I'm a drug addict. Who isn't these days?
Going by the definition of the phrase as someone who habitually takes and is dependent on drugs, that ends up including a fairly large amount of the country. It's a scary thought to realize you are addicted. It's even scarier to think about how many other people are.
Of course, I'm not talking about anything illegal, and not even anything used for pleasure. But still, there it is. I'm a drug addict.
I have two prescriptions: one for sleep, and one to make me normal. As someone who grew up in a household where there was no such as a mental disorder, until dementia hit my family, I was raised to believe people that cried out that they were depressed or psychotic were really just lazy or crazy. There was no such thing as mental illness. And while I never really believed that, to this day, I'm still a bit hesitant to take anything.
I take Ambien to help me sleep. I've had it for a while, and used it irregularly until a few months ago. I never really liked it. For one, it's never really seemed to give me a good night's sleep. Yes, I feel a bit rested in the morning, but never completely. No, it's the side effects that I don't like. I take my little pill, and I have no idea what happens. There have been so many times I've woken up the next day to find inane Facebook ramblings or dozens of texts sent. In fact, only a week ago, I set up a blog for the first time in five years. And here we are. It embarrasses me to no end. Which is odd, because if these were incidents done through alcohol, I would just laugh it off. There's something about the idea of it being a side effect of a chemical that makes it embarrassing to me. It also scares me. I wake up with no memory of ever lying down. I can remember only vague snippets of me nights, although I can always tell when I've gotten up in the night.
And it's not like I haven't tried natural sleep. I've tried everything I can think of. I've used Tylenol PM, Melatonin, warm milk; I even had a doctor recommend a shot of whiskey before bed. None of them worked. I was told my body would eventually force itself to rest when I became tired enough, but I have a job and a daughter, and after four days of little sleep, I realized I couldn't keep going. I refuse to take it on a nightly basis though. I don't trust myself to take them when I have my daughter. That's my biggest issue. But when I don't take them, I feel off, like I've tried to go a morning without my coffee. I know there are reasons for my lack of sleep. Just nothing I've been able to fix yet.
After a bad break up, I just wasn't able to sleep anymore. Call it a psychological issue if you want, but that still doesn't help me function the next morning.
My other prescription is for Lexapro, which I take daily for anxiety. This was also supposed to help with my sleeping, but I've been on it since 2004 and have noticed no changes in my sleeping patterns due to it. My anxiety is worse than my lack of sleep. Before the Lexapro, I had problems getting out of bed each day, problems leaving the house. One summer I went off the meds and I barely left my own apartment for three months. I think that's what terrifies me the most; that this is going to be a life-long addiction, because I simply can't function normally in society without it.
And I've tried, believe me I've tried. Like I said, I was raised to believe that there is no pill to cure a mental disorder that doesn't exist. So I've tried. Healthy eating, healthy living, I used to do karate, I currently do yoga, I walk, I read daily, I write, I try to spend time with friends and family whenever I can, therapy, I try to exercise my mind and body daily, I look in the mirror and tell myself I can do anything. But I can't. And I have yet to find an explanation as to why.
So when you eliminate all other possibilities, what remains, no matter how implausible, must be the explanation. I just have something in my brain chemistry that causes these reactions. Now, I'm forced to deal with addictions for the rest of my life, using the same excuse that a thousand junkies have used, that I'm just doing it to feel normal. I'd give up my chemical dependency at the drop of a hat if I could. Besides the feelings born out of my upbringing that I've had to constantly fight against, there's the financial side to it. I'd much rather be spending my money on something I'd actively enjoy than to spend it on little pills I need to get me through each day.
But this is who I am now, and who we are as a nation. Pill-popping junkies just trying to survive. In this case, I've still got most of a lifetime of addiction to look forward to.


Salon.com
Comments
I completely understand the frustration you're going through, though. While I hate feeling dependent on a drug, I know that without it I could not live a "normal", healthy life.
Good luck.
R.
"I was raised to believe... There was no such thing as mental illness." me too. My parents are full of shit. I love them, but they are wrong. Find meds that work for you, take them. Taking control of your illness is not addiction.
