatment for people given a diagnosis of schizophrenia?  Why are we Court Ordering people to take drugs with disabling and fatal risks, how is this justifiable when neuroleptics are helpful for about a quarter of the people with a diagnosis of schizophrenia?  


In addition to this a egregious betrayal of psychiatric patients' and of the general public's trust, a betrayal that is ongoing; psychiatry has implemented standards of practice that make Medicaid and Medicare Fraud common in Standard Clinical Practice.  I personally don't believe this massive fraud and deceit will stop until the professionals who prescribe the drugs "off-label" and the pharmacists who fill prescriptions that are fraudulently submitted for reimbursement are held legally accountable for submitting fraudulent claims for payment...  

Pharmaceutical companies are liable for the illegal marketing practices of their employees---both civil and criminal liability needs to be addressed---fines for the corporate entities has done nothing to stop the rampant fraud, corruption and "off-label" prescribing of harmful drugs to children and other vulnerable people.  Individuals who are committing these crimes need to be prosecuted for the fraudulent claims that decimate publicly funded medical care programs.   

A prescriber who fails to share what is known about the risks for iatrogenic illnesses, disability and sudden and/or early death; fail to inform people that psychotropic drugs can cause physical and/or psychological DEPENDENCE---not unlike illicit drugs or alcohol dependence; is guilty of medical negligence.  

It took me years to forgive myself for not questioning or independently researching sooner the effects of the drugs given to my traumatized child.  I started independently researching in 2001; by then, my son had been given several psychiatric drugs "off-label;" all of which were fraudulently billed to Medicaid over the previous 6 year period--and none of which, "effectively treated" the behaviors they were prescribed to treat.  Quack Master Jack, Jon McClellan, the Medical Director at the State of Washington's psychiatric research facility for children, Child Study and Treatment Center, was less than forthcoming with information when I spoke with him; in fact McClellan avoided answering my questions about Isaac's diagnosis and treatment; and didn't even bother to pretend to be respectful or honest. McClellan was unable to be forthright and honest, when I would ask for information he was evasive. McClellan's evasiveness compelled me to start researching psychiatric diagnoses and the drugs used to treat them independently

The data I found, horrified me.  McClellan, one of the investigators funded in the TEOSS drug trials, which were being conducted while my son was his patient; minimized and even ridiculed my very real concerns about the obvious harm being done to my son physically and emotionally---For over four years while my son was in Child Study and Treatment Center, staff falsely claimed to be  informing and educating me about his diagnosis and the drugs that were prescribed to my son. 



Please note on the TEOSS Drug Trials---there is something seriously fishy about this expensive trial.  There are conflicting reports about how many children were enrolled--some reports say 116, and others say 119.  Two children died, and according to all of the reports, only 12% were helped by the neuroleptic drugs---This really begs the question, WHY ARE THESE DRUGS, WHICH ARE ONLY EFFECTIVE FOR A MINORITY OF PATIENTS DIAGNOSED WITH THE CONDITIONS THEY WERE DEVELOPED TO TREAT, BEING USED "OFF-LABEL" AT ALL, GIVEN THE SERIOUS RISKS??? EVEN MORE IMPORTANTLY, WHY ARE THEY IN WIDESPREAD USE???   

Jon McClellan claimed I had no say in what he was doing as my son's doctor---although my son was not in any condition to give Informed Consent, and his "assent" was coerced.  My son was told he would not, "get better" and "would not get to go home," if he did not take the drugs given to him.   So he took the drugs, only he never "got better," he was in fact disabled physically and cognitively impaired by the drugs.  My son says, "They stole my intelligence, mom;" and asked in agony, "How could they take so much from me, mom?"  No answer provides any comfort...

Doctors who lie to and mislead patients and parents whose patients develop iatrogenic illnesses and become disabled by the known, documented effects of psychiatric "treatment;" should lose their medical license and be criminally prosecuted.  ( it's not the patient's or the parent's fault that psychiatrists have been lying to and misinforming one another and other medical professionals about the actual direct effects of neuroleptic drugs! ) 

When serious and well-documented risks are denied, or are not shared in an open and forthright manner, it is unethical; such dishonesty is not the behavior of someone who values patient trust, or the Hippocratic Oath or is ethically seeking an Informed Consent for treatment.  When these risks are not even shared with the patient or a parent and the patient subsequently develops iatrogenic illness and/or disability, the "doctor" or other prescriber, often attributes these adverse effects (the drug's effects) to the patient's "diagnosis;" and do not report the adverse effects to the FDA database adverse events--even fatalities caused by the drugs are not required!  This begs the question, WHY are we purposely not collecting the very information needed to ethically and accurately assess risk vs benefit for FDA approved drugs?

