I did not realize it but there is a population of people out there who do not believe mental disorders are illnesses. They don’t believe in the “disease model” for mental health issues and believe people should not be treated with medications. When I heard this I wondered what makes a disorder worthy of an illness label? And why wouldn’t there be something wrong with the brain if you had a psychotic episode?
Some people actually believe a psychotic episode is a “normal” response to certain life events. They also believe most people would do better without anti-psychotics than with them on board.
And then there is the evil empire pharmaceutical industry theory, which says pharma pays big bucks for drugs to be developed and approved so they can make profits, as if the sole purpose for all the scientific work is some preconceived conspiracy. Pharmaceutical companies did not create schizophrenia or bipolar disorder. Sorry but I’m not buying this theory. They research compounds that make a difference and when they are successful they make lots of money. This is the American way. Without the profits there would probably be few life saving medications.
When I heard this view point I was a little shocked. It seems we have come so far with people understanding mental illness as an actual “illness” instead of just a state of mind and something you can control without any intervention. I suppose it really makes a difference as to what mental disorder you are talking about—but who gets to decide what is a serious mental illness that needs medication and what is a disorder that can be controlled with a behavioral modification program. Explain this to a person having a full-blown psychotic episode.
I am all for differing opinions and debates. It’s healthy discourse and keeps everyone in a position to back up what they say. But I’m really confused about why psychiatry continues to have so much controversy in utilizing treatments. I agree that not everyone who is prescribed an anti-depressant or anti-psychotic needs one, but that’s just how it is with every therapeutic class of drugs. There is always over-utilization and under-utilization of different medications.
I have suffered with bipolar disorder most of my adult life and have finally gotten to a point where the medication regimen seems to have stabilized me. I’d hate to go back off all my medication only to find myself very sick again. It’s hard enough to fight depression while trying different medications let alone stopping all medication all together. And I can’t afford to leave mania untreated because it almost always results in a psychotic episode. As far as I’m concerned psychosis is a dangerous state of mind and I don’t want to experience that again.
Just because we can’t see the broken “brain” on x-ray doesn’t mean it’s not broken. There are many diseases that we do not understand the cause. We can’t always know conclusively how a medication really works. Sometimes you have to use common sense and be okay with the unknown. Sometimes you just have to take a leap of faith and trust that people studying mental illness treatments are doing so with ethics and integrity.