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Adherence

How long is too long for antidepressants?

Young people spend too long on antidepressants without examining whether they still need them, a Duke psychiatrist argued in a recent New York Times post.

The psychiatrist, Doris Iarovici, is almost certainly right that more young adults are taking these meds for longer these days than in the past. The problem is that we don't have a very good idea of how many - or for how long. As a...
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ADHD drugs

Think Kids Are “Overmedicated”? First Consider This.

I've argued before that declaring American kids and teens to be "overmedicated" is something of a cop-out.

How can people say what constitutes overmedication when they can't - or won't - specify what would constitute an acceptable number or percentage of kids taking psychiatric meds?

Still, I do care about the numbers, because they can give us clues as to which kids and how many are getting appropriate treatment for emotional and behavioral problems.

A...
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Adherence

The Challenge: Tracking Your Medication History

Ever have a hard time remembering to take your meds regularly? Now try tallying up all the psychiatric meds you've ever taken, their dosages and side effects. It's harder than you might assume - especially as time goes on.

When I was interviewing my peers for my book about growing up taking psychiatric meds, I started with what I thought was a basic question: Can you give me your medication history...
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Abuse and diversion

Mixing Meds and Alcohol: Just How Dangerous Is It?

Most psychiatric drugs bear some version of the warning: "Do not drink alcoholic beverages when taking this medication."

In reality, though, many people taking psych meds drink anyway. They have various reasons: not wanting to curtail their fun, not putting much stock in the warnings, or simply thinking it's easier to take a proffered drink than explain why they're turning it down.

Doctors oftentimes don't bother to talk to patients about potential...
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Childhood

Can Meds Transform Mental Illness Into Mental Health?

Today is World Mental Health Day, and I've been thinking a lot about the terms "mental health" and "mental illness" ever since reading a recent post post on the topic by blogger Natasha Tracy.

Natasha contends that using the politically-correct, cheerier-sounding term "mental health" trivializes psychiatric disorders and ends up shortchanging those who suffer from mental illness. That got me thinking again about a question I've often pondered:...
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Antidepressants

How Psych Drug Studies Shortchange Kids

For years, researchers and health policy experts have been charging that psychiatric medications aren't adequately tested in children - and a new study gives some powerful ammunition to that critique.

The study, from Pediatrics, looked at clinical drug trials between 2006 and 2011, involving five conditions that cause the greatest "disease burden" for children, as measured by a rating that counts the total years of healthy life lost to disability.

In high-income countries like...
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