In my recent book, Crash: A Memoir of Overmedication and Recovery, I offer a detailed exploration of my journey through the maze of ineffective and often harmful psychiatric “care” that both my mother and I received when we experienced depression, anxiety, and chronic pain. Early on, I picked up the notion that depression was due to something difficult you experienced—for my mother, it was the births of her children in close succession. She took copious amounts of pills and saw her psychiatrist fairly regularly, but she never got well for any extended length of time.
And when I had experiences of depression, I took a psych drug for a month or so and then discontinued it, so it didn’t seem like I needed a drug forever to be OK. Until the mid-90s when depression and chronic pain hit me at the same time and nothing at all helped. For many people, my story and my mother’s will be familiar—they try drug after drug and then maybe several ECT shocks and still don’t get well. Maybe your doctor treats you with numerous headache drugs and you still have a migraine. Maybe you’re given opioids as part of a pain management cocktail. What happens then?
I explore those questions and many more in my memoir. And in case you think that something that happened over 30 or 60 years ago—in the case of my mother—can’t be relevant today, here are a few news articles that relate to the experiences I recount in my book and an endorsement from a pharmacology professor at Georgetown.
“I read your book cover to cover tonight; I hadn’t meant to read the whole thing, but it is so well-written,,clear ,and compelling. I would love to have a hard copy to share with students.”
~ Adriane Fugh-Berman, pharmacology professor at Georgetown Medical School
“Converging lines of evidence now suggest that depression—a common comorbidity in the setting of chronic pain—may in some patients represent an unrecognized yet potentially reversible harm of opioid therapy.”
I’m thrilled to have my memoir, Crash, reviewed on the Mad in America Blog by the fine reporter, writer, and storyteller Amy Biancolli.
Crash: A Memoir of Overmedication and Recovery by Ann Bracken (Charing Cross Press)
“Have you ever done everything a doctor told you, only to find yourself sicker than before you began treatment?”
So asks Bracken in the first paragraph of her memoir, a devastatingly honest, ultimately hopeful account of personal and family anguish marked by crashes both literal and figurative. She zips back and forth in time, describing both her mother’s decades in the system and her own long arc of anguish and recovery—and touching on her daughter’s story as well.
The multigenerational saga begins in 1959, with her mother’s hospitalization for depression, and cycles through a decades-long ordeal that led to 37 ECT sessions (with minimal anesthesia) and psych drug upon psych drug upon psych drug. As a kid, Bracken had questions (where’s mom? why are the grownups whispering?); as an adult, she found answers in 30 years’ worth of medical documents meticulously preserved by her father.
The revelations were many. A full list of Helen Dempsey’s meds in the appendix includes barbiturates. Amphetamines. Tranquilizers. Antidepressants. The benzodiazepine Dalmane. The anticonvulsant Dilantin. Beyond all those medications and ECT, Dempsey also received some talk therapy—“but I’m not sure how helpful it was for my mother to talk with her male psychiatrists,” Bracken writes, “especially given the medical establishment and cultural attitudes toward women at the time.”
You can read the rest of Amy’s review here, and check out the other books featured this month as well.
I’m pleased to announce that my memoir, Crash,is available for purchase on the following platforms: Bookshop, Amazon, and Barnes & Noble, & Ebook Versions, as well as here on my website. Putting this book together was like assembling a giant jigsaw puzzle—fitting experiences together with research helped me to develop a deeper understanding of what happened to me when I sought help for a severe depression and chronic migraine. Contrary to many of the upbeat and happy images you see in the commercials for antidepressants, my journey was one of trying one drug after another, yet never finding relief. The research I did for the book revealed that I was far from alone in that experience–only about 15% of the people who take antidepressants experience improvement greater than what’s accounted for beyond the placebo effect.
Book cover
Part of the reason I’m so interested in the topic is because I grew up in a home with a mother who suffered from chronic, unremitting depression for nearly 40 years. Mom did everything the doctors told her, yet she could never escape the heavy pall of darkness. I kept wondering: Why could I recover and Mom couldn’t? I found the answers buried in an old folder in my sister’s attic. Crash braids my story with my mother’s to explore her journey using Dad’s detailed records from 30 years of her care, interwoven with research and vignettes from my past.
