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Proof Is Scant on Psychiatric Drug Mix for Young
New York Times ^ | 23 November 2006 | Gardiner Harris

Posted on 11/23/2006 6:09:55 AM PST by shrinkermd

...Bottles of psychiatric medications fill the shelves. Stephen, 15, takes the antidepressants Zoloft and Desyrel for depression, the anticonvulsant Lamictal to moderate his moods and the stimulant Focalin XR to improve concentration. Jacob, 14, takes Focalin XR for concentration, the anticonvulsant Depakote to moderate his moods, the antipsychotic Risperdal to reduce anger and the antihypertensive Catapres to induce sleep.

Over the last three years, each boy has been prescribed 28 different psychiatric drugs.

“Sometimes, when you look at all the drugs they’ve taken, you wonder, ‘Wow, did I really do this to my kids?’ ” said their mother, Tricia Kehoe of Sharpsville, Pa. “But I’ve seen them without the meds, and there’s a major difference.”

...Last year in the United States, about 1.6 million children and teenagers — 280,000 of them under age 10 — were given at least two psychiatric drugs in combination, according to an analysis performed by Medco Health Solutions at the request of The New York Times. More than 500,000 were prescribed at least three psychiatric drugs. More than 160,000 got at least four medications together, the analysis found.

Many psychiatrists and parents believe that such drug combinations, often referred to as drug cocktails, help. But there is virtually no scientific evidence to justify this multiplication of pills, researchers say. A few studies have shown that a combination of two drugs can be helpful in adult patients, but the evidence in children is scant. And there is no evidence at al

...

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Extended News; Unclassified
KEYWORDS: children; moralabsolutes; necessity; psychotropics
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To: E.Allen
"IIRC almost all of the past killing sprees by students have been conducted by kids on psychiatric meds."

Wow! What are the odds, huh?

With almost all of the kids being on psychiatric meds, I would also think that almost all of the past killing sprees by students would have been conducted by kids on psychiatric meds.

Be that as it may, what's your point? That the parents are already taking care of their children or that the psychiatric meds are causing the crimes?

21 posted on 11/23/2006 6:59:52 AM PST by robertpaulsen
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To: E.Allen

The same evening news that report on the War On Drugs is sponsored almost entirely by pharmecutical companies.

A pill for your stomach,a pill to sleep,a pill for sneezibng,a pill to have sex, a pill not to have a baby, a pill to kill the just conceived baby, a pill to induce calmness,a pill to......who would have belived Americans would swallow the b.s. ?


22 posted on 11/23/2006 7:01:54 AM PST by hoosierham (Waddaya mean Freedom isn't free ?;will you take a creditcard?)
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To: e_castillo
"The kids at Columbine were being medicated."

One was. But you say "kids", plural. Was Dylan Klebold being medicated?

Assuming they were, what's your point? Are you saying the parents were already dealing with the issue, or are you saying that the medications caused the killing spree?

23 posted on 11/23/2006 7:03:34 AM PST by robertpaulsen
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To: SauronOfMordor
Eric Harris (of Columbine) was on Luvox when he went on his spree

So perhaps a drug mix would have prevented the spree?


This whole topic really bugs me, because there are good points made by both sides--but then they get generalized. Drug cocktails really DO work, and many people have given up on meds prior to finding that "magic combination"... yet on the other hand, many patients are on a whole mix of haphazard meds, without a look at how they work together and might be replaced by a simpler combo. And then there's the good old "parenting skills" idea.

Frankly, psychological/psychiatric disorders are culturally defined...that is, what might be considered schizophrenia in one culture might be considered prophetic shamanism in another. If the environment in which children are developing has changed, perhaps "normal" human biology is out of synch with the modern Western world. I have no doubt that the ability to adapt to an industrial, or information, culture is not the same in all people.

24 posted on 11/23/2006 7:05:39 AM PST by Gondring (I'll give up my right to die when hell freezes over my dead body!)
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To: E.Allen
Spot on! Perhaps if kids actually played today, as they did yesteryear, we'd have less problems. The person who has the number one website and in my industry (also a leader in it) had the following to say in a newsletter -


Thought for the Day - How Did We Survive?