Psychiatrists who lie to their patients, family members, and the general public, should not be trusted with special authority OR be granted special Police Powers to detain patients!  They certainly should not have the broad authority granted by the legislation passed with their "advocacy," strengthening Civil Commitment Laws.  It is ludicrous: A profession that has historically practiced "medicine" without honoring the Ethical Guidelines for Informed Consent of the American Medical Association; does not seem to value ethical research standards; and regularly deprives patients of their Human Rights in violation of the Nuremberg Code is granted broad authority including Police Powers to detain patients unwilling to be subjected to psychiatric "treatment." This broad authority allows psychiatrists to have people adjudicated in order to legally affix a diagnostic label and "treat" people who do not want to be treated. 

People who are vulnerable due to experiencing a crisis who may have difficulty communicating or be difficult to understand; people who may have difficulty distinguishing what is real and imaginary; and people who need help staying safe when in an emotional crisis need compassion and assistance from people who are HONEST with them and in telling others about their difficulties!  It is patently absurd that a "medical specialty" reliant upon manipulation and methods of social control to coerce a patient and their family member's cooperation to maintain treatment compliance; continues to wield authority and power that it has abused.  It is simply foolish to blindly trust any profession; it is criminal to grant legal authority to professionals who use deceit and coercion as tools to control vulnerable people in distress.

Thus far, bio-psychiatry has done nothing to earn the trust it has been granted "legally."  Psychiatrists and other medical professionals who fail to warn patients or guardians about the well known direct adverse effects of neuroleptic drugs, in cases where the patient experiences permanent disability are guilty of felony assault.  When the patient dies as a result of this "treatment," it is the crime of Criminally Negligent Manslaughter; Homicide.  Why is it that when the perpetrators are psychiatrists, no criminal charges are brought against them; they are allowed to continue practicing medicine and even be Federally Funded to conduct RESEARCH on vulnerable people.    

How in the hell did psychiatry determine that criminal conduct, is acceptable, that coercion and prevarication can be used in Standard Clinical Practice to gain "treatment compliance?" Using dishonesty and coercion in the practice of "medicine" does not change the nature of the acts themselves--lying is still being dishonest and coercion is still a social control strategy; a manipulation of vulnerable people; calling these tactics "treatment strategies" does not in fact change the nature of the acts themselves; much less make them ethical medical practices! Stating that psychiatric drugs are "safe and effective" in spite of evidence to the contrary, does not make the drugs safe or effective either.

I may have been naive, and regrettably, I was way too trusting in mental health professionals in my pursuit to get appropriate treatment that would effectively help my son.  Over the past 20 years, I have witnessed  more crimes committed by mental health and social service professionals than I ever witnessed during my misspent youth on the streets of Seattle.  Due to my experiences, I can assure you, I am no longer naive or trusting .  I wonder if I am overly cynical, skeptical, or just too freaking angry from being lied to and disrespected by professionals with a lack of professional ethics or a moral compass?  What is the appropriate response for a MadMother who bore witness to the Human Rights crimes that disabled my once brilliant son under the guise of "medical treatment?"







Antipsychotics and brain shrinkage - Certified Fraud Examiner Andy Prough comments

Andy Prough is a Certified Fraud Examiner who has been investigating fraud and abuse in healthcare settings since 1992. Andy completed his professional training with the Association of Certified Fraud Examiners, and has gone on to complete specialized training in healthcare fraud and investigating conflicts of interest. Andy is the Vice President Elect of the Austin Chapter of Fraud Examiners. He has been very active with the state legislature, most recently serving on legislative advisory committees on the rights of children in foster care, and on the rights of families under investigation by Child Protective Services. Andy has also served on numerous state agency working groups and committees, including recent work with the Texas Dept. of Mental Health and Mental Retardation advisory committees on restricting the use of physical restraint and emergency medications in state mental hospitals. Recent reports by the Health and Human Services Office of the Inspector General, by the Texas Comptroller's Office, and by numerous federal government agencies indicate that healthcare fraud is a significant, increasing problem in our society, costing the US billions per year. Through specialized training and experience, Andy has developed professional skills in the investigation of whistleblower claims of fraud against government healthcare agencies.

