Sunday mornings are usually a fairly quiet affair in my apartment until around 11am when my swollen bladder, thumping headache and noisy neighbours force me from the safety of my bed.

There's a medical term for that

Last Sunday however was special as I managed the truly Olympic effort of making it downstairs to the couch by the crack of 10am. However seconds after collapsing victoriously onto the couch to enjoy this small victory I was assailed by suggestions for ‘fun things to do’ from my ever perky med-student ‘houseguest’.

Ms Gen Y was absolutely bursting with energy after her 3 hours of sleep, I on the other hand felt like Amy Winehouses’ liver, so I politely declined her invitation. She insisted. I more forcefully declined. She begged. I told her to leave me alone and flee the country - and that’s when she told me I had SCTD.

Now my first instinct was to strangle her, then run to the doctors and have a blood test thinking there’d been a prophylactic blow out, but ever effervescent Ms Gen Y simply picked up my laptop, Googled a term I didn’t recognise and then handed it to me.

I quickly learned that SCTD was short for ‘sluggish cognitive tempo disorder’, and after reading a little further I discovered that in layman’s terms I was lazy.

I started to complain about the validity of this supposed new malady only to be told that I was now also showing signs that I may also be suffering from NPD - negativistic personality disorder.

This was becoming too much for me to handle so I reacted in as responsible a manner as my beleaguered condition allowed - I threw a tantrum! And bugger me if within seconds of commencing my foot stomping frenzy did she go and point out that this was a sure sign of IED - intermittent explosive disorder.

This is why I no longer date doctors, nurses or med-students.

But as funny as this conversation was, the truly scary thing about the supposed maladies listed above is that they all turn out to be genuine ‘conditions’ under consideration for inclusion in the latest edition of the psychiatrists’ ‘bible’ - Diagnostics and Statistical Manual of Mental Disorders.

Feeling sluggish? You’ve got SCTD! Feeling overly toey? You’re hypersexual! Couldn’t be buggered? You’ve got ‘sexual arousal disorder’. Where does it end?

Are we so scared of feeling the ebbs and flows of everyday life that we need to turn to the latest pill or potion the minute we feel less than ecstatic? And when are we going to realise that our knee jerk reaction of popping pills is for the most part unnecessary, but also at times incredibly dangerous?

Charles Barber, author of ‘Comfortably Numb’ argues that Americans are being vastly overmedicated for often relatively minor mental health concerns. He believes this over-reliance on quick-fix medication is numbing America and dulling people’s awareness of real and pressing social issues.

And it looks like we’re trending the same way down under.

The Australian reported this week that shows children with ADHD who use prescription drugs to manage their condition were 10 times more likely to perform poorly at school than ADHD kids who avoided medication.

Professor Landau, co-author of the research, said the world-first study into the long-term effects of stimulant medication on children with ADHD showed “drugs over the long term don’t have an impact on improving performance”.

The study also found stimulant drugs such as Ritalin and dexamphetamine made no significant difference to the level of depression, self-perception and social functioning of a 14-year-old with ADHD.

“They don’t improve outcomes for those with ADHD, they make no difference to levels of depression, social functioning and self-perception, and for those on medication it is 10 times as likely that classroom performance will be below average,” he said.

So if this is the case, why are we still cramming this crap down our kids’ throats?

Personal responsibility has to kick in here at some point. I’m not for a moment suggesting that we all have to take the Tom Cruise approach and denounce all pharmaceutical products en-masse, but as responsible adults we should take the time to research and reconsider the stuff we’re ingesting or forcing others to ingest.

Even with big pharmaceutical companies running compellingly persuasive marketing campaigns and medical professionals passionately (and profitably) prescribing the latest designer drugs, we still have the individual right to say no, or at least not now.

Sure, we’d all like the big pharmaceutical companies to be more responsible in their marketing, and yes we’d benefit from doctors being more open about their personal interests in prescribing certain meds. But this doesn’t stop you or I from saying no.

Professor Richard Bental of Bangor University says ‘most of the new diagnoses, such as SCTD, are meaningless and have no basis in science’. He argues that these ‘disorders’ are simply a marketing opportunity for physicians, claiming ‘the more disorders there are, the more private business psychiatrists get.’ 

However the American Psychological Association says these new disorders simply reflect changes in our society and Darrel Reiger, a member of the taskforce working on the updated manual, denies that the revisions were influenced by drugs being developed by pharmaceutical companies.

Well I’m all for societal change that improves quality of life, prolongs it and brings relief to those suffering if that’s what pharmaceutical companies intentions are. But when you consider that over 33 million Americans (11% of the population) took a psychiatric drug last year then I’m genuinely dubious if it’s our interest and quality of life they are protecting.

