THE VATICAN ADDRESSES ANOTHER HUGE WORLDWIDE CHILD SAFEGUARDING ISSUE |
Click on link below to hear Radio Vatican interview with Dr Joanna Moncrieff + DrPat Bracken
http://en.radiovaticana.va/news/2013/06/14/vatican_conference:_why_is_prescription_of_psychotropic_drugs_t/en1-701273
Vatican Radio
Why have psychiatric medications such as anti-depressants emerged as the first line of treatment for young people and children suffering from mental health disorders? And are this rising prescription rates justified by the clinical trial evidence? These are the main questions being debated by renowned psychiatrists and other health experts from around the world who are attending a 2-day conference in the Vatican sponsored by the Pontifical Council for Healthcare Workers.
Among the participants at the conference is Dr Joanna Moncrieff, a practicing consultant psychiatrist in London who spoke to Vatican Radio’s Susy Hodges
Asked about her reaction to the massive increase in the prescription of psychotropic drugs over the past two decades, Dr Moncrieff says she is "worried" about this trend as she believes it is "the result of a fundamental misunderstanding about the nature of these drugs."
"We're prescribing mind-altering substances to people to suppress and subdue their emotions and their behaviour" and she points the finger of blame for much of this trend at the pharmaceutical industry who, she says, "have been persuading people that they need to take chemicals in order to function normally."
Although there are no overall statistics for the number of people taking psychotropic drugs, Dr Moncrieff says "the number of prescriptions of anti-depressants in the UK has risen by 400 percent since the early 1990's." In her view, it 's now become "a vicious circle" with people as a result of seeing the advertising and promotion of these medications on the internet going to their doctor and "expecting drugs" for dealing with their emotional problems and the doctors giving them these drugs. She hopes this conference in the Vatican "will give people a better understanding of what drug treatment for mental disorders really constitutes." She also hopes it will "encourage people to seek alternative ways to manage distressing emotions and distressing behaviours."
Another participant at the conference in the Vatican who spoke to Susy Hodges is Dr Pat Bracken, a psychiatrist from West Cork in Ireland.
Asked why there has been a large increase in the number of psychotropic drugs being prescribed to young people, Dr Bracken says it's a "complicated picture with no single answer" although he agrees with Dr Moncrieff that the increase in prescription rates is "massive" and says "a lot of companies (in the pharmaceutical industry) made a lot of money out of this development."
He goes on to explain how these pharmaceutical companies have helped "nurture an environment within psychiatry where drug treatments are sometimes seen as the first and sometimes as the only response to mental distress."
Dr Bracken, however, believes that it's not just "the profit motive" that has brought about this situation but it also reflects changes in our contemporary society such as the rise in secularisation. Drawing on his own family's experience, he says that in the past people's religious faith sustained them" and helped them "to overcome their problems and sufferings." He goes on to talk about how many of these psychotrophic drugs have "very serious-side effects" and advocates what he calls a "recovery approach" to help people suffering from mental disorders to use their own initiatives and their own support networks to find "their own paths" towards healing.
Listen to the extended interviews with Dr Moncrieff and Dr Bracken
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Rome,
June 10, 2013
Is the use of prescription drugs effective for
treating emotional and behavioral problems in children? Is it even safe?
Experts will attempt to answer these questions
during a Vatican conference titled "The Child as a Person and as a
Patient: Therapeutic Approaches Compared." Organized by the
Pontifical Council for Health Care Ministry, the conference, which will run
this weekend from June 14-15, will explore the harmful effects of
over-prescribing psychotropic drugs to children and pregnant mothers.
Psychiatric medications have emerged as a first
line of treatment for emotional and behavioral problems in children, while the
use of psychosocial intervention has declined.
However, Marcia Barbacki, an occupational therapist and one of the
organizers of the conference, argues that global prescription rates
of psychotropic drugs are not justified according to clinical trial evidence. "We
want to share accurate data and provide solutions at multiple levels that value
life, family and Church, and promote ethical research in health care," she
told ZENIT. "It is time to no longer accept prescriptive practices that do
not follow the evidence and increasingly put children at perilous risk for
serious health consequences, dependence, and disability."
There are a host of side effects from many of these
drugs, Barbacki said. For instance:
· "The stimulants now
have warnings of sudden
cardiac arrest and suicide.
Stimulants stunt physical growth 1 cm and 2 kg per
year."
cardiac arrest and suicide.
Stimulants stunt physical growth 1 cm and 2 kg per
year."
· "The antipsychotics contribute
to diabetes, obesity, tardive dyskinesia, neuroleptic malignant syndrome, and
early death. There is no scientific evidence supporting effectiveness.
· "The antidepressants have
warnings for suicidal behavior, manic behaviors, birth defects, and stunted
growth and no scientific evidence of their effectiveness.
"Given the clinical trial data
examination, outcomes and risks," she said, speakers at the
conference "will be recommending that psychosocial options should be the
first line of intervention."
The parents of children with behavioral or
emotional problems, Barbacki continued, "need to know that there
are multiple psychosocial options with the data demonstrating the superior
short and long term outcomes of these non-pharmacological approaches that honor
family, culture, faith, Church and spirituality."
"The data supports the therapeutic
relationship and the compassion inherent in that relationship for both short
and long term outcomes. This is consistent with the model of the Good
Shepherd," she said.
"It is our ultimate hope that this conference
will actually make a difference in the lives of children who find themselves in
harm’s way, children who are often harmed even more by the treatments they
receive… It is our hope that this issue can continue to be studied formally
with follow-up meetings like this conference," she said.
Experts, like Harvard psychologist Irving Kirsch,
author of The Emperor’s New Drugs, say that pharmaceutical
companies have contributed to the increase of psychotropic drugs being
prescribed to children. "They have done so by withholding data from
publication, by publishing only the most successful studies, and even then
distorting the data. The data as presented in publications make these
medications look better than the data submitted to the FDA. So prescribing
physicians have not been provided with the information they would need to make
informed decisions."
Speaking with ZENIT, Kirsch, who will be one of the
keynote speakers at the conference, explained how he and his colleagues
analyzed the data which drug companies sent to the FDA when they applied for
approval of antidepressants. "My analyses of these data indicated that the
drugs were little better than placebos. The difference between drug and placebo
for most patients was so small as to be clinically meaningless. We also collaborated
in an analysis comparing the outcomes of different treatments for depression.
We found that psychotherapy, physical exercise, and acupuncture were as
effective as antidepressants in combating depression."
Although antidepressants are not very effective in
treating depression, he said, they nevertheless come with
risks."Antidepressants are active chemicals with serious side effects and
health risks. They increase suicidality in children, and their use has been
associated with increased risk of becoming depressed again in the future."
Even though Dr. Kirsch does not recommend
psychotropic drugs for children, he says there is still hope for children
struggling with these disorders. "There are psychotherapists who are
trained in working with children.
"Psychotherapy is an excellent
alternative."
"Psychotherapy is an excellent
alternative."
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