All through my illnesses, “I’ll never be like my mother,” was my fervent mantra. I vowed to escape her fate despite year after year of unsuccessful treatments with numerous drugs and many rounds of electroconvulsive therapy. Crash is the story of what I learned about treating depression and chronic pain and the steps I took to finally recover. My memoir serves as a missive to women struggling to heal, carve their own path, and demand better care.
Here’s what some noted people in the field of psychiatric reform had to say about Crash:
“Ann Bracken’s evocative memoir powerfully tells of how psychiatry’s diagnoses and treatments can lead to loss, illness, and despair, and how escaping from that paradigm of care can be a starting point for a full and robust recovery.”
~Robert Whitaker, Author of Anatomy of an Epidemic
“Ann Bracken artfully braids her path out of chronic pain and major depression, while questioning the system designed to help her, and reaching back into her mother’s history to find a way to help her as well. Bracken gives us permission to ask questions about our current mental health treatment; read and educate ourselves on the risks, benefits, and alternatives to psychiatry’s status quo; and above all, not to quit until we find our own path to a healed life.”
~Angela Peacock, MSW, mental health advocate and featured in award-winning documentary, Medicating Normal
“A fascinating memoir of two generations of medical and psychiatric mismanagement and suffering, and how one brave woman figured out what was happening and successfully took control of her health and well being… and prevented a third generation from following the same path.”
~Stuart Shipko, MD, author of Surviving Panic Disorder and Xanax Withdrawal
I wrote this essay after seeing the film Luna, about a brother and sister who were both medicated for ADHD and now struggle with self image, motivation, and the negative effects of stimulant drugs.
When I graduated from college in 1974, I felt well-prepared to work as a speech and language pathologist in the public schools. I knew how to use an articulation test to screen for speech delays and pronunciation problems. Using a variety of standardized and informal assessments, as well as teacher input, I could determine areas where a child was struggling with language comprehension and expression. I easily performed routine hearing screenings to determine whether a child needed a full audiological workup. But what I wasn’t prepared for was making recommendations to parents for children who were labeled as “hyperactive.”
Grab-bag of prescription drugs
During my second year of working in the schools, one of my duties was working on a screening committee. The screening committee in my school consisted of the assistant principal, the school psychologist, the reading specialist, the classroom teacher making the referral, and the speech pathologist (me). Children were referred to the committee for a variety of concerns—struggles with reading or math; speech, language, or hearing problems; and “hyperactivity,” which was later renamed as Attention Deficit Hyperactivity Disorder (ADHD).
Three aspects of the screening committee’s discussions regarding the children, almost always boys, that either teachers or parents considered to be hyperactive stand out for me. When we surveyed the child’s records, we almost always discovered he had what we euphemistically called a “late birthday” because he was born near the end of the year. That meant that he was usually one of the youngest children in the class. Additionally, when we checked into the child’s home life, we often discovered that his parents had recently divorced or there’d been a death in the family. And lastly, there was always someone on the committee, often the assistant principal or the school psychologist, who recommended that the parent seek a medication consultation for the child.
To read the full essay, continue to the Mad in America Blog.
In honor of National Poetry Month, I’m posting a couple of columns that can help you see often-neglected uses for poetry. Besides its great beauty and ability to capture emotions, poetry can be a useful tool in many aspects of life–like dealing with depression.
How can poetry help depression? Aren’t medication and therapy the best ways to treat the illness? My story may surprise you.
When I suffered from depression in the early 1990s, Prozac was the new “miracle drug.” Along with this so-called “miracle drug came a physical explanation of causation: that depression is caused by a chemical imbalance in the brain. This thesis is still widely promulgated, though much research is coming to light that disputes and even negates this biomedical explanation for the darkness that is so prevalent in our modern world. More information on the research side can be found at the website Mad in America, curated by science reporter Robert Whitaker. As part of Whitaker’s work to educate the public, he invites doctors, psychologists, counselors, and patients from all over the world to share research, essays, and personal experiences on the issues of depression and its treatment.
Even in the 1990s when I struggled to climb out of depression and tried numerous medications for several years with no results, the idea that the chemicals in my brain were out of whack did not provide a solid answer. Instead, I pursued a more metaphysical explanation for the questions that haunted me: “Why am I depressed?” and “What longings are unfulfilled?”