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32 comments

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    • Steve says:

      06:13am | 19/02/10

      Rubbish. The DSM clearly requires a combination of symptoms to be present at the same time, in order to diagnose anything.

      If a condition has 5 symptoms, and you exhibit 1, you can’t be diagnosed. But if you have 4-5 regularly at the same time, there MIGHT be an issue.

      Sounds like your houseguest was a 1st year (I may be only slightly jealous), still struggling with the phenomenon where every 1st-year psych student realises that everyone they have ever met displays a symptom of a serious mental illness.

    • Chris Rhyss says:

      08:21am | 19/02/10

      Steve, I believe you’re overestimating my mental state and underestimating hers! But I take your point:)

    • Caz says:

      07:28am | 19/02/10

      Heath Ledger
      Brittany Murphy
      Michael Jackson
      Bruce Lee
      Marilyn Monroe
      Anna Nicole Smith

    • Julia says:

      08:11am | 19/02/10

      I’m hardly going to argue the point on this one. I’ve dated a surgeon, GP and a psychiatrist - all of them have been quick to suggest hard core medication when I’ve had various maladies.

      As the daughter of a pharmacist, we’ve always had the best painkillers in the house, but some of the stuff they suggested freaked me out.

      At the other end of the spectrum, a friend of mine is married to a council health inspector and won’t let her go to any restaurant he hasn’t stuck his nose into first.

    • Jamers Hunter says:

      08:37am | 19/02/10

      sounds like smoke and mirrors

    • Sam says:

      08:53am | 19/02/10

      Funny bits in the beginning of the article.

      Please, let’s not confuse psychiatry with medicine. They are significantly different fields and the former is not a subset of the latter just because they share some subjects at university. They are entirely different disciplines.

      Psychiatry is a menace to your kids. If you buy into it, you’ll reap what you sow (actually your kids will suffer the curse of becoming “normal” - shivers!)

    • NBN says:

      10:09am | 19/02/10

      Psychiatry actually is a medical specialty. It is Psychology that isn’t.

    • Sam says:

      01:08pm | 19/02/10

      Actually, no it isn’t, no more than architecture is a specialisation of civil engineering… but thanks for making the worst possible assumption at a given moment in time.

    • maybe says:

      08:58am | 19/02/10

      Sam…Scientologist perhaps?

    • Sam says:

      09:48am | 19/02/10

      scientist is closer.

    • Davo says:

      10:54am | 19/02/10

      Well, Sam, if you are indeed a scientist maybe engage in some basic research about psychiatry;  first one completes a medical degree (Bachelor of Medicine, Bachelor of Surgery), then specializes in psychiatry.

      It is impossible to take anything you say seriously when you have no idea about this basic point.

    • Sam says:

      12:06pm | 19/02/10

      @Davo, you’re right I have no idea… and psychiatrists don’t have a clue. I’m speaking from personal experience as a mental health patient. If I didn’t out-smart them by pretending to acquiesce, they’d have turned me into a permanent vegetable.

      They said: Take this everyday for the rest of your life, you have a mental condition.
      I said: f&^% off, I’ll be fine as soon as I get a job and get my life back on track.

      What do you know… I was right and they (multiple “psychiatrists”) were wrong.

      It’s not me who needs to be taken seriously. I don’t make my living from other people’s gullibility.

    • Anna says:

      04:40pm | 19/02/10

      Sam, if _you_ didn’t think you had a problem, why were you seeing a doctor? Doctors assume that patients have problems that they haven’t been able to fix - everyone knows that exercise makes you feel better, but if they don’t want to do it, then having a dr tell them won’t help. And yes, psychiatrists have medical degrees.
      That being said, I do find that people do want a quick fix and the pharmaceutical industry can make a quick buck off that. As a 10 year old I was placed on anti-depressants, by my pill-happy parents who still think that psychiatric drugs are good, and life changes are bad. After 6 months I tried to commit suicide with them, something that I hadn’t even contemplated before being put on them. Now there’s research that shows pre-teens on anti-depressants actually show an increased risk of suicide. They never put me on them again, and I have never needed them despite my apparent mental shortfalls. I was a normal kid, who didn’t need her nervous system altered because she got bullied at school and her parents were useless.  Unless you are completely incapable of functioning in society, then there’s really no need for psychiatric drugs. Life is life, its meant to be a little up, and then a little down. Half my family is on psychiatric drugs when they could just change their lives for the better.
      Please don’t imply you are a scientist unless you are, you’re making us look bad.

