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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To not understand why people are so anti medication?

57 replies

Tambatamba · 26/09/2023 20:13

Specifically for mental health issues.

My 19 year old daughter has been really unwell and seems to have panic disorder. Finally, after not being able to start uni again because she was having 5 panic attacks a day, the GP agreed to give her some fluoxetine and TG it seems to be helping. I could cry, actually because it has been so hard watching her struggle.

The thing is that as a family, we all seem to suffer with MH. Quite a few of us also have autism (she doesn't though). Most of us are on SSRIs. I've been on sertraline for 10 years and even kept taking a low dose whilst I was pregnant.

All I hear, though is people sending me articles about how awful the side effects are. You 'can't take them forever.' Why can't you? If you lack enough serotonin to feel well why is it not ok to take meds to help this?

I feel like we haven't moved on much in terms of understanding that MH illness is not any different from having physical illness.

OP posts:
Tambatamba · 30/09/2023 04:49

BabblesDevine · 30/09/2023 01:13

They can have huge side effects.

They can veil serious problems.

They are a business.

People compare MH with physical health and say "you wouldn't think twice about taking something for a physical ailment".

I'd certainly think twice about popping codeine if I hit my funny bone.

Selling food is a business too. But most of us don't grow and produce all our own food.

Just because something is a business does not make it inherently nefarious.

OP posts:
Tambatamba · 30/09/2023 04:54

Alot of the time mental health issues are caused by distortions in our thinking, which can't really be properly changed by medication.

I disagree. My own thinking has changed massively since sertraline. I look back at thought patterns I used to have and I can't believe that that was the same person. I used to be afraid of things that I no longer am. I used to be quite paranoid and suspicious - now I'm not.

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therealcookiemonster · 30/09/2023 06:17

various psych medication help a lot of people every year. I think two things have made their reputation:

  • they are often incorrectly prescribed as a 'sticking plaster ' for normal emotional responses eg. grief rather than offering talking therapy mainly because talking therapy has an extremely long waiting list.
  • they are sometimes badly managed by primary care in terms of earning etc.
JustKen · 30/09/2023 06:38

I have heart problems and a tendency for low mood. Also pre-eclampsia reduced my kidney function, but it's been stable for ten years. My GP is always trying to prescribe me things. I say no just because I don't like the idea of too many chemicals running around my system. The pills I take currently are to reduce my risk of clots and stroke, which is fair. But I manage the low moods with diet & exercise and the kidneys need plenty of water each day.

XDownwiththissortofthingX · 30/09/2023 06:40

What I mean tbh is other people telling you you shouldn't be taking it. And people telling me my daughter shouldn't be taking it, even though she really wanted medicine having exhausted other options like yoga, mindfulness, books about panic attacks, exercise etc

Some of that is just ignorance, and again, lingering stigma about what it 'means' to be taking psychiatric meds. Some of it is genuine and justified concern about the pharmaceuticals themselves, and the influence of pharma on the medical model.

I think medication for mental health is there to support you and give you a leg up on your journey to recovery. It's not designed to cure you, more to 'calm you down' in order to cure yourself

True for some conditions, but not for others. There are some life-long diagnoses that generally are not manageable without ongoing medication, and for the most part, that means life-long treatment in order to avoid relapse. Sometimes, with certain conditions, some people find that as they age and gain better insight and understanding of their condition and the resultant symptoms, that they can either reduce medication, or sometimes even maintain a stable life without it entirely, but the underlying condition is still there and they are not 'cured'.

Alot of the time mental health issues are caused by distortions in our thinking, which can't really be properly changed by medication

Again, that's only true of certain mental illnesses, typically the ones that can be caused by environmental and lifestyle factors. Those are often ultimately resolved only when there is a change of environment and lifestyle, and that can be made easier or more achievable by medication. There are other conditions that have a physiological root. They are not due to distorted thinking, rather the symptom is disordered thinking, and the primary way to resolve those and keep them under control is invariably medication. The pathology is no different to any other physiological illness in that there is a physical issue that results in undesirable symptoms, only the part of the body negatively affected is the brain.

Personally I believe people put far too much stock in talking therapies and eschew simple medication. There is more and more evidence to suggest things like CBT are pretty much wholly ineffective, because the issues they are typically prescribed for are things that sometimes resolve themselves over time in any case. No wonder, if you are given a two year wait for a talking therapy for recurrent depressive episodes, by the time your therapy comes around you will often be in a totally different mental state, and perhaps have a greater insight to the cause and remedy to your depression. Talking therapy undoubtedly helps some people, but I completely disagree with the assertion that it's a failing to prescribe short courses of Anti-depressants due to a lack of talking therapy, because in the majority of cases the anti-depressants will be far more effective at resolving the symptoms than a talking therapy will in any case, and invariably, the solution to preventing recurrence involves changes to lifestyle and environmental circumstance. The reason GP's hand out mild anti-depressants as a first recourse is because they are by far and away the most effective means of treating common mental health conditions effectively.

Universalsnail · 30/09/2023 09:32

I think it is because drs put you on them and then leave you on them and they were really only designed to be short term treatments. I was on meds for about 15 years. When I eventually tried to get myself off after the withdrawal it turned out that the meds were making me worse and had caused other health problems. But they were helpful originally I just shouldn't have been left on them for that long.

Tambatamba · 30/09/2023 10:06

Universalsnail · 30/09/2023 09:32

I think it is because drs put you on them and then leave you on them and they were really only designed to be short term treatments. I was on meds for about 15 years. When I eventually tried to get myself off after the withdrawal it turned out that the meds were making me worse and had caused other health problems. But they were helpful originally I just shouldn't have been left on them for that long.

What medicine was it and what long term problems did it cause if you don't mind my asking? In my case, I've had to accept that I need the medication otherwise I spiral back to home treatment team and threatened hospital admissions, not being able to look after my children or sleep etc. but I haven't really been able to get an actual idea of what LT side effects might be.

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