Category Archives: Mental Health

The Proactive Search for Mental Illnesses in Children

ellie-320A new government-funded mental health training program for British Columbia family physicians and school staff promotes screening for mental disorders in all children and youth. Critics say the program omits key scientific evidence, seems more like drug promotion than medical education, and downplays serious potential harms. Nevertheless, programs like it are rolling out across Canada and the US.

Part one of a two-part Mad In America investigation into the expansion of psychological screening and electronic surveillance of children and youth.

Read it here.

 

From Compliance to Activism: A Mother’s Journey

cindi-fast-featured-700x494Through years of turmoil and confusion, Cindi Fisher’s enduring love for her involuntarily committed son gradually changed her from compliant mom to mental health civil rights activist. That’s when authorities banned her from even contacting her son. But could she be a bellwether of a coming nation-wide wave of protestors? Click here to read the full article at Madinamerica.com

An Overabundance of Caution

We’re worried about each other’s “mental health” a lot more than we used to be. But calling 911 for someone can be a disastrous approach, say victims of our good – or not so good – intentions.

The day before, John had interred his mother’s ashes. But then came what he describes as an “unbelievable, incomprehensible incident” that, in his sensitive state, was “otherworldly” and “traumatizing.”

John (who wishes to keep his name confidential) went to a Victoria recreation centre to try to clear his mind. He bumped into a friend and they talked into the wee hours. When John returned home, the lights in his condominium were on.

“I thought, I must have leaned up against the dimmer switch when I was putting my shoes on,” says John. Then he noticed an out-of-place binder, his laptop positioned differently, his email program opened. “Something was askew,” says John. “It was like I was in some sort of parallel universe.”

Had someone broken in? Visible money hadn’t been taken. “It was just a really creepy feeling,” he says. Having suffered a heart attack last year, and also taking medications for anxiety and help with sleep, the 50 year old felt a “physiological response” to the sense of “violation” and quickly took his medications. “I’m in no immediate danger,” he said to himself.

At 5 a.m., John was awoken by his phone ringing. A police constable introduced himself and said, “We’re just wondering how you’re doing.”

Read the rest at Focus online.

Money for Nothing (and the drugs for free)

Doctors’ relationships with drug company representatives have changed, say knowledgeable readers. But for better or worse?

A recently-unemployed friend of mine went into a Victoria walk-in clinic in June complaining about unease he couldn’t explain, and walked out with enough free packets of the antidepressant Cipralex and the stimulant Ritalin to last for weeks. If he liked these drugs, the doctor said, he should come back and get prescriptions for more. “It all happened so fast, in less than five minutes,” my friend said with both fascination and wariness.

I was working at the time on last issue’s article about the drug company sales representatives who fill our doctors’ shelves with free drug samples (“Meet Your Doctor’s Generous Friend,” Focus July/August 2013). My friend showed me his packets, each prominently stamped “Sample.” It seemed very coincidental. However, over the next several months coincidental encounters with Cipralex kept occurring, and I started to wonder how coincidental it really was.

Meanwhile, as damning as my article was of the relationships between drug companies, their sales representatives, and local medical doctors, Focus and I received only a few critical responses. That silence started making me feel like the reality was even worse than the article portrayed. Where were all the doctors declaring their independence from drug company money? Where were all the drug companies and reps declaring, “We’d never engage in those kinds of manipulative, corrupt activities”?

This month’s letter to the editor from a drug sales rep reflects one criticism we did hear: Bill’s and Sam’s stories of working as drug reps in Victoria and Vancouver from 1997-2009 were dated and things today are different. As some folks told it, today many local doctors know drug reps as responsible professionals who deliver samples and, if there’s any interaction, it’s a collaboration in patients’ best interests, period. However, my response was, even if practices in Victoria have changed, most doctors practising today will have been influenced by activities going on here as recently as four years ago, and going on elsewhere still today, and therefore Bill’s and Sam’s stories are still relevant.

This point would soon be even more robustly illustrated to me as I gradually learned about the corrupt international history of Cipralex and its enduring local legacy.

Read the rest at Focus online.

Meet Your Doctor’s Generous Friend

Pharmaceutical companies have paid billions of dollars in fines in the US for giving bribes and kickbacks to doctors. Are their drug sales representatives behaving any differently in Victoria?

“Dinner and Yankee game with family. Talked about Paxil studies in children.” That note, written by a drug sales representative about his evening with a doctor and his family, was one of many records that forced GlaxoSmithKline (GSK) to pay a $3 billion fine to the U.S. government in 2012.

According to Public Citizen, since 1991, there have been 239 legal settlements between U.S. regulators and pharmaceutical companies adding up to $30.2 billion in penalties—a third of those in the past two years. Over half related to the kinds of activities that drug sales reps were doing in the GSK case: Reps promoted drugs with misleading information or for unapproved uses (the antidepressant Paxil carries government warnings against use in children), and gave doctors “expensive meals, weekend boondoggles, and lavish entertainment,” “trips to Bermuda and Jamaica, spa treatments and hunting trips,” and “cash payments” disguised as administrative reimbursements or consulting fees, all “to induce physicians to prescribe GSK’s drugs.”

The sheer scale of these cases is overwhelming, collectively involving dozens of multinationals, thousands of drug reps, and seemingly tens of thousands of doctors (although doctors have rarely been charged). And it shows no signs of abating, when such fines seem to be just the cost of doing business in a sector where profits rank with those of the oil and financial industries.

Notably, these same multinational pharmaceutical companies spend billions of dollars promoting the same drugs to Canadian doctors. And surveys show many Canadian doctors meet with reps monthly, weekly, or more often, regularly attend their educational events, and regard them as a primary source for information about newer drugs. Yet there’s never been any similar lawsuits in Canada. Do drug companies play nicer here, or are we just bigger dupes?

There are over 200 drug reps registered to visit Vancouver Island Health Authority facilities, and more visiting private doctors’ offices, but there’s no central tracking of what they’re doing. However, two former sales representatives who worked in Victoria and Vancouver for four different pharmaceutical companies agreed to interviews with Focus, and they make the case that most Canadians are dangerously in the dark. (Both men requested anonymity, which required removing identifying details of companies, drugs, and doctors.)

Read the rest at Focus online.