It seems no one wants to discuss “late onset side effects” after one or 30 pills + combined with other medications.
But because many have taken one or more of the medications prescribed to Lindsay Clancy, they are the experts on “when I took that I was fine”! That’s amazing news! And thank goodness. Doesn’t discount what could have been or could be the case for another person!
We truly need to stop seeing others experiences through our own!
Medications aren’t tested in how they interact with each other! @DrJosefWD
Even if you believe there may be a place to experiment w/ SSRI's/antidepressants for the most severe & chronic depression (not showering, not getting out of bed, unable to contribute to society.. for an extended period f time) this actual severity is statistically so rare most people reading this have never experienced this severity of depression nor know anybody like this in their life. Understand... this is not who we are prescribing these drug to. There would be no financial market to limit the drugs to this very small population. We are mass prescribing this to the range of normal... and creating mass harm.
Let’s talk for a moment about what I call ‘spitball treatment tragedies’ — term I came up with to describe what happened to me when snark became possible for me to feel again after years as a poly drugged psych med zombie.
So with respect to the “let’s try this and then if it doesn’t have the effect we’re seeking we’ll up it or add one from another class or stop that class altogether then try…” all caps incoming because they are necessary—
WHY ISN’T THERE A RED FLAG SYSTEM IN PLACE THAT PREVENTS THE PRESCRIBER FROM SENDING AN ORDER FOR YET ANOTHER PEZ DISPENSER OF PAIN AND POTENTIAL TRAGEDY OFF TO THE PHARMACY !???
13 medications.
Across multiple classes.
In 4 months time.
THAT should never have been able to happen.
A red flag trigger should have stopped the issuance at XYZ point, and an OUTSIDE evaluation of the treatment plan, with the patient describing their state of mind and being to a licensed psychiatrist other than the original prescriber should have taken place.
Similarly to today’s post by Awais, the APA itself almost 100 years ago argued that crime should be seen as a symptom of mental illness “stealing or murder will be thought of as a symptom, indicating the presence of a disease.”
They argued that psychiatry should stop opining on “insanity,” “responsibility” and “punishment.” Menninger later clarified: “we must renounce the philosophy of punishment, the obsolete, vengeful penal attitude”.
However, we mustn’t forget that we tried the closest legal version of that idea. From 1954 to 1972, we used the product test (Durham): not responsible if the act was the product of mental disease.
The outcome was awful. Misuse was rampant. Psychiatrists filled the vacuum with “conclusory statements couched in psychiatric terminology.” In 1972 the same court that granted psychiatry all this power wrote “Psychiatry, I suppose, is the ultimate wizardry.”
I appreciate the aspiration. It has been tried. Retribution is a human and legal question. Psychiatry should stay out of answering it.
Ref: 1928 APA Medicolegal proposal
1954 Durham v. US
1968 Menninger - The crime of punishment
1972 US v. Brawner
1972 Psychiatrist and the adversary process
The actual legal question that should have been pursued in the Lindsay Clancy tragedy was:
>>which individuals -plural- licensure to treat and prescribe mind altering drugs in combination, via rapid succession and cessation, will be revoked for the devastatingly reckless lack of responsibility and continuity of care that Lindsay Clancy was subjected to, and what negligence charges will be applied to the outcome of their profound failure to provide care in condensation of the loss of life that resulted.<<
The actual legal question that should have been pursued in the Lindsay Clancy tragedy was:
>>which individuals -plural- licensure to treat and prescribe mind altering drugs in combination, via rapid succession and cessation, will be revoked for the devastatingly reckless lack of responsibility and continuity of care that Lindsay Clancy was subjected to, and what negligence charges will be applied to the outcome of their profound failure to provide care in condensation of the loss of life that resulted.<<
“Brain fog” describes a real cognitive experience with several possible causes.
Poor sleep, medication, illness, mood, pain, irregular meals, dehydration and sustained cognitive load can contribute. Direct research remains limited, and validated ways to measure the symptom are still developing.
Establish the pattern. Record when it began, what changed, the time of day and any other symptoms.
Persistent, sudden or function-limiting symptoms deserve proper assessment.
While we wait for the jury in the Lindsay Clancy case, I have one request for journalists, podcasters, media outlets, and social media sites that have followed this trial: whatever verdict ultimately comes in the horrific and brutal killing of three beautiful children, step away from the arguments about guilt, innocence, and criminal responsibility for just 10 minutes and read what I have known for years in my justice file editorial linked below.
Massachusetts has a dark history in the way it has treated people, or actually not treated people, with mental illness and disabilities that continues to this very day.
When the jury's work is finished, ours should begin.
Whatever the verdict, Massachusetts must confront what this trial has revealed and demand meaningful changes to a mental health system that has failed vulnerable people and their families for generations. I've watched it fail from the vantage point of my courtroom.
In the meantime, my thoughts and prayers are with Cora, Dawson, and Callan.
https://t.co/2Ojq3nWblk
🧵 It’s not often that patients sit as equals alongside clinicians, just as conferences for professionals tend to focus on one field, rather than the all-important overlaps.