    • T.Chong says:

      08:58am | 19/02/10

      As some one with a bit of experience on the treating side, I agree with Steve 7:13.
      Just being slothful on a Sunday morning doesnt score you as needing help, but a range of charscteristics and issues , of which being slothful may be one very small part of the overall problem.
      Sometimes sitting down and having a cuppa and a cry, or telling someone to just get over, and get on with life, simply doesnt work., for many reasons, including the individuals personality, and social reasons, lack of support from family etc.
      For every celeb OD , ( thanks Caz ) there would be 10s of thousands of people who have benefitted by therapies and medication.
      I have seen that many times anti depressants and similar have actually helped people better their lives, and avoid further tragedy and stress to themselves, and others.

    • Sam says:

      10:29am | 19/02/10

      I’ve never heard of a doctor prescribing “jogging 4 laps around the footy oval once a day”? why is that so, when we all know the benefits of exercise.

      Sure, the medicine works, it treats the symptoms and leaves you with the side-effects, you don’t need to be a doctor to know that. But I haven’t heard of any side-effects from exercise, yet no doctor prescribes it with the same level of fervour. Why? because you can’t know whether they will actually do it or not? Jog with them and bulk bill your jogging time.

      Medicine is necessary in many cases, but quite often it is a short cut for doctors and patients alike. The pharma conspiracy relies on both to take shortcuts whenever possible.

    • Davo says:

      11:01am | 19/02/10

      My father, wife, and brother are all physicians with my wife and father being GPs. Their observations are that over 1/2 the patients they see could resolve or lessen their complaints simply by engaging in regular exercise. They convey this information to these patients every time they see them. And guess what? Almost every time it is ignored.

      The problem is most people don’t want to hear that they should eat well and exercise. They want a quick fix for the symptoms they are suffering. If the GP doesn’t give it to them they complain and move onto the next doctor in the hopes of finding one who will.

    • Zeta says:

      09:03am | 19/02/10

      I don’t often agree with Scientologists (although the evidence in favour of our bodies being littered with cast off soul-husks of dead aliens is compelling) - but the DSM really is full of shit. Look at this list of symptoms for Psychopathy:

      Glibness/superficial charm
      Grandiose sense of self-worth
      Pathological lying
      Cunning/manipulative
      Lack of remorse or guilt
      Emotionally shallow
      Callous/lack of empathy
      Failure to accept responsibility for own actions

      I thought that was a check list for my job interview with Goldman Sachs, but no, turns out that makes you the next Ivan Milat. I don’t think I’ve ever ended a relationship where I wasn’t told I was at least 5 of those things. Some of us can’t even help being glib, but too much glibness and they can wack a straight jacket on you and send you to Rockdale.

    • wolf says:

      09:18am | 19/02/10

      Based on the ones I’ve been accosted by it sounds more like a checklist of how to spot a Scientologist….

    • T.Chong says:

      09:45am | 19/02/10

      Zeta, appreciate the humor, but once again, all those signs and symptoms you list need to be put in context, which is what the DSM system does.
      Too easy to diss Mental Health issues as a big pharma conspiracy, or unwordly medicos chewing pencils while watching you thru one way mirrors in labs.
      MH professionals are just as concerned and committed as anyone else.
      Who would like to be told that their anguish, despair,or genuine psych problem is all just a plot for big companies to make more money?
      MH issues are real, and the last thing a sufferer needs is to be told they are just dupes, and should just get on with it, a la Scientology.
      BTW no one would ever bre placed in a restraing vest for just being glib. Those cariactures are as dated as “One Flew Over The Cuckoos Nest”

    • Zeta says:

      10:48am | 19/02/10

      Like gynocology, psychiatry denial is only a hobby of mine; so I’m not an expert but aren’t the huge sums of money paid to the DSM panel members by big pharma kind of a smoking gun? And unlike my other hobbies, such as contemporary climate change denial fiction, I have a link to back this one up: http://www.tufts.edu/~skrimsky/PDF/DSM COI.PDF

      Of the 170 DSM panel members, 95, or 56 per cent have one of the eleven possible financial links to pharmaceutical companies. These interests included honoraria, equity holdings in a drug company; principal in a startup company, member of a scientific advisory board or speakers bureau of a drug company; expert witness for a company in litigation; patent or copyright holder; consultancy; gifts from drug companies including travel, grants, contracts, and research materials.

      Call me crazy, but in politics, we call that graft. If 56 per cent of our politicians were receiving personal kickbacks, as opposed to blind donations from the corporations with the vested interests in their policy decisions, people would go mad.

      Can we, the mental health care consumer, help being suspicious of the entire industry when that is allowed to continue?

    • 6clegs says:

      12:46pm | 19/02/10

      *ahem* - “Zeta”, that list describes all *your* Punch posts…

      hmmm

    • Jamers Hunter says:

      04:48pm | 19/02/10

      sounds like a check list on becoming a politician or at least a member of the young liberals ??