Looking back, it's hard to believe that we have lived as long as we have. As children, we would ride in cars with no seat belts or air bags. Riding in the back of a pickup truck on a warm day was always a special treat. Our baby cribs were covered with bright colored lead-based paint. We had no childproof lids on medicine bottles, doors, or cabinets, and when we rode our bikes, we had no helmets. Not to mention hitchhiking to our favorite spot!

We drank water from the garden hose and not from a bottle. We would spend hours building our go-carts out of scraps and then rode down the hill, only to find out we forgot the brakes. After running into the bushes a few times we learned to solve the problem.

We would leave home in the morning and play all day, as long as we were back when the streetlights came on. No one was able to reach us all day. We played dodge ball and sometimes the ball would really hurt. We ate cupcakes, bread and butter, and drank sugar soda but we were never overweight.... we were always outside playing.

Little League had tryouts and not everyone made the team. Those who didn't had to learn to deal with disappointment..... Some students weren't as smart as others so they failed a grade and were held back to repeat the same grade.....

That generation produced some of the best risk-takers and problem solvers. We had freedom, failure, success and responsibility, and we learned how to deal with it all.

Mike Holt’s Comment: I didn’t make the Little League, I failed third grade, I didn’t finish high school, I didn’t have a father, and we were very poor. But, you know I had a great childhood.

My success in the electrical industry and as a family man is because I try to allow God to lead my life. He has taught me that I can accomplish much if I have the proper priorities in life and that is God first, the family, and last work. I have learned not to complain about life too much, nor to blame others for my failures, or make excuses for my performance. God’s given me the desire to succeed and the commitment to do what it takes to accomplish my goals.

Copyright © 2003 Mike Holt Enterprises,Inc.
1-888-NEC-CODE (1-888-632-2633)

 

25 posted on 11/23/2006 7:06:00 AM PST by Issaquahking (Trust can't be bought)
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To: Dark Skies
"My point is that a discussion of the serious problem of over-medicating our children is further confused by suggesting that the failure to do so has anything to do with Columbine or murder sprees."

From the responses so far on this thread to my "killing spree" comment, it seems to me that medicating the children is being used as the excuse for/cause of violence, not the failure to medicate.

Go figure, huh? Looks like "damned if you do and damned if you don't".

26 posted on 11/23/2006 7:08:34 AM PST by robertpaulsen
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To: robertpaulsen

"medications caused the killing spree?"

I remember that both wer on drugs. They reportedly were laughing their asses off while doing the shooting. Sounds to me that the drugs were working just fine. /sarcasm


27 posted on 11/23/2006 7:10:11 AM PST by e_castillo
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To: hoosierham
"The same evening news that report on the War On Drugs is sponsored almost entirely by pharmecutical companies."

What??? I'm speechless.

28 posted on 11/23/2006 7:10:22 AM PST by robertpaulsen
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To: Gondring
Frankly, psychological/psychiatric disorders are culturally defined...that is, what might be considered schizophrenia in one culture might be considered prophetic shamanism in another.

lol...there you go again...adding depth to the shallows.

29 posted on 11/23/2006 7:11:10 AM PST by Dark Skies ("He who knows only his own side of the case knows little of that" ... John Stuart Mill)
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To: the808bass
It sounds as if the father is under the impression that the meds should be taking the place of parenting skills. Pretty indicative of our society's attitude toward meds.

Yes, that scenario was an excellent indicator of the misunderstanding of meds. But then again, good ol' Doc Spock really screwed up views on parenting.

30 posted on 11/23/2006 7:12:30 AM PST by Gondring (I'll give up my right to die when hell freezes over my dead body!)
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To: robertpaulsen
From the responses so far on this thread to my "killing spree" comment, it seems to me that medicating the children is being used as the excuse for/cause of violence, not the failure to medicate.

Are you reading the same thread I am? The only person making that assertion here is YOU.

APf

31 posted on 11/23/2006 7:14:49 AM PST by APFel (You too can take Dylan Thomas out of context! Ask me how!)
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To: robertpaulsen
I agree.

It is a confusing issue all round.

32 posted on 11/23/2006 7:18:38 AM PST by Dark Skies ("He who knows only his own side of the case knows little of that" ... John Stuart Mill)
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To: shrinkermd

These guys have had some success with various MI's especially bipolar DX's. I would hope the parents would at least give them a try.


http://www.truehope.com/


33 posted on 11/23/2006 7:19:25 AM PST by tertiary01 ("Socialize the costs and privatize the profits-"-The New American business model.)
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To: shrinkermd

"Worth a read by parents who have troubled and troubling children".
___________________________________________________

Parents themselves are often troubled and troubling....which might account for so many disturbed youngsters.