But as with our work in general, our conference is different, bringing all those people together in one place — and the feedback here from our inaugural conference last year shows how that works in practice. 1/
They speak to what so many of you have told us you are looking for: a place where your experiences of the mental health industry are treated with seriousness, where professionals can listen and learn, and where there is space to discuss constructive change for the future. 1/4
🚨 BE CAREFUL WHO YOU BLINDLY TRUST ⚠️
‼️ A title is not a guarantee of wisdom.
‼️ A degree is not immunity from mistakes.
‼️ Passing exams does not make someone incapable of being wrong, careless, biased, rushed, overconfident or uninformed.
👨⚕️Doctors. Lawyers👨💼. Police.👮♀️ Judges. 👩⚖️Therapists. 🤑Experts. ANYONE.
Respect expertise but please dont surrender your judgment to it.
A credential proves someone completed the requirements for a profession. It does not prove they’ll always get YOUR situation right.
This patient video is a great example of how powerful a short testimonial can be.
You do not need to sit down for a full interview to make an impact. A simple 1–2 minute video explaining the drug you took, the persistent adverse effects you experienced, and how those effects have changed your life is incredibly powerful.
Share as much or as little as you’re comfortable with. You can record it in your own words, on your own time, right from your phone.
Every story adds to the growing record of people living with persistent harm after these drugs. The more patients who speak up and document what happened to them, the harder it becomes for these experiences to be dismissed, minimized, or ignored.
Please consider sharing your story.
📩 Submit your video, or reach out for more information: [email protected]
We have all heard about the lack of clinical trials that have gone past a year; that have been much shorter and that the average time to market for new drug products is 3 months.
With the many millions of people on these drugs available to use as data points of real life use, why not construct studies from this available pool so that the lament of not knowing what these drugs really do long term can be silenced and new guidelines for
use can be established?
It may be time for the FDA pipeline and the perceptions - which are looking a lot more like restrictions - around what constitutes a 'clinical' trial are dropped, and we use what decades of real life use, in every possible combination science may be interested in drawing conclusions about, can tell us.
Sleep deprivation can cause psychosis, medications can cause psychosis, bipolar can cause psychosis, PPP while rare, includes psychosis, but because she looked “normal” she couldn’t be in psychosis #lindsayclancy
Pharma industry pays 66% of the US congress, it pays presidents, it funds medical schools, universities, social media platforms, charities, scientific journals, doctors, major medical organizations , hospitals, & much of the news. They fund the FDA. They own the entire pipeline
At least 7 of the 13 psychiatric medications prescribed to Lindsay Clancy have FDA labeling specifically documenting hallucinations as an adverse reaction or recognized drug effect, while additional medications can produce hallucinations in serious reactions such as serotonin syndrome or withdrawal.
🚨 please learn what you’re putting in your body! The human brain 🧠 can only take so much. 🙏
💊 Ambien (zolpidem) — visual & auditory hallucinations are explicitly reported; <1% of adults in controlled insomnia trials. I personally took this to sleep for yrs with no issues until one day I did hallucinate, (saw & heard a man begging me for coffee and never took it again).
💊 Ativan (lorazepam) — hallucinations are explicitly listed among reactions.
💊 Klonopin (clonazepam) — hallucinations are explicitly listed among observed reactions. This med can also make many people very angry.
💊 Valium (diazepam) — hallucinations are recognized in the labeling, including in severe CNS/withdrawal-related states.
💊 Buspirone — hallucinations are listed as an infrequent CNS adverse event; psychosis is listed as rare. But possible.
💊 Trazodone — hallucinations/delusions have been reported in its data & postmarketing experience.
💊 Amitriptyline — hallucinations are explicitly listed alongside delusions, confusional states, and disorientation.
💊 Sertraline (Zoloft) — hallucinations appear in FDA labeling primarily in connection with serious reactions such as serotonin syndrome/severe hyponatremia, rather than as an ordinary standalone adverse effect.
So if someone were taking multiple drugs capable of producing hallucinations, confusion, abnormal behavior, disinhibition, sedation, mania/hypomania, or altered cognition, clinicians & prescribers should be doing substantially more than simply issuing each prescription independently.
Doctors should be communicating & carefully coordinating with each other at ALL times. 😞
Everyone’s reaction to medications will vary. It depends on your body weight, your age, genetics and metabolism, your liver/kidney function, food intake, hydration, sleep, hormones, other medications or supplements, alcohol/substances, underlying conditions, dose, timing, duration of use, and how quickly a medication is started, increased, decreased, or stopped. So much!!
And with multiple medications, - one drug can alter or amplify another drug’s effects!!
That’s why prescribers shouldn’t rely on just whether a reaction is statistically “rare” they have to monitor what is actually happening to that exact patient, especially after medication changes.
A rare effect is still a recognized effect. When a patient reports a dramatic NEW psychiatric symptom, you INVESTIGATE IT.
You don’t prescribe medication after medication and then act shocked that determining what caused what becomes complicated.
We need MORE vigilance, MORE coordination, and MORE follow up not less.
These aren’t pills on a chart.
THERE IS A HUMAN BRAIN ON THE OTHER END OF EVERY PRESCRIPTION. 🧠