Pat Deegan reflects on her own experience an shares about the need for hope in recovery: He said, I should retire from life and avoid stress. I have come to call my psychiatrist's pronouncement a "prognosis of doom". He was condemning me to a life of handicaptivity wherein I was expected to take high dose … Continue reading Hope and Recovery
Category: Treatment
Deconstructing “it works”
Healthcare, etc. has a great post deconstructing what it means to say a treatment works: What exactly does it mean when we say that a treatment works? Do we mean the same thing for all treatments? Are there different ways of assessing whether and how well a treatment works? I am sure you've guessed that … Continue reading Deconstructing “it works”
Intellect no shelter from cognitive bias
In a recent post I shared my observation that, as the usefulness of many psychotropics have been cast into doubt by a growing body of evidence, many people who used to chide questioners to "follow the evidence" now resort to anecdotes to defend their advocacy for these drugs. (And, denigration of other methods.) One story … Continue reading Intellect no shelter from cognitive bias
Coming of Age on Zoloft
An interesting take on anti-depressants from a writer who has benefited from them: The mainstreaming of medication has bred confusion about what’s normal. In some sectors, we’ve grown so vigilant about the possibility of having a mental disorder that this vigilance becomes counterproductive, a source of anxiety in itself. Every negative emotion becomes a potential sign or … Continue reading Coming of Age on Zoloft
Integrated care?
Pat Deegan bites her nails at the prospect of integrated care for mental health care (The same thing is happening with addiction treatment): Is recovery going the way of the dinosaur? Is recovery-transformation an old idea that should give way to more enlightened policies of integrated, co-located behavioral and physical healthcare services? These days, I … Continue reading Integrated care?
Residential?
From the United States Senate Caucus on International Narcotics Control: 11. Finding: Traditionally, U.S. Presidents – through ONDCP – have divided drug demand reduction into two main categories: prevention and treatment. However, the Obama Administration has added a third area: recovery. For the first time ever, in its 2010 National Drug Control Strategy, ONDCP focused on the need to invest in … Continue reading Residential?
An exciting time for pharma
Ugh! This Join Together article reads like a ad for pharma: Many people struggling with alcohol dependence who could benefit from medication are not receiving it, according to an expert who spoke at the recent American Psychiatric Association Annual Meeting. “Antidepressant prescribing is 100 to 200 times as great as prescriptions for medications approved to … Continue reading An exciting time for pharma
What we spend on health
This infographic is from a report on obesity and it's set off a debate its accuracy. But it gets at a point I've made before. And, the more I learn, the clearer it becomes that this general principle applies to medical problems, mental health problems and addiction. To me, this doesn't make a case for … Continue reading What we spend on health
Failure to rescue
Atul Gawande found that hospitals have high rates of variance in post surgical complications but the reason is not what he expected. But there continue to be huge differences between hospitals in the outcomes of their care. Some places still have far higher death rates than others. And an interesting line of research has opened … Continue reading Failure to rescue
Road traffic crashes and prescribed methadone and buprenorphine
Last year, a study questioned whether buprenorphine patients should be allowed to drive because 60% tested positive for other drugs. Now, another study reaches similar findings: Background Opioids have been shown to impair psychomotor and cognitive functioning in healthy volunteers with no history of opioid abuse. Few or no significant effects have been found in opioid-dependant … Continue reading Road traffic crashes and prescribed methadone and buprenorphine
Recovery Review 