This is the kind of news release that angers me.
It’s ill-conceived, illogical, and dangerous. It starts with the statement that “Dr. Quinn’s new book reviews the most up-to-date research on the use of antidepressants in bipolar disorder” and then proceeds to demonstrate that the author has little grasp of the most basic principles of logic, let alone the principles of research. His statements are based neither in research nor in logic. They are self-serving and misleading. I get that he wants to sell his new book. I also get that using sensationalism and duplicity as a means to increase sales is perfectly acceptable to him. And that, in my view, is reprehensible.
“Eric Harris, one of the shooters at Columbine, was on an antidepressant when he and Dylan Klebold killed 12 students and then themselves. Jeff Weise, who killed nine people and then himself in Red Lake, Minnesota, was also on an antidepressant, and Kip Kinkel was on an antidepressant when he fatally shot his parents, two students and wounded dozens at a high school in Springfield, Oregon.”
Okay. And so? This tells us what? This is selective bigotry and stigmatization of mental illness at its very worst. “One of the shooters” at Columbine was on an antidepressant? And the implication is that caused him to kill people? What about the other shooter? What caused him to kill people? What about all the other historical and emotional characteristics of Eric Harris? Were those factors unrelated to the shootings? What about all of the other people who commit crimes, including mass or serial murder, every year who are not on any medication at all? What about the millions of people world-wide who are on antidepressants and other medications who will live their whole lives without ever killing anyone?
“Antidepressants have been linked to worsening hostility, suicidal behavior and psychosis in depressed children and teens and some people with bipolar disorder. While no one can say that antidepressants caused Harris, Weise, and Kinkel to commit mass murder, all these cases raise the question of who should be given antidepressants and who should not.”
No. This is false. Antidepressants have not been linked to hostility, suicidal behavior, or psychosis in children, teens, or anyone else, except by anecdotal evidence which is increasingly being exposed as hysteria. However, it is the case that hostility, suicidal behavior, and sometimes psychosis are among the symptoms of the illnesses and conditions that various classes of psychotropic medications, including antidepressants, are used to treat.
“‘These drugs tend to be handed out routinely to anyone with symptoms of depression and without a great deal of thought given to accurate diagnosis or the risks involved in using them, especially in young people with agitated depression,’ said Brian Quinn, LCSW, PhD., author of a new book, Wiley Concise Guides to Mental Health: Bipolar Disorder (John Wiley & Sons, 2007). ‘We don’t know what the diagnoses of these kids were, but we do know that they all had angry, agitated depressions — an indication they may have had bipolar disorder or could respond to antidepressants with a worsening of their symptoms. Caution should have dictated that they not be given antidepressants initially.'”
What absolute balderdash. These drugs are certainly NOT “handed out routinely to anyone with symptoms of depression and without a great deal of thought given to accurate diagnosis or the risks involved in using them”. The author is a social worker. He does not and cannot prescribe medications. What evidence is presented to back up the claim that physicians are ignoring diagnostic considerations in prescribing these medications?
“‘Psychiatrists, psychologists and social workers frequently misdiagnose those in the depressed phase of bipolar illness as having simple depression. This often results in them mistakenly being given antidepressants alone,” Quinn said.”
Okay. So people with bipolar disorder are often initially misdiagnosed with depression. Why is that, Mr. Quinn? I can tell you that it’s not a result of incompetence and it’s not a result of antidepressant medication. It’s a result of the nature of bipolar disorder – a fact you should understand as a self-styled expert on the subject. The majority of bipolar patients first present with depression, not hypomania, and the only way currently to accurately diagnose bipolar disorder is on the basis of longitudinal evidence showing recurrent cycles of depression coupled with evidence of at least one hypomanic or manic episode, evidence which is frequently not available when a patient is first being seen by a mental health professional. Given that, physicians do what they should be doing, viz., treating the symptoms of depression. That doesn’t mean that the possibility of bipolar disorder is ruled out. It simply means that physicians, like other men of science, follow the principle of Occam’s Razor: The simplest explanation is often the correct one and one does not proceed to a more complex explanation (diagnosis) of medical-psychiatric symptoms without first eliminating the simpler explanations (diagnoses).
This is the Dr. Phil phenomenon – the confusion of entertainment and marketing with science and professional practice. It is blatantly anti-science and anti-logic. And it worries me because of the potential damage it does to vulnerable people who need help and may be denied it if sensationalist propaganda such as this is believed.
We’re already seeing evidence of rising suicide rates among adolescents and children as a result of the fundamentally unfounded restrictions on the use of antidepressant medications among these age groups. We don’t need more biased sensationalism to make the situation worse.
antidepressants, bad logic, bad research, bad science, bipolar disorder, depression, sensationalism