And that’s what led me to poetry.
One of the most valuable resources I found to aid in making sense of the gifts of depression is poet David Whyte’s 1992 CD entitled The Poetry of Self Compassion. Whyte’s recitation of Mary Oliver’s “The Journey” confirmed my feelings of being on a perilous but necessary journey through darkness and confusion. And I was deeply confused by the all-encompassing darkness that I was experiencing. But once I heard Whyte recite “The Journey,” I knew that someone understood a piece of what I was experiencing. And that the way I was feeling had nothing to do with messed up brain chemistry. My depression had everything to do with self-discovery and taking charge of my life.
The Journey
One day you finally knew
what you had to do, and began,
though the voices around you
kept shouting
their bad advice–though the whole house
began to tremble
and you felt the old tug
at your ankles.
“Mend my life!”each voice cried.
But you didn’t stop.You knew what you had to do,
though the wind pried
with its stiff fingersat the very foundations,
though their melancholy
was terrible.It was already lateenough, and a wild night,
and the road full of fallen
branches and stones.
But little by little,
as you left their voices behind,
the stars began to burn
through the sheets of clouds,
and there was a new voice
which you slowly
recognized as your own,
that kept you company
as you strode deeper and deeper
into the world,
determined to do
the only thing you could do–
determined to save
the only life you could save.
~Mary OliverI remember listening to the poem over and over–as if rolling around a mysterious new food in my mouth, trying to figure out what it tasted like that was familiar. What was it I was determined to do? What else besides raise my children, serve my community, and be a good wife? I just knew there was more. And Mary Oliver’s words gave me the courage to make the journey that would save my life.
The answer was slow in coming, but I gradually began to realize that my struggles with depression and a migraine headache exacerbated my ex-husband’s verbal abuse to the point where I could finally see it. Depression and chronic pain became my crucible for change and my pathway to a new life. Poetry became my way to unlock the profound secrets that illness led me to discover. Poetry helped me to have compassion for my journey and for all the mistakes I had made along the way.
Whyte ends on a note of great compassion in the poem “The Faces at Braga” as he compares surrendering to the fire of depression and embracing your flaws in this way: “If only we could give ourselves to the blows of the carver’s hands, the lines in our faces would be the trace lines of rivers feeding the sea” and we would “gather all our flaws in celebration, to merge with them perfectly…” What a compelling call–to celebrate one’s flaws. What a gift of healing.
Author’s note: This essay forms the foundation for my memoir-in-search-of-a-publisher, Putting the Pieces Together: A Story of Overmedication and Recovery.
In 1959, my mother suffered what people commonly referred to as a nervous breakdown after my youngest sister’s birth. Mom spent six months in a local, Catholic psychiatric hospital while Dad and Grandma assumed command of the household. I was seven years old, the second-oldest of five children. Eventually, Mom visited us a few times on Sundays, and then returned home in November, presumably ready to assume her duties as a wife and mother. Sadly, Mom remained gripped by depression for the rest of her life.
Because my memories of that time are wrapped in thick layers of gauze, I’ve had to rely on others to fill in the gaps. My father, grandmother, and Mom’s close friends believed that Mom experienced postpartum depression, starting after my birth, and worsening with each successive child. My older brother shared this memory about a year ago when I asked what he remembered about Mom’s 1959 illness: “I came home from college and found her in the basement, banging her head against the wall, moaning, ‘I can’t take it anymore.’”
My heart ached when I heard that story, but I still puzzled over why Mom never recovered. Until I found Dad’s collection of records in a dusty box stashed in my sister’s attic. Old insurance and medication records, newspaper and magazine articles, and letters to doctors were neatly organized in an unassuming manila folder. As I leafed through the contents, intuition whispered that I’d finally have the missing puzzle pieces I’d searched for all my life.
Some of the most valuable clues were in a letter, typed on onion skin paper, that sat on top of the file. It was dated 1-17-83 and addressed to Dr. L., one of Mom’s many doctors. Dad wrote the following notes:
5th child born Feb.59. Normal birth and she carried baby in good spirits. About mid-April started having problems and had first visit with psychiatrist of May 8, 1959. Between then and June 22nd, ’59, he treated her with Amytal, Ritalin, Nardil, Trilafen, NaBu-4, Dexamyl tabs and spansules, and Tofranil. By the end of May ‘59 she was so bad, that even to my nonprofessional eye, I didn’t see how she could avoid hospitalization… She remained there to late Nov. 59. During this time, she received medicine and numerous EST [electroshock therapy] treatments.
