Let's Talk About Drugs
Published January 22, 2006
THE RITALIN RIDDLE
I have an excellent shrink. He is a dying breed — although he prescribes meds for my bipolar disorder, he takes the time to really talk with me in the half-hour I see him. He can rattle off drug effects and side effects and always knows the latest scoop, pharmaceutically speaking.
But during my last appointment, when I mentioned I'd been feeling particularly sluggish, he asked me what I thought about taking a small dose of Ritalin or dexedrine.
Frankly, I was kind of surprised. I told him that since ups had been my drug of choice as a reckless youth, I didn't think it was a good idea. He admitted that although it helped some of his patients, others started to take more than was prescribed and had to be tapered off. I just didn't want to go there.
I'm not a doctor, of course, but I always thought that Ritalin was basically used for Attention Deficit Disorder, primarily in kids. It is basically a stimulant --similar to amphetamine, but perhaps milder. My feeling — partly based on first-hand experience — was that stimulants might make you feel good initially, but when you came down, you'd likely crash and feel shittier than before — or simply start to take more and more to get that good old feeling again.
Ritalin, amphetamines, and other stimulants are Schedule II drugs, which are considered to have therapeutic applications but can nevertheless be abused. In fact, some schoolkids sell each other some of their stash, and some crush up the tabs and snort them for greater recreational effect. According to my Bible in all things au courant — New York Magazine — the latest trend among the hip rich New York kids is to sell and abuse assorted prescription meds, which sometimes involves raiding mom and dad's medicine cabinets — and swapping different pharmaceuticals for a nice clean American buzz.
I did a search on Ritalin side effects, and found a website by Peter R. Breggin, a psychiatrist trying to put the word out that many psych meds are potentially quite dangerous and overprescribed. He felt that the combination of overcrowded classrooms and perhaps inattentive parents who didn't want to put up with a little natural rambunctiousness were turning kids into drugged, but well behaved, robots. And I quote:
"Dr. Breggin has been informing the professions, media and the public about the potential dangers of drugs, electroshock, psychosurgery, involuntary treatment, and the biological theories of psychiatry for over three decades ... For thirty years Dr. Breggin has served as a medical expert in many civil and criminal suits including individual malpractice cases and product liability suits against the manufacturers of psychiatric drugs. His work provided the scientific basis for the original combined Prozac suits, for the more recent Ritalin class action suits, and for label changes in many psychiatric drugs."
- Let's Talk About Drugs
- Published: January 22, 2006
- Type: Opinion
- Section: Sci/Tech
- Filed Under: Culture: Education, Culture: Family and Relationships, Sci/Tech: Science
- Writer: Elvira Black
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- Elvira Black's personal site
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Comments
Paula:
Many thanks for your comment. I've heard other parents say that Ritalin did wonders for their child, and if so, perhaps the benefits outweighed the risks. But I still do wonder if this was the only "solution": available, really. Not being in that situation, I can't say.
As someone with bipolar disorder, I see a psychiatrist every two or three months to adjust and monitor my meds. Although my shrink is superb, he is, like most today, focusing almost solely on meds and is quite eager and willing to try all varieties in order to try to find the right "cocktail" for me.
I have learned (as he has assured me) that it is ok to speak up and say, "I don't feel comfortable about trying this med" or "I'd like to try to lower my dose of this med due to side effects." As he has made clear, I'm the one who has to take the meds, and he will never try to force a particular med on anyone.
But it did throw me for a loop when he mentioned ampetamines and Ritalin, although I think in this case he was trying to treat some of my loss of energy and motivation, rather than my bipolar disorder.
But I thought it particularly questionable considering that I have bipolar disorder, and certain drugs may induce a hypomania. In fact, being in a hypomanic state is very similar to how one feels on "ups"--this from someone who's experienced both states.
I know someone else who is struggling with depression, and her doctor put her on Ritalin. From what I've heard, this doctor sounds like a quack. I don't think he has tried the full array of meds available to try to treat her depression. Sometimes it takes a lot of time and trial and error to get the right combo, but it can and does happen.
Now this doc is recommending either electroshock or surgery on the vagus nerve performed by a neurosurgeon. I have been through electroshock, and it is usually reserved for the most severe cases, after drug treatments have not been effective. From what I've read, the surgery route probably works in a similar fashion to the anti-seizure med Lamictal. Both Lamictal and the surgery in question were initially used to treat epilepsy, and now it has been found that these same treatments work for depression. Wouldn't it, then, make more sense to try the Lamictal before resorting to the more invasive and expensive route of surgery?
(Remember when lobotomies were all the rage?)
I know I am getting off on a tangent here. But my point is that sometimes doctors, parents, and teachers may be all too willing to seek a "quick fix" to a problem that may very well be resolved less radically. In the case of clinical depression, meds are probably in order. But how many people with mild to moderate depression are having these meds pushed on them, and is this always the wisest course of action?
In addition, children do not have the luxury of questioning whether their meds are warranted. Their parents and other authority figures have deemed it necessary to drug them, whether they agree or not. This, quite frankly, scares me. I'm sure I would not have been given a choice "back then" either. Sounds a little too much like 1984-ish social engineering to me, and the scary implications of the phrase "children should be seen and not heard" carried to its radical conclusion.
I think i'll be taking a bit of ritalin this saturday -
this topic's still as good as it was elvira.
Snake bites are natural.
Elvira, I think the whole idea of ADD, ADHD, etc. other disorders treated with Ritalin is a topic we don't know much about yet. I think we shoot cannonballs at a problem instead of the .22 shot we may need. Here's to more research.
Justine:
LOL--Yep,it was soooo tempting in a way to just say yes to a bit of the old Ritalin, but I knew that for me it would entail traveling a very slippery slope...
Digibrill:
I love that cannonball analogy--that's what I always think of when it comes to drugs and side effects. The brain is such a finely tuned organ--and the interplay of our hormones and brain chemicals is so intricate--that drugs often consitute a very crude tool indeed.





I agree with you that Ritalin is overprescribed.
Ritalin should be a last resort. Obviously, there are chidren who struggle greatly with ADD and do need the help that prescription drugs can provide. My next door neighbor's child was having the worst time focusing at school, and Ritalin changed his life for the better.
It's the borderline cases that bother me; the quickly written prescription so the doctor can move on to the next patient, and the teacher and the parent won't have to deal with the child.
Children's brains are not fully developed. What is the long term effect that these drugs will have on them both physically and emotionally?