@James, I added that comment because I knew I would kick myself this morning when I got up and saw the errors. The curse of being a former editor. Thanks for trying to catch them!
theres an amazing article by paulina porizkova on the subj in huffpost. Im thinking of blogging on this sometime.
Only side effect I have had is sleep eating. Does not happen often, but when it does it is because I took it and something distracted me from going to bed. At one time I was Rx'ed Xyrem (legal GHB). That stuff knock you out fast but you must set an alarm 4 hours later to wake up and take a 2nd dose. Kind of defeats the purpose of wanting to get a good nights sleep.
I haven't really done sleep eating, but I've done lots of other things. And it is usually because I don't go to bed the minute I take the Ambien. If it takes me longer than a minute or two, I have no idea what I'm going to end up doing.
She writes about the state of psychiatry today and expresses great skepticism that the current model --- that mental illness is a result of a disbalance in brain chemistry --- is right. She says a lack of adequate scientific knowledge and Big Pharm have pushed this model and the meds.
You should read the articles and probably the books she is reviewing.
Taking a drug for anxiety that produces sleeplessness and taking a drug for sleeplessness that produces anxiety doesn't sound to me like taking charge of anything. It sounds to me like the beginning of a downward spiral that could end in disability or early death. I strongly urge you to read Whitaker's book and come to your own conclusions.
There is still a lot of stigma associated with mental health meds. I think we need to get over it. If you have a need for it, well, you need it. I don't see us arguing over whether anyone needs to take insulin for diabetes, do we? or meds for heart problems? Why do we somehow think that exercise, diet, meditation, etc., (all of which I do) are going to cure a basic chemical problem that makes life unbearable? Believe me, if exercise could cure depression (It helps, tremendously), then I'd be happy as a, well, lunatic. And let's also mention that a lot of people who have a problem with drugs seem to have no problem self-medicating with pot and alcohol. Just saying.
I've been following this thread pretty persistently while also juggling Designanator's live streaming of #OWS. Had to cancel my today's app't with the one-and-only ?"shrink"? I now meet with. [Shared diagnosis agreement: I'm OLD. :-( ;-)]
I've been on about all sides of the topic you've brought up here, Lee (hope I'm remembering your name right ...). As to how I'e been diagnosed by medical professionals and psychology professionals; as to my having been a practitioner (of sorts) of both practices and traditions.
I sure hope you'll keep this thread open for a healthy good long time as I know there are lots of OS-ers with relevant experiences and puzzlements, and all of us wishing you well!
Was delighted just now (seeing I haven't been able to keep up with the rate of comments) to find the latest one refers to Celexa. [I don't take it so I don't know the generic name but if I were to be taking it I for sure would be taking the generic!]. For reasons I won't clutter up your blogsite to enumerate further, I have a LOT of reasons for hoping that might be a really safe and effective choice for you. Let us know!
As for "drug" addiction itself; definitions of "depression" ....whooey, I could say a thing or two from my own experiences, but I'll spare you!
Thanks so much for this thread, Lee (and, as I said, I'm old, so if I don't find out till after signing off that I have your name wrong just sigh and fuggedaboudit, o.k.?)
R+++
There's nothing more wondrous than being able to FEEL everything, no matter if it hurts or exalts. Peering at life from behind a veil of gauze, as you must feel you're doing sometimes, is a sad way to experience the beauty of human existence, and not getting enough sleep to enjoy it fully is a far worse prison than those of us who don't suffer from sleeplessness can imagine. This is one prison I hope you break out of, Lee. Best of luck and sweet dreams to you.
I too have found Ambien wanting. But hokey as it sounds I find that some "hypnotism tapes" work to put me to sleep. I have no illusions that they are actually hypnotizing me, but the process of relaxing the muscles and focusing the mind is practically coma-inducing.
Glenn Harrold has some that will do the trick. I use a Zen mp3 player with Sony earbuds. I usually wake up with the earbuds in place and the Zen mp3 player asleep also. It even "hypnotizes" the mp3 player. Cheers, Glenn (he has a really great accent).
I may have to look into the sleep eating since I'm the world's fattest vegan. That may explain everything.
I did not advise anyone not to take meds. I advised them to be aware of the fact that the theories on which current medical treatment of depression are not as solid as those for, to use your example, diabetes.