The only drug I recognized in that long list was Ritalin, an amphetamine that had been widely prescribed for depression in the 1950s and ’60s. I quickly set to work looking up the rest, all the while screaming inside, How could anyone give a nursing mother with three small children and a newborn so many drugs in such a short period of time? A quick search on the website drugs.com helped me to understand the other drugs my mother took when she first got depressed. Amytal is a long-acting barbiturate; Nardil is an MAO-inhibitor (a type of antidepressant); Trilafon is an antipsychotic; Nembutal is a barbiturate used as a sedative; Tofranil is a tricyclic antidepressant; and Dexamyl is a combination of an amphetamine and a barbiturate.
Grab-bag of antidepressants and pain meds
It was easy enough for me to find the commonly listed effects of all of those drugs, and I wondered how Mom’s doctor could have prescribed all of them in such a short time. Dad’s records don’t indicate if she took all of them together, but even if she took a few, discontinued them, and started a few others, the chemical load must have overwhelmed her system. What struck me in looking at the effects of all the medications was that many of them could cause anxiety, sleeplessness, and agitation—three things I clearly remember my mother struggling with.
Now my brother’s story made more sense—I think Mom was banging her head on the wall because she couldn’t tolerate what the drugs did to her. Her doctor told a different story in the diagnosis that my father noted: “This psychiatrist [Dr. S.] diagnosed it [Mom’s illness] as severe depression with agitation and not due to childbirth.” The doctor’s assessment rang true in one sense—it seemed pretty clear to me that Mom’s severe depression with agitation was due to the massive amounts of drugs she was taking and was, indeed, not related to childbirth. But somehow, I don’t think that’s what the doctor meant. While I have no doubt that my mother struggled against overwhelming feelings of sadness and fatigue, which led to the initial appointment with Dr. S., I believe Mom’s breakdown was probably chemically-induced due to overprescription of drugs.
Dad had also kept some of the original prescription bills related to Mom’s 1959 hospitalization, and between August and October, she took Thorazine, Nembutal, and Tofranil on a regular basis, in addition to receiving an undisclosed number of electroshock therapy treatments. When she came home, the doctor had her on a regimen of Phenobarbital, Miltown (an antianxiety drug), and the tricyclic Tofranil. Dad supplemented that regimen with carefully measured decanters of white wine that I once caught him cutting with water. When he saw me watching, he cautioned, “Don’t ever tell your mother what you saw.” Nowhere in the thirty years of records is there any indication of Mom’s drinking, which all of us tacitly accepted as a significant part of her daily routine.
I also found homemade spreadsheets where Dad listed the dates and medication amounts for Mom’s drugs, often annotated with notes about her responses. The information in those charts prompted me to investigate possible medication effects that may have influenced Mom’s internal state which led her to attempt suicide in 1967. At the time, she was taking a combination of Aventyl (a tricyclic which can cause restlessness, agitation, and anxiety), Dexamyl (amphetamine and barbiturate combination), and Phenobarbital (a barbiturate which is linked to nightmares, nervousness, depression, and anxiety). The effects of all of these medications, combined with Mom’s continued daily drinking, probably led to the intense feelings of despair that drove her to slit her wrists in December. Dad found her in the bathroom that night. I accompanied my parents to the hospital, while my two siblings, ages twelve and thirteen, stayed home and cleaned up the bathroom. None of us ever spoke of that night again.
What about therapy, I wondered, and how did Mom’s psychiatrist treat her after that tragic night? One would think the doctor should have increased Mom’s routine visits to keep a closer watch on her. But according to Dad’s records, that’s not what happened. In fact, Mom’s doctor saw her twice a month, beginning in January of 1960, only about two months after she was released from the hospital, and continuing through June of 1968. However, in the weeks immediately following her suicide attempt in 1967, he did not see her more frequently, a fact which seems to indicate a lack of support and concern. By August of 1968, Dad’s notes indicate that Dr. S. wanted to hospitalize my mother. Dad’s notes and the conversations I can remember ring with the angry charge that “Dr. S. just threw up his hands and gave up on her.”