Source: http://www.austinacfe.com/andy.htm

A recent piece in PharmaGossip looking at Robert Whitaker's blog: here prompted a comment from Andy Prough.

Here it is in full:

Hi Robert,

I'm a big fan, having read everything you publish (sometimes several times, in order to understand the nature of the damage). 

You've brought up some great questions here, related to Andreason's study. And clearly, you predicted this revelation yourself quite a few years ago when you first published Mad in America. 


I think the bigger question is whether the manufacturers will be held liable? They've had the same information for at least as long as you have. What happens when the corporate whistleblowers start coming forward, showing evidence of Big Pharma board meetings at which brain shrinkage among juveniles was discussed and discarded? How big will the bill be under the False Claims Act? Fines of $11,000 per incident and triple damages can add up quick. 



parts of this article were first published on June 1, 2011 with the title "Let's be real, there already exists ample data"

Sep 15, 2011

Champions of Change? God Bless America and Protect Her Defenders...



The NIMH is honored by the White House as "Champions of Change."  I want to scream, cry stomp my feet---How in the hell can an agency with such a seriously  ethically challenged Director be a champion of anything?   How much studying does it take for   Champions, who are Public Servants and  "America's "experts" to see what is right in front of them?  The  research the American People have already paid for holds the answers...

via the NIMH

Back in 2008, the Army came to the National Institute of Mental Health and said, you know, we realize we have a problem, and during this timeframe, the Army had seen a doubling of their risk for suicide. Traditionally, the Army had had a much lower risk of suicide than the general civilian population. But over this time period, from the early 2000s to 2008, this risk for suicide within the military, and within the Army in particular, had continued to grow to the point where it had just then begun to exceed the civilian population’s risk. And so Army STARRS is a basic research project designed to provide the Army with vital information about, you know, what’s going on, what might lie behind this rise in suicide. With the urgency that the Army has and being able to take these findings and turn them into things that are actionable.

The Director of the NIMH, Thomas Insel, knows that psychiatric drugs used to treat PTSD and other psychiatric issues are contributing to the suicide rate. So are multiple longer deployments. These two factors are unique to veterans of Afghanistan and Iraq which have strangely not been mentioned in discussions as to why so many are killing themselves--more commit suicide than die in Afghanistan and Iraq. If Insel is unaware of these facts, then he should not be the Director of the NIMH.

I did not finish High School and have two years of college. At one time, I was majoring in psychology with the intent of going into research. For those who know where to look and how to read with comprehension, the answers are easy to find---I can not help but be very angry about this announcement that there will be three more years of "studying" this issue, because, "you know we realize we have a problem," and now there is a plan to work with researchers about three years to "study" what the cause of drug-induced suicide is!!?

I started writing this blog on September 4, 2010 on September 11, 2011 the post was about Thomas Insel here is a quote from a psychiatrist who blogs: 


"In World War I, we learned from the trench warfare that prolonged, sustained combat causes epidemic mental illness – the longer the exposure, the worse it gets. It was erroneously called Shell Shock in that war.  Then in World War II, we named it Combat Fatigue. In Viet Nam, it became PTSD. Our literature is filled with data supporting this intuitively obvious fact. So as Director of the National Institute of Mental Health, why in the hell wasn’t Tom Insel testifying to Congress and the Joint Chiefs about the insanity in their policy of letting [in fact incentivizing] our adolescents go back for five or more contiguous tours of duty in middle east wars – wars where they live with the constant knowledge that any person on the street might be another human bomb? It may be cleaner than the trenches, but psychologically it’s equally grim."  read the whole thing at 1 Boring Old Man




For an update on the true nature of this program, e.g. Experimental project with no scientific validity The Comprehensive Soldier Fitness Program


November 15,2010 Do Veterans Receive Care and Protection Needed?


November 21, 2010 American Veterans They Made it Back Alive to Die Here at Home


April 14,2011 Putting Troops in Harms Way: it's not accident or oversight

I wrote about this August 23, 2011 Psychiatric Drugs are Killing American Soldiers


March 20,2011 Female Soldier's suicide rate triples when at war--USA Today


May 20, 2011 is First Line Treatment for PTSD Developed From Insufficient Evidence?
This post has a report from the Institute of Medicine on effective PTSD treatment


From the Project on Government Oversight:
A Leader in Ethics Reform at NIMH Doesn't Think the Rules Apply To Him


NIH Needs New Leader On Ethics Reform


One more scandal

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