If you’ve been feeling any of these symptoms consistently for over a month, you should immediatley seek out medical advice, preferably from a trained psychiatrist, psychologist, or social worker.
Chronic physical symptoms that do not respond to treatment such as headaches, digestive
disorders, and pain can be an indication of depression, but may be symptoms of an underlying
psysical condition that warrants further testing.
Before taking antidepressants you should get a second opinion. Integrative medical practices
(those that combine alternative and conventional medicine) are very successful at finding the true source of mysterious ailments.
By MC—(Unless you have been to over 100 Dr’s and BABY I CAN TELL YOU STORIES!
In fact, antidepressants are contraindicated for short-term treatment of minor depression —
something the drug companies don’t want publicized. Clinical practice guidelines indicate that
SSRI’s need to be prescribed for at least six months for minimal treatment of major depression longer than most episodes of minor depression last.
So with such doubt about their efficacy, why are so many doctors
(most antidepressants are prescribed by PCP’s, not psychiatrists)
handing out prescriptions for an ever-growing list of
symptoms — such as headaches, insomnia, PMS, menopausal symptoms — that are not
exclusively linked with severe depression?
To get a clearer picture, it’s important to understand how the healthcare system works.
Undermanaged care, when you feel unwell your first stop is your primary care physician (PCP), not a specialist. To figure out the real issues requires a lot of time.
One must look at the person’sunique history and presentation.
PCP’s have very little time to spend with you and they are usually
not experts on mental health or natural methods.
PCP’s are well-intentioned, but antidepressants may be the best option they have for you. They
may believe that antidepressants, particularly SSRI’s, provide an adequate solution with relatively
little risk (at least in the short term). And antidepressants often will help you feel better — if you
don’t mind the side effects.
Certain chronic pain conditions that primarily affect women, such as fibromyalgia,
endometriosis and rheumatoid arthritis, can cause mild depression and multiple trips to the
While your primary care doctor may be unable to resolve your chronic pain,
he or she can help make you happier about living with it. If they can satisfy you and the HMO
with a prescription, they feel they’ve done their job.
Off-label use of antidepressants
While doctors are under pressure from the managed care system on the one hand,
The influence of the pharmaceutical companies who make antidepressants is truly pervasive.
Drug companies typically get a new product approved by the FDA for a specific diagnosis for a
limited period of use based on the results of clinical trials.
The companies then use a range of tactics to support the use of that drug for other diagnoses and for longer periods of time. This isreferred to as off-label use, and it is an enormous source of sales and profits for —
YES—FOLLOW THE MONEY!
Big Pharma, as the pharmaceutical industry is sometimes called.
Years ago a tactic used to promote off-label use of antidepressants was to suggest to doctors that women’s complaints have no medical basis — i.e., “it’s all in her head” — and won’t go away
without a mood-altering drug.
Today Big Pharma’s tactics are subtler. They fund research, conferences, and speakers and direct
free samples and sales efforts toward physicians in support of off-label use of their products,
Not to mention the multimillion-dollar direct-to-consumer
advertising campaigns. A 2003 study found that over 70% of surveyed patients reported exposure to these persuasive advertising efforts.
One specific recent tactic in recent use is the widespread promotion of antidepressants as a “safe”substitute for synthetic HRT.
BY ME______ They list the side effects of THE DRUG
IS ANYONE ———BUT ME—— Listening and laughing?
When the WHI studies on the dangers of HRT were published in 2001
About 13 million women were taking those drugs.
Many of these women were put into a panic by the news about the health risks of HRT.
The drug companies seized this opportunity to promote antidepressants for menopausal
symptoms, especially hot flashes. Millions of women were switched directly from Prempro to
Prozac or other SSRI’s. Unfortunately, in our clinical experience, they don’t work for very long,
particularly in their use for hormonal, inflammatory issues, and women aren’t being told enough
about their health risks and side