Because Dad was adamant about keeping Mom out of the hospital, he sought out Dr. M., a well-known psychiatrist who performed electroconvulsive therapy (ECT) treatments in his office. Between August of 1968 and June of 1970, Dr. M. administered thirty-nine ECT treatments to my mother, sometimes giving her as many as five treatments in a month. The one time I remember accompanying my father to help him bring Mom home, I was shocked by her dazed look and unsteady walk. I remember her sleeping through the next day and experiencing memory loss from that time forward. Dad told me that Dr. M. did the procedure without anesthesia, but from some of the reading I’ve done on earlier ECT administration, it seems likely that Dr. M. probably used a short-acting barbiturate to sedate Mom. Otherwise, how could she submit to so many treatments? And how could Dad willingly put her through that pain? I think both of them must have been more desperate for relief than any of us kids could have guessed.
I wish I could say that Mom got better after all of that ECT, but she never attained such a reward for all of her efforts and suffering. In 1973, after suffering from mysterious dental pain for several months and finding no relief, a neurologist helped Mom and Dad to see that she was suffering from depression. Mom was hospitalized for at least a month and endured detox for both barbiturates and alcohol, but she was unable to maintain her sobriety once she came home. I was sickened to learn that Mom’s doctors routinely prescribed Thorazine for her from 1969 to 1983, a practice which would explain why she suffered from tardive dyskinesia and later from severe full-body trembling, possibly akathisia. Mom was hospitalized again for several weeks in 1993, and for the first time, her psychiatrist confronted the family about her alcohol dependence and informed all of us that her MRIs showed evidence of small strokes and blood in the brain. He asked all of us to pledge to refrain from serving alcohol at family gatherings, but we were split on the issue of whether Mom had a problem or not, so she continued to drink along with all of her medications until her death in 2002.
I remember my mother suffering from horrible, visceral anxiety where she would take deep, fast breaths and then wring her hands as if she were Lady Macbeth. Now that I understand more about her medications, I realize how impossible it is to determine if my mother was actuallyvery depressed and anxious or if she was one of the early victims of polypharmacy, trapped in physical and emotional pain due to overmedication and a lack of supportive therapy. It seems clear from the records that Mom’s doctors saw her condition as biochemical and treated her accordingly, tweaking the pills as they went along, and in a sense, resigning themselves to maintaining her “treatment resistant” condition with the only tools they believed in.
Despite all of her sedating and numbing medications, Mom lived a rich and meaningful life. She cared for us, made sure we had regular, nutritious meals and provided a supportive presence when we needed help. Mom hosted her bridge group, participated in a book club, and made weekly trips to talks at the local art museum with one of my aunts. She was also a gifted artist with a degree in costume design from Maryland Institute College of Art, but her talent never matured once all of us were born. Sadly, she never picked up a paint brush in all the years I knew her.
As a child, I made two vows: to help my mother get well and to never be like her.
Want to read the rest of the story? Please hop on over to the Mad in America blog where this essay was originally publishedin May of 2019.
In 2015, my first book, The Altar of Innocence, was published. I remember my excitement when the first shipment of books arrived. My friend Beth was here, and she immediately had me pose with my book. A few days later, along with my wonderful children, Brian and Christella, many of my friends came to the launch reading at Zu Coffee in Annapolis to help me celebrate.
The day my books arrived
“Why did you write a book?” is one of the first questions people ask when they find out that I’m a writer. The main reason is that I couldn’t keep the story inside any longer. When I was growing up and even when I experienced my own episodes of depression, I felt intense shame. And my mother felt the shame and isolation even more in the 50s and 60s. I’d been haunted by a question nearly my whole life–Why didn’t my mother ever recover from depression? And later on I could add the caveat–when I could.
My mother designed and painted the dress on the cover of my book, but I didn’t find her artwork until the late 1990s when Mom was elderly and in a nursing home. I discovered her paintings one day in the basement of the family home, and then took them to a shop to have them matted and framed. When I showed the framed designs to my mother, she said, “Thank you for appreciating me. I always wanted to be a fashion designer.” Mom had never spoken of her dreams to anyone before that moment, at least not anyone that I asked. Even my siblings had no idea of Mom’s amazing talent until I discovered the paintings.
