Have you ever seen lupus cured? Diabetes? Asthma? Epilepsy? Multiple sclerosis? Parkinson's disease? Coronary artery disease? Of course not. They're chronic conditions. There is no treatment yet known to cure any of these ailments. But I still insist my wife takes her insulin. Should she not? After all, it's not curing her, it's only treating the symptoms. Maybe I should run that by her and see how well that goes over. And my kids at work, I better cut out their asthma inhalers along with their psychotropic meds. It's not like it's making them any better, after all.
Where does post traumatic stress disorder fall into your theory? I know quite a few veterans who would take great offense at being told they shouldn't get treatment because they can't be cured. And war vets aren't alone. I see children every day with stories so tragic that you'd never see them on tv or movies and I'd risk a ban if I detailed any of them.
Sorry if I'm a little touchy about this, but I work not-for-profit helping children that the system has abandoned because the public believes their genuine disorders aren't real or worth treating. I suffer low pay and my family goes without a lot of luxury, and it's ok with us because I get to improve the lives of children every single day.
Now back to my usual middle ground. Big pharma has motives that makes me sick, including their psychotropic divisions. There are some FDA approved medications that I refuse to administer, and the doctor I work with refuses to prescribe them anyway. Every time we add a medication, it's after careful observation and deliberation.
And here's the kicker, and I can't imagine anyone could not approve of this. The primary method of treatment where I work is NOT medication. We rely on individual counseling, group therapy, recreational therapy, spiritual life, and less formal things like building healthy positive relationships with adults and modeling healthy coping skills for the children. But the fact is, some of these kids have been so abused, and they are so mentally ill, that they need the assistance of medication to be able to benefit from those other wonderful things. We use what is needed, we monitor them for effects as well as side effects, and we watch as children who once couldn't hold a conversation without becoming violent or couldn't sleep through the night without having terrible flashback nightmares wake them up... get BETTER! They are not cured. But through many different approaches including medication, they are able to cope with life's hardships and go on to lead lives as happy as anyone can expect to have.
The biggest problem I see with psychiatry isn't big pharma, although I'd love to punch them in their collective faces. It's a misinformed public that has skewed or unrealistic expectations. On the flip side of the "mental disorders aren't real" coin, there are the people who want to go to a psychiatrist, spill their guts, get a prescription, take a magic pill, and be happy. Then they wonder why their magic pill doesn't make them happy, so they ask for more. And doctors who are burned out and overworked don't have the time or resources to get a full clinical picture, and far far too many of them just approve more drugs. Drugs that probably weren't needed in the first place! Now you've got doped up idiots running around, still miserable, suffering from the interactions of 7 different drugs on maxed out doses, and they're not only still unhappy, they're worse! This is the picture of modern psychiatry, and from THIS perspective, yep. I agree. It's a broken system.
But here's the secret: drugs don't make people happy. Not news to anyone here, I hope, but it is news to lots of people trying to feel better. Psychotropic medications, when used correctly, simply make the patient ABLE to improve their own lives. But it is always ultimately up to the patient.
I'm really sorry to go so
and so longwinded. It's just that I have hope. I know how screwed up mental healthcare is, but I also know it is needed. I wish I could fix what is wrong with modern psychiatry, but I don't have the power to do so. Instead, I practice it in a way that I know works. And I hold out hope that just as so many other fields of healthcare did, mental healthcare will improve and become a benefit to all the people who need it.