    • AfternoonNapper says:

      10:24am | 19/02/10

      I agree that most of these “disorders” are none of the kind.
      How did our parents and grandparents get through these symptoms without meds? Have a nap if you’re tired is what I was taught…
      I recommend you see the South Park scene where the school teacher demonstrates how to deal with ADD: slap the kid on the wrist and yell: “do your school work!!!”

    • Kim says:

      11:06am | 19/02/10

      Who needs medication when you can just have a beer.
      Beer - the cause and cure of all of lifes problems. 

      (BTW - for those of you without a sense of humour - it’s a joke.)

      The best medication of all is to laugh.

    • T.Chong says:

      11:21am | 19/02/10

      Zeta: Not disputing, nor defending any payments to any board members.
      What you need to remember is that peer review, by those without any financial interests is a basis to all things “health”.
      Prof X cant just pocket money from Big Pharma, claim to discover an illness and a cure, and have no one ask questions.
      Parochial jealosies would ensure that any and every finding is examined thoroughly, with varios Profs looking for holes, in order to discredit rivals.(Health profs are subject to human foilbles [see DSM])
      There could be a world wide conspiracy, engulfing all in MH, but there aint.
      For many years Post Natal Depression was also considered a Pharma construct. Anyone seriosly claiming this now.?

    • Bob says:

      12:02pm | 19/02/10

      In the US, diagnoses of a given mental illness goes up by a factor of 10 shortly after a new drug is announced that claims to treat it. There’s money in them there pills.

      You are dating the wrong types of doctors. Students are no good, date the ones that can write prescriptions.

    • Gary Cox says:

      12:43pm | 19/02/10

      Who the hell stays in bed till 10 or 11am. You needed a good kick up the arse by the sound of it. Even if I’ve been out on the turps till 5am I’ll still be up at 6 for a surf or a jog. Not bragging, but seriously no wonder nothing gets done anymore in this country. My motto is don’t waste daylight, my wife hated it when we first met, but now she’s with me, get out there you lazy gits.

    • AdamC says:

      01:53pm | 19/02/10

      I get increasingly concerned at what seems to be the over-medicalisation of our human, emotional responses to certain situations. For example, might not depression be a perfectly normal response to, say, social isolation or unemployment? While some people may have mental illnesses which do not correspond to life circumstances, the fact that mental illness, poverty, substance abuse or family breakdown and violence are so often mentioned in the same sentence as each other suggests to me that the causes of much mental ‘illness’ are social as much as medical.

      Some people presenting with mental illness should be prescribed with medication and treated medically. For others, it is probably a better treatment to make some friends, get a job or leave that partner who beats you. Ah, you say, it is not so easy to do those things. Indeed, that is my point.

    • Kate says:

      10:18pm | 19/02/10

      You make a good point, and most doctors worth their salt will try to make that distinction. Depression is usually categorised into a few groups - there’s situational or reactive depression, which pretty much describes what you mentioned - someone experiencing depression because of unemployment, bereavement, isolation etc. Then there’s endogenous depression, which is used to describe depression which is more due to genetic/chemical factors rather than a triggering event or series of events.
      I think these definitions are a bit dated now, but they’re the ones I’m familiar with. A good doctor would no doubt be more wary of prescribing medication to sufferers of reactive rather than endogenous depression.

      Personally I’ve been diagnosed with endogenous depression, or what is now called major depressive disorder. I wasn’t put on medication for a few months after my diagnosis to make absolutely sure that I needed them. I was fortunate to find a great psychiatrist and psychologist but that was after a few months with some really average ones. I think people diagnosed with mental illness need to be proactive about their treatment - if they don’t feel medication is right for them, get a second or third opinion, because there are great health experts out there but also lazy ones.

    • just do it says:

      03:55pm | 19/02/10

      RUBBISH,  If you want to date a Doc. just go ahead and do it.  You are describing someone that is a on the paranoia side.

    • Slow down and think says:

      04:31pm | 19/02/10

      Its the same sort of basic marketing used by almost any product on the market.  1.  Create an aversion or desire for something.  2.  Provide the solution for this problem or desire, at a price, while simultaneously glossing over all the negative aspects of that solution (which every solution has).  Its used to sell people cars, political ideas, drugs, fashion, pretty much everything…  What a shame people don’t step back and analyse the cons of the items more than they do.  They would soon see that fulfilling desire is in most instances like drinking salty water, you end up thirstier 5 minutes after you’ve drunk…

    • Anjuli says:

      12:59pm | 24/02/10

      Then are doctors who tell you that it is all in the mind, then you are rushed to hospital with a kidney infection

 

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