Let's medicate the adults first! See how they handle adversity.....wait a minute....perhaps adversity should be handled with a clear head...might build character....might even build a sane society.

sp


34 posted on 11/23/2006 7:22:01 AM PST by sodpoodle (I have no idea how I got here - but I like it and I plan to stay.)
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To: GB

I truly believe that some children, like the one you talk about are so emotionally scarred because of terrible infantancy and early childhood. However, the kid who has ants in his pants, maybe has alittle too much energy is not a candidate for medication. Some kids are just more of a handful than others, thats their personality. I have 3, none are the same. My oldest, extremely headstrong, will argue with a post, my middle, mellow, goes with the flow, nothing really fazes him, my youngest, lordy he is as sweet as can be but he does not stop moving until his head hits the pillow. All three of them could be considered in need of medication with the criteria that is now accepted. I think medication is definately necessary in extreme cases but, nobody ever said raising kids is easy, its extremely hard and not for the faint of heart.


35 posted on 11/23/2006 7:28:52 AM PST by panthermom
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To: panthermom
How about meds for the elderly ( dementia)
The doctor for my older brother has him on 5 different drugs (three for mental and two for blood pressure) he is a walking zombie. I plan on weaning off of at least three to see if it is detrimental or positive.
36 posted on 11/23/2006 7:40:58 AM PST by drdemars (Change your thinking - Change your life.)
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To: panthermom
And I also don't understand how this generation of kids have so many mental issues.

In many ways, "mental problems" are a classic luxury item. A luxury item is defined as an item you spend a larger percentage of your money on the richer you get.

I've always thought that the poor people of the third-world struggling to survive would think it quite silly how many of our Beverly Hills-type rich require psychiatric care for their difficulties with life...

37 posted on 11/23/2006 7:54:34 AM PST by Onelifetogive (Objects in tagline are closer than they appear,)
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To: shrinkermd
>"Over the last three years, each boy has been prescribed 28 different psychiatric drugs."

This is just as wholesome and as natural as god (Darwin) intended it to be.

Every child is now Elvis!

38 posted on 11/23/2006 7:58:27 AM PST by rawcatslyentist (When true genius appears, know him by this sign: all the dunces are in a confederacy against him.)
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To: robertpaulsen
Of course if these kids were not being medicated and they ended up going on a murdering spree (a la Columbine)...

Eric Harris was taking Luvox at the time of the Columbine massacre. Dylan Klebold's medical records have been sealed, but the anger-management classes he and Eric were both taking would have required his use of anti-depressants.

Prescription Psychiatric Drugs Triggered Columbine Killings!

39 posted on 11/23/2006 8:01:32 AM PST by E. Pluribus Unum (Islam is a religion of peace, and Muslims reserve the right to kill anyone who says otherwise.)
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To: panthermom
They didn't come with instruction books. :)

Seriously, I my eldest (12) has ADD. Not ADHD, he's never been a hyperactivity or behavior problem in any way that we or his teachers (he attends a private Christian school) couldn't handle. He has ADD. He's absolutely on his own private planet with his own private zip code and area code a lot of the time, with a total inability to focus on even the most minor classroom or home tasks and will literally be distracted by a fly on the wall.

We were always the parents who "would die and go to **** before we'd put one of our kids on meds," but after much discussion, much research and much prayer, we did when he was 7. He took Ritalin for several years, but we took him off that because it was causing him to have eye tics. He now takes Strattera, a non-schedule drug that isn't really as effective as Ritalin ... it's not as sedating, the Ritalin was obviously sedating even though that's not what we were trying to achieve with the meds ... but it kind of keeps him between the lines on the road and keeps him on this planet and in our zip code and area code.

We hope he'll outgrow this with time and we can discontinue the meds. We're not there yet.

But other than him taking the meds, he's pretty much a normal child and we encourage him to do normal child things. He's not athletically inclined, like his dad he has six left feet and total uncoordination, but he plays in the band at school, has taught himself piano and guitar by ear, and sings in the choir and is very active in the youth groups at our church.

40 posted on 11/23/2006 8:02:28 AM PST by GB
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