To compare the two, the current theory for the cause of depression is that the brain isn't producing enough serotonin and therefore, meds that fix that imbalance can help, eg serotonin re-uptake inhibitors.
Diabetes is caused by the body not producing enough or any insulin and it can be fixed by injecting insulin. (okay, I'm simplifying in both cases).
The difference is that with diabetes, all aspects of the theory are confirmed. Diabetic pancreases show low or absent levels of the insulin producing cells. Blood tests on diabetics show high blood sugar and low insulin. Injecting insulin produces a prompt and objectively measurable change in blood sugar.
With depression, there's no real evidence that people with depression have lower levels of serotonin than the non-depressed.
That theory came because they discovered SSRIs affect serotonin levels in the brain. As one critic put it, one could, with equal logic say pain is caused by a shortage of opiates, because narcotic pain relievers activate opiate receptors in the brain. Serotonin does affect mood, but then, so does alcohol.
Further, one of the books Angell reviewed found that placebos are three times as effective as no treatment for depression and at least 82% as effective as anti-depressants. The difference in effectiveness on the standard clinical scale was small, like lowering blood sugar slightly, but not to normal levels. So, even the drug research, as carefully reviewed by an objective scientist, not a drug company, doesn't provide much support to the theory.
Whitaker states that the course of mental illness such as depression has changed. Once they were mainly self-limited or episodic, with each episode usually lasting no more than six months and interspersed with long periods of normalcy, the conditions are now chronic and lifelong. He believes the drugs even those that relieve symptoms in the short term, cause long-term damage that continue after the underlying illness would have naturally resolved.
These are serious and well-researched accusations and I recommend anyone taking medicine for mental illness to read and understand them. I hope you appreciate the difference from offering medical advice from my armchair.
Anyway, the is the link http://www.nybooks.com/articles/archives/2011/jun/23/epidemic-mental-illness-why/
and
She says, "I have spent most of my professional life evaluating the quality of clinical research, and I believe it is especially poor in psychiatry."
She quotes people like the former director of the National Institute of Mental Health --- and a current senior staff member at Harvard.
and...
Clinical Psychopharmacology Made Ridiculously Simple are both good books to check out the action (how they work in your brain) of psych meds
but they are the best tool we have against this group of diseases
After 11 years of tinkering and over 10 meds tried I no longer suicidal ideate every other second, the way I have since I've been 15. The profound relief in that I can't even begin to express. I wish you the same relieve Lee. Of sleep, of lack of anxiety, of anything else you aren't admitting on paper that plagues you. Mental pain is real. It's not some phantom that can be blown away with smoke and mirrors. My attitude and coping skills improved with analysis, but my suicidal ideation continued until I was put on lithium. The diseases are real. Don't let anyone try to tell you they aren't. Denial is not an adequate shield against anything.
They are not like insulin for diabetes. There was a time, within living memory, when a diagnosis of diabetes was a death sentence. Tday, with insulin, folks with diabetes can have decades of productive existence. What similar success do the purveyors of psych meds have to point to?
There was also a time within living memory when depression, mania, and even psychosis were rare and largely self-limiting conditions. Since the introduction of psych meds, the proportion of people disabled by mental illness has skyrocketed, while outcomes have gotten almost immeasurably worse.
I'm not talking about the proportion of people LABELED mentally ill (although that, too, has skyrocketed). I'm talking about the proportion of people DISABLED by mental illness.
There is an epidemic of overdiagnosis AND an epidemic of iatrogenesis. The overdiagnosis is how they get people in the front door. Then the real fun begins: the cascade of more drugs, stronger drugs, higher doses. Someone who started out with nothing more than normal teenage or twenty-something angst ends up permanently disabled, or dead.
I certainly believe that the pharmaceutical companies have a heavy hand when it comes to pushing their product and many doctors follow their lead. But the same is happening with drugs for physical ailments. A lot of people are prescribed medications they don't need. A mental illness is no different, and as much as my upbringing causes me to constantly question the mere existence of mental illness, I can say without a doubt that I have one and need medication to function in society. That, to me, seems as much of a disability as any physical ailment.