Years after Mom had died, I sat in my living room and stared at her paintings, remembering how I used to watch her struggle with depression and anxiety and tell myself, I’ll never be like my mother. In that moment, I realized that if I didn’t write poetry, I would be just like Mom, burying my art in the basement of my life.
With Mom’s paintings as an inspiration, I began to conjecture about possible causes for her chronic depression and wondered if the loss of a dream could so profoundly alter the course of one’s life. And if following one’s dream and having the benefit of a societal shift in the roles of women and women’s autonomy could have so profoundly affected my outcome.
One woman spent more than half of her life battling the darkness. One woman overcame the same darkness. Maybe that’s why our story continues to speak to people five years after the book was released. If you decide to read The Altar of Innocence, I hope it will speak to you.
Here’s a link to me reading one of my favorite poems from the collection: “Adultery”.
Pain is an important signal. We feel something hot and pull our hand away. A knee hurts and we ice it. Pain is the body’s way of telling us to pay attention to something and give it some attention. But what if pain also tells us about our emotions? Mad in America recently published my essay entitled “Learning to Speak the Subtle Language of Pain.” My hope is that someone with an experience like mine will find comfort and resonance in my story.
The River of Uncertainty
Here’s an excerpt: “It gradually dawned on me that my back pain was another mask that depression wore. Instead of crying and feeling overwhelmed or giving up, my body was sending distress signals to help me realize that I was in a difficult spot.”
When I went through training in journal and poetry therapy, one of the mantras threaded through our work was “Change your story, change your life.” We spent a lot of time rewriting stories and talking about how shifting the narrative could result in a more positive outcome. That’s why I wrote my post for Mad in America about overmedication and recovery–I couldn’t change my mother’s story, but I was determined to change mine.
The post details my story of overmedication and its harm, along with my mother’s story. When I found my father’s records about her illness, I was shocked to see that Mom received very little therapy over the years, but year after year, psychiatrists prescribed barbiturates, amphetamines, Thorazine, and antidepressants. People tell me that wouldn’t happen now–but my story, 35 years later, parallels Mom’s. Mom and I suffered needlessly because of overmedication, and I hope to be a voice for change so others don’t experience the same fate.
Three hots and a cot. A casual phrase, but one that provokes an immediate, visceral reaction for me. The first time I ever heard anyone use the phrase was when I taught freshman composition at a local community college. I had assigned my students an article to read about prison reform or unjust sentencing, and the class was discussing the author’s ideas. One young man defended the existing state of prisons and concluded by saying something along these lines, “Look, they get three hots and a cot, TV, and a workout room. In lots of ways, life in prison is better than where those people come from.”
The River of Uncertainty
Those people. The very anonymity of the description renders imprisoned people faceless shells of who they actually are. And for the past three years, I’ve volunteered in a local prison and gotten to know a lot of “those people.” Getting to know several of the men and women who are incarcerated in our state prisons has erased any stereotypes I previously held of who they might be. And the food and living conditions in our prisons are far from being better than where anyone came from, at least in my experience.
So when I heard a new friend use the phrase “three hots and a cot” in relation to patients in a psychiatric hospital, I was shocked into silence. To be fair, this woman, a physician’s assistant, was talking about the need for in-patient psych facilities run by the state as opposed to our current situation that leaves many people wandering the streets or being imprisoned. But again, the phrase was casually tossed into the conversation where she advocated for “three hots and a cot, a safe place to regroup, counseling, and meds for two to three weeks to help people get back on their feet.”
My reaction was instinctive, but I was mute. I listened and pondered what I could say. “Better than putting those people in prison, which is what we do now,” one woman said. And while I agree that we have a need for more care for people who suffer from trauma-induced emotional distress (I refuse use the term depression because of what it connotes), I know that the solution is not as simple as providing in-patient facilities for emergency care. And I wondered if any of the women in my circle had ever been psychiatric patients themselves. Like I had been. Like my mother had been. But I was silent.
