Doctor Feel Good? Are doctors drugging or medicating?

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You have read the blogs and seen the placards a dozen times: doctors prescribe too many “drugs” for too many patients. Psychiatrists, in particular, are popular targets of politically motivated language that seeks to conflate the words “medication” and “drug”—thereby tapping into the public’s understandable fears concerning “drug abuse” and its need to carry out a “War on Drugs.” Misleading radio ads promise “drug-free” treatment of panic disorder (certainly possible, but not always achievable) and the Internet bristles with the phrase, “psychiatric drugging.” (My Google search pulled up 9310 results.) And, all too predictably, any physician who argues that psychotropic medication is often an effective and lifesaving intervention is hustled off to the perp line of “drug-company shills.”

All this will not surprise students of language, history, and philosophy. Those who control language are well positioned to control thought and behavior. If government officials can persuade the public that killing innocent civilians is merely “collateral damage,” they have gone a long way toward justifying the carpet-bombing of a village. If the forces of antipsychiatry—and they are alive and well—can persuade the public that psychiatry is “drugging” people, they have gone a long way toward marginalizing and discrediting the profession. To understand how powerful the words “drug” and “drugging” are, imagine the feckless campaign that would be waged if the perennial protesters in front of the American Psychiatric Association’s Annual Meeting carried signs that read, “Psychiatrists: Stop Medicating Your Patients!

Is this all merely a matter of “semantics” or—in the parlance of postmodernism—“competing narratives”? Is there any scientific reason to distinguish “drugs” from “medications”? And finally, what are our ethical obligations as healers when medication is administered, either voluntarily or involuntarily?

There is, of course, a qualified scientific case to be made against overuse of some psychotropic medications. In the first place, we have far too many medications that employ the same old mechanism of action, with only modest efficacy, and too many unacceptable adverse effects. The so-called atypical antipsychotics (AAPs) are good examples. With the exception of clozapine—and possibly risperidone and olanzapine, according to a meta-analysis—the AAPs are not substantially more effective than the first-generation neuroleptics.1 Meta-analyses, of course, must be viewed cautiously, since the studies that compose them may be flawed or biased, and unpublished “negative” studies may be excluded, as my colleague S. Nassir Ghaemi, MD, has pointed out.2 Thankfully, decreased rates of tardive dyskinesia with the AAPs are a bright spot in this otherwise dour assessment, and this is no trivial gain.

Nonetheless, the metabolic adverse effects of the AAPs (weight gain, lipid and glucose dysregulation, and so on) are substantial problems and call into question the goal of expanding the labeled “nonpsychotic” indications for these medications.3 We sorely need to escape from the “D2–5-HT2–me too” paradigm—antipsychotics that block mainly dopamine-2 and various serotonin receptors—and uncover more fundamental mechanisms of antipsychotic action. Critics of psychiatry are indeed justifiably skeptical regarding “Big Pharma’s” concerted efforts to expand the use of AAPs to the treatment of nonpsychotic conditions, for which effective and better-tolerated medications are already available. And yes—many of these same critics are quite properly alarmed at the decreasing use of psychotherapy in psychiatric practice.4

DUI Drug Charges Is Rehab the Answer

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Addicts need to get well, and become free of addiction

Recovery brings hope

Wits Inn Recovery can appear in court on behalf of the drug treatment program, with a treatment plan for you rehabilitation.
http://www.wirecovery.com 949-292-2000     
Has your drug or alcohol problems lead you to trouble with the law?  Wits Inn believes you can have a better life in recovery.  Wits Inn has been working with addicts, alcoholics, and their families for over 20 years.  Wits Inn wants to help you become a clean & sober productive member of society.  Call 949-292-2000 info@wirecovery.com  www.wirecovery.com

Forgiveness the formula for addiction recovery

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Forgiveness is the answer

By Loriann Witte CAC 949-292-2000

 

My Divine gift is getting to help remind addicts who they really are. I stand sober and full of peace in their presence. My spiritual teachers stand right there with me. I get to see the higher self reawakening in my friends and take its rightful place in the driver’s seat. The power and unbridled joy that comes out of this love-fest, is over the moon and back again.  The first time I saw a vision of an addict’s higher self was when I fell in love with my husband Pat

in 1980. Pat and I were caught up in active drug addiction, and everything that goes with that. Even in that dark night of the soul, we found each other as diamonds in the really rough. In the face of our circumstances of that time, I always knew Pat on a soul-to-soul level as who he is right now.   
I

 was developing a skill, a skill that would become my most valued spiritual practice.
My 12-step recovery combined with my Spiritual Living classes and total experience with our Drug Rehab center has made it possible for me to accept and embrace my whole life. The God-eye of truth shows me only a thin veil of tears separates us. The oneness is always right there for us.  I am so grateful to know I have this gift in my life.
In 12-step meetings, in church, at work; my heart yearned to have our own addiction healing ministry. I feel a profound calling that this is the work for me. I quit my dy job 2 years ago and now I know God is the source of my supply.  I keep close to the spirit and do the work before me, one day at a time.
Five newly recovering guests live in our home with us today, two more are coming tomorrow so Pat and I will have to sleep at the hotel until we can get another house open, but we will be in the home with them everyday.  We are chugging along.  I live in complete faithful knowledge that all is well and we have more than enough. This blesses Pat, me and so many loved ones that we have not even met yet.

I am so grateful for

1. My sobriety

2. My marriage

3. Dr. Heather, Rev.Alene, Rev. Judee, and my church family

Spirit Dancers

Dolphins and all High Vibrations of Oneness

4. Our 3 kids, grand kids, siblings, Moms and Dads

5. My health and my life.

And so it is. Amen

Wits Inn Recovery

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Wits Inn Recovery is a drug and alcohol program. We specialize in treatment refferal services, inpatient rehab, interventions and rapid detox. We have on site interventionists, doctors and counselors.

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