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Oliver James guest blog: drugs are not the answer to mental distress(113 Posts)
Last week, the British Psychological Society was profoundly critical of the 'medicalisation' of mental distress - the idea that psychiatric disorders are by and large treatable by doctors using drugs.
They said it was unhelpful to see mental health issues as illnesses with biological causes when "there is now overwhelming evidence that people break down as a result of a complex mix of social and psychological circumstances - bereavement and loss, poverty and discrimination, trauma and abuse."
Here psychologist and author Oliver James argues that, while the reassessment of the 'medical model' might alarm some parents, it's actually good news for them, and their children.
Tell us what you think - and if you blog on this subject, don't forget to leave your URL here on the thread.
"If your child is unmanageable or hyperactive, it can be all too reassuring to hear from a doctor that she suffers from a genetically caused brain disorder which is best treated by a pill. That model makes it not your fault and if the pill works, hey, thank god for that.
If you are a parent in that position, its also all too understandable that you might not want to hear from me that: (1) The pills usually don't work and have unknown long-term toxic effects when used for years; (2) The Human Genome Project is proving that genes play very little part in causing any mental illnesses; (3) There is no reliable scientific evidence that the brains of the mentally ill are measurably different. But don't stop reading.
The fact that these latter assertions are all now pretty much confirmed by the British Psychological Society is actually incredibly good news for parents.
It means that your child is not fixed in its abilities and potential. Massive change can occur, if what she's like is not in your child's genes. Indeed, there is strong evidence that simply by convincing children that their maths ability is malleable, for example, increases their likelihood of doing well.
It also means that the way you parent can make a huge difference, even if there is a biological cause for a problem. Whilst genes are getting ruled out, prenatal, foetal factors look as if they may be crucial for problems like autism. But even autism is turning out to be very responsive to the right kind of early intervention.
It is true that the kind of care a child receives in the first six years sets its emotional thermostat. But it is a thermostat: the setting can be changed.
For example, children's brain electro-chemistry is very sensitive to parental disharmony. Levels of Cortisol, the fight-flight hormone, are raised or become blunted if parents row a lot. But that can be good news, not bad news, if you can find a way to row less or at the least, to not do so in front of the children.
It is further known that children who had unresponsive early care are that much more easily upset by parental disharmony. This is true at two and a half - care at 3 and 9 months predicts whether cortisol will be triggered. Early care also predicts vulnerabily at later ages. But even this is much, much better news than the genes and brain disorder story - because early deficits can be corrected.
Thousands of parents have used the Love Bombing technique to reset their childs emotional thermostat. If things went badly early on - nearly always through no fault of the parents, things like depression or debt-induced anxiety - it's quite possible to give the child a very brief experience of the feeling of love and control it may have missed out on. Astonishingly brief bursts can be all it takes.
Psychological distress should never have been medicalized in the first place. Now that science is proving that what we are like is not due to genetic brain disorders, a world of hope is opening up for parents. Go into that world and feel liberated from the pseudoscience which has dominated us for too long."
Oliver James is the author of Love Bombing - Reset Your Child's Emotional Thermostat, which he discusses in this previous guest blog.
I haven't been able to 'recover' using therapy. I am in the middle of it all at the moment. It has been ongoing for 2 years (thats right. Free counselling now for 2 years) and the issues will continue for the rest of my life. The learning process is slow and difficult but I have made lots of progress and on the whole am making and finding more and more things that are positive in my life like my children, my friendships, my work. I am learning tools to cope with all the issues and I need to work at these tools in my very small amount of free time. Do I jump out of bed in the morning with a big grin on my face? No.
I am listening to what everyone on this thread is saying thanks.
Please show me where I have 'dismissed' other ways of getting help!!!
Oh god this is so silly it is almost funny.
Snoopy, darling, if you think that some of us have time between working/minding kids you are sadly mistaken.
