
“I’m Not Depressed, Just Misunderstood.”
As time passes, the number of clinical depression cases seems to increase. Like ADD (Attention Deficit Disorder) and ADHD (Attention Deficit Hyperactivity Disorder), statistics are highest in teen cases. Or rather, it’s teen cases that have the highest probability of being misdiagnosed. This is because the teenage years are full of conflicting hormones, which more likely than not, will result in some neurological misfires. This can cause anger, depression, apathy and more. If this is so, however, then why are physicians so gung-ho about prescribing dangerous medications, not originally intended for minors, that have the potential to further damage these children’s minds?
The dictionary defines “[clinical] depression” as: ‘A psychiatric disorder characterized by an inability to concentrate, insomnia, loss of appetite, anhedonia (inability to feel pleasure), feelings of extreme sadness, guilt, helplessness and hopelessness, and thoughts of death.” (Dictionary.com) The way depression works, like any psychological disorder, is by affecting the chemicals in the brain, by either creating a deficiency or an overabundance, either of which will have adverse effects. The chemicals linked to depression are generally, serotonin, norepinephrine, and dopamine. These are neurotransmitters, which relay, amplify, and modulate, signals from one neuron to another. Serotonin is assumed to control other neurotransmitters, making it vitally important (and the main chemical treated). To treat depression, medication is prescribed to affect these neurotransmitters. Typically Serotonin Reuptake Inhibitors, SSRIs, are used, which attempt to control serotonin levels. In a list of 25 common antidepressant medications, 40% were SSRIs. (Women to Women) But the reason this treatment is so dangerous is because it is extremely hard to control the levels of any chemical in the body, even more so within the brain, which is so vitally important. On top of this hardship, one must also realized that, despite the leaps and bounds that modern medicine has achieved, we still don’t know much of anything about the brain, how it works or the chemicals that affect it. “Medicine has a whole different impact in the young developing child than they do in an adult and we don’t understand that impact very well, and that’s where we’re still in the dark ages.” (Frontline) So what reasoning can be used to fiddle around with the chemicals in the erratically hormone-controlled brain of a child or teenager?
Up until around age 24, the brain is still maturing and growing. This means that the control of chemicals and hormones is still somewhat unregulated. After linking some antidepressants to increased suicide, the FDA introduced the ‘Black Label Box.’ This merely acts as a warning label (the highest level the FDA has), but it is specific to a certain age group; anyone under the age of 24. (CNNHealth.com) So if the Food and Drug Association has to use a warning label, linking medications to higher cases of suicide for a specific age group, why is it being given to said age group? One must also take into consideration that, as minors with chemicals rampaging unchecked within the body, physicians should take mass amounts of time in attempting to diagnose these children at all. What physicians might diagnose as depression could just be a bad case of the blues after a fight with a friend. Just because it lasts a little longer than what is defined as ‘normal’ does not necessarily mean that it is clinical depression that needs to be treated with harsh chemicals. But doctors today don’t have (or want) the time to spend with patients to develop the relationship needed to correctly diagnose possible problems. On top of that, parents want a quick fix to whatever ails their child, choosing drugs instead of spending time with their children to figure out what is wrong.
In adults who experience psychological problems including bi-polar disorder, depression, anxiety, etc. the prescription of drugs, such as Prozac, have successfully helped control or reverse the effects caused by these disorders. So if these drugs can help adults, it makes sense that they can help children as well. If there are prescription drugs that can help manage or fix psychological problems with children or teenagers, then the obvious choice would be to use them. (This is an intended fallacy!) That’s the entire purpose of creating them in the first place. As with any chemical (or anything, for that instance) there are good and bad consequences. In medicine, we call these side-effects. Prescription drugs are accepted because, for the majority of people, the benefits far out-weigh the risks. This is common sense. (Another fallacy!) Taking that into account, the use of prescription drugs on children who need them could help. In a clinical study using Prozac, an SSRI, there was a 20% improvement with 20mg tablet, 22% improvement with 40mg tablet, and a 24% improvement with the 60mg tablet. (There was a 42% negative or neutral outcome.) (CrazyMeds.us) This information shows that Prozac would, at best, improve the effects with depression, or at worst, do nothing.
The above argument is centered on the majority of people, but what about the minority? Do they not count as well? Regardless to the amount affected, there are still negative effects, and these patients’ outcomes do matter. For those whose bodies react differently, doesn’t there need to be better specialized medication or therapy? Prozac, the same medication listed above, has been known to cause (regularly) headache, nausea, dry mouth, sweating, sleepiness, insomnia, diarrhea, weight gain, and loss of libido as side effects. Less common side effects are rash, ‘flu-like symptoms, and anger/rage. Extreme side effects are amnesia, bleeding gums, anti-social reaction and more. It also has a half-life of 9.3 days. It literally takes 45 days to clear out of the system. (CrazyMeds.us) And this is a very popular SSRI, not to mention the only one approved use for anyone under the age of 18. If all this information is publically known, why are there are not more drugs being developed with fewer side-effects that also treat the problem better? Everyone who takes prescription drugs experiences side-effects, and many of them end up taking another medication to fix a side effect of the first drug, and it turns into a Snowball Effect. Therapy is always an available treatment to any psychological disorder, but I believe that the reason that it is not used to its full potential and why people depend so heavily on medications is because therapy takes a long time, with repeated visits, while medication is a ‘quick fix.’
I will admit that medications do help with illnesses, and SSRIs have been proven to help many people with depression and other mental disorders. For the people who are helped by these medications, they are needed. They allow them to live normal lives because of this breakthrough in medicine. Continued use and prescription of drugs (of any kind) allow development and more acute dosing for current and new drugs. Continued use is needed for new developments. That is how medicine works. It also works by taking risks and running trials on new medication and forms of treatment. For this reason alone, SSRIs should be used, but to a limited amount.
I’m not saying that people shouldn’t be treated if they need it, but that what we must consider is the continued development of these medications. Medications are serious and they should only be used when extremely necessarily, which makes quick-diagnosis’ so dangerous to the patients. If the doctor doesn’t put forth the effort to spend adequate time with the patient, it is impossible to provide an accurate diagnosis, and thus leads to dangerously prescribed medications. The world has been permanently stuck in fast-forward, never enough time for anything or one, and it is negatively affecting everyone, and that’s what needs to change.