I didn’t want to get emotional–passionate, really–with my response. This is what I wanted to say:
No, we can’t just medicate people, hospitalize them for a week or so (if you are very, very lucky) and then discharge them without addressing the environment that they will be returning to. Have any of you ever read about what psych drugs can do to people over the long-term? Do you know about the dangers and difficulties of discontinuing psych drugs once you start? Do you know there is no scientific proof that a lack of serotonin or an excess of dopamine causes depression, schizophrenia, or bipolar disorder? Do you know that sometimes taking antidepressants can actually cause bipolar disorder?
And how about this admission (excerpted from “More on the Chemical Imbalance Theory” on the Mad in America website) from Dr. Ronald Pies, a highly-regarded psychiatrist?
The “little white lie” is, of course, a reference to the2014 article by the very eminent and influential psychiatrist Ronald Pies, MD. In that article, Dr. Pies characterizes the chemical imbalance theory as “…this little white lie…”
Dr. Pies has also insisted – arguably delusionally – that psychiatry never promoted the chemical imbalance theory of mental illness. In a2011 article he wrote:
“In truth, the ‘chemical imbalance’ notion was always a kind of urban legend – never a theory seriously propounded by well-informed psychiatrists.”
But Dr. Pies’ words haven’t filtered down into mainstream knowledge. Part of the reason I didn’t speak up is because I meet so much resistance when I present the information about lack of evidence for the chemical imbalance theory and the harm that can come from psychiatric drugs. But I am convinced, based all the books and articles that I’ve read over the past five or more years. And I’m convinced by my own life-experiences and the experiences of other people that I know.
Because I know that there is a desperate need for compassionate, community-based care, I’ll be posting a blog on what would I advocate for in the next few weeks. In the meantime, here is a poem of mine, recently published on the Mad in America website, about my experience visiting a friend in a local psychiatric hospital and recalling my own experience.
A Therapeutic Environment
I bring a small basket of flowers
for my friend in the psych unit,
the nurse buzzes me in.
She silently yanks
the plastic card-holder,
then chides me, It has a pointy end.
My friend tells me later,
“No one gets flowers here.”
My friend wears
blue paper pajamas—the only thing that will fit over her cast—
until I bring new sweatpants
“No drawstrings,” she tells me. “The nurses will take them out.”
Other patients wander
as if in an endless maze
blankets over their heads,
eyes trained on the ground.
The nurses stare into computer screens
behind thick walls of safety glass
—barricaded against what danger?
Perhaps mindful that one day they too
might be lost
like the wandering “others”
in the blue paper pajamas.
My friend is hospitalized
because she tried
to hang herself. She had stopped eating. Has your appetite returned? I ask.
“We had fish sticks for lunch.
They were so hard I couldn’t chew them.”
She recites the meds in her psych-cocktail—
Lexapro, Topomax, Prozac, and Zanax.
She shrugs and whispers
“I don’t feel any better,
and the weekend doctor
wants me to add Ritalin.”
We move into the dayroom
and I step across a stream of time
to the same place I left in 1997.
The same tattered furniture,
the same dull green walls,
punctuated by a lone picture hanging
crooked and uncentered.
Board games thrown on the shelves—
lids with no bottoms,
scattered pieces from the “Game of Life.”
“No one bothers
to start a puzzle—
we can’t find all the pieces,”
my friend tells me.
A bin of crayons
sits on the shelf,
but there’s no paper.
When I see the flip chart,
I flash back 18 years and remember
the goals’ group twice a day,
but still no art classes.
No dance, no movement
except the aimless wandering
of the blanket people.
No way to shape the confusion
churning inside.
No play dough.
No glue.
Two nursing assistants
fill chairs on the perimeter of the room.
They poke their heads up quickly,
like prairie dogs scanning for predators,
then return to the games
on their mobile phones.
References for further reading:
See The Hidden Epidemicby Robert Whitakerfor more information on the history of developing psychiatric drugs, long-and-short-term effects, trends in rates of mental illness and disability, and alternative treatments.
See Psychiatry Under the Influenceby Robert Whitaker & Lisa Cosgrove for an exploration of the mutually-beneficial relationship between the pharmaceutical industry and the psychiatric community, including medical schools and professional development.
See Prozac Backlashby Joseph Glenmullenfor research on the clinical trials related to antidepressants and the numerous side-effects that patients experience. The book also includes a section on alternative treatments for emotional distress (depression).