I currently spend 24 hours a day with my eldest son, who is too ill to attend school. I'm homeschooling him. When he is in bed I am planning the next days' lessons and doing the housework I missed out on during the day. When precisely do you suggest I plan my time for falling apart, in the toilet breaks?
Also I think your
laughably ignorant somewhat naive belief that counselling is the cure to everything shows how little you know. I had psychotherapy as a twenty-five year old - wonderful. Counselling as a thirty-one year old dealing with career isshooes: wonderful.
Counselling now, dealing with life with three disabled children, one with a chronic illness on top - fucking useless, and I've tried three times. Every single counsellor (one of whom veyr highly qualified) has just muttered at me that my situation is extreme, that I am amazing, that this is all really hard for me. I've tended to leave feeling worse not better.
I haven't tried ADs yet but only because I don't think I need them yet. I might do tomorrow though, and then I shall take them without a shadow of remorse. Because sometimes counselling ISN'T what people need. People dealing with real life ongoing crisis of the kind that I and hazeyjane know.
These are your own words from up thread:
Yeah the drugs help people 'function day to day' but maybe a bit of 'falling apart and slow painful piecing back together' is preferable in the long run. And if it sometimes means making huge sacrifices in order to do this, maybe it's worth it?
Yes, you are dismissing other ways of getting help.
When I wrote earlier that the 'drugs don't work' earlier, I then explained what I meant by that. I fully appreciate that for some, they help with getting on with the business of life. In fact earlier I pointed out that I would never judge someone's personal choices f.y.i.
So yeah, wanna leave me alone now?
Haha! Just because I say MAYBE this is better in the long run, doesn't mean I am dismissing other routes. As I have just said, I would never judge someone for choosing to go on antidepressants. Everyone has their own life to lead. Different strokes for different folks and all that!
I'm sorry Snoopy, I will leave you alone. We will agree to disagree and I wish you the best of luck with your recovery. I do respect that you took the time to debate this subject and again I'm sorry if I was harsh with you. We clearly both feel strongly about these issues.
If that idiot Oliver James had the balls to come in here and argue his point of view himself instead of leaving Snoopy to try to do it for him then I'd at least have a tiny bit of respect for him. He started this whole thing, after all!
As I also said earlier, everyone's circumstances are different and we all have to do what we feel is best, sometimes in difficult circumstances.
P.S Support groups are often good as well as or instead of counselling. There are support groups for everything now.
Thanks Frazzled. I think I know the type of ongoing 'real life crisis' that you and your buddy HazeyJane are in because I am in one too. This isn't a competition you know. I won't take offense at your insulting comments either!
Well OJ would probably just refer us all to his books wouldn't he?
Now where do I buy his latest one ;-)
I hope he's going to pay me for this precious time I've spent sticking up for him on Mumsnet and sowing the seed of his teachings far and wide... ;-) Oliver? Are you there?
I always think it's really sad that discussion around AD's gets so polarised, I speak to SO many people from all walks of life through my blog/FB page and I know that many people feel AD's help them to function, hell they did for me 14 years ago, got me out of a massive black hole, I get that. I wish though, that there was more honesty and transparency about the use of these drugs, the potential side effects (libido), and how bloody difficult they are for some people to get off when they want to. Doctors have their heads well and truly stuck in the sand on this one and don't want to know. It's scary as well that they're being prescribed to younger and younger people/children especially in the US. I help admin on a site called Surviving Antidepressants where we help people to taper off properly.
And yes, where is this Oliver James person?
well given you moderate on site about surviving AD I don't think you're impartial
you're quick to assert drs have no clue,but minimal comment about your agenda?
AD can aid and maintain recovery they need close monitoring like all prescription meds.
Scottishmummy you're right, I try to be impartial but I feel quite angry about my own experience, I should just nail my colours to the mast and be done with it. I've never yet found a doctor or psychiatrist who knew how to get me off sertraline or Prozac when it's my personal choice not to be on either of these drugs for the rest of my life.
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