If 40 years' of experience means anything, DJ Nutt and the entire field of psychiatry are wrong. Antidepressants have been a HUGE mistake. They have rendered me personally less interesting and tired me out, making me absolutely unable to muster the enthusiasm of my youth. They have robbed me of my creativity. They have stolen my soul. If you came up behind me and shouted boo, there would be a delayed response. Spontaneity has become increasingly foreign to me over the decades of socially sanctioned pill popping.
Imagine what it says about America that 1 in 4 of its population needs some kind of tranquilizing medicine in order to be able to conform peaceably to the materialist status quo.
Antidepressants combined with prohibition is no way to treat depression: it is a way to manufacture depression, by denying us hundreds of godsends that could cheer us up and inspire us, under the harebrained and hypocritical theory that any drug which is potentially addictive must be avoided entirely - except, of course, when they're created by Big Pharma , in which case it becomes our moral duty to take them every day of our lives.
How has America arrived at this huge pharmacological dystopia, one so big that it is invisible to modern pundits?
The American religion is scientism, and so we fell for the argument that Big Pharma was going to treat all human sadness scientifically.
What a coup for conservatives: their natural enemies were no longer getting together to fight corporate power and income disparity: they were getting together instead to compare medicine lists and see "who's on what" and how their latest Big Pharma tranquilizers were working viz. their previous prescriptions.
If I had it to do again, I would rather die than be "started on antidepressants 1." I would go to the black market and take my chances.
This is why I hate the phrase "treatment resistant depression," because it implies that Big Pharma has conquered depression - it's just that some folks are resistant to the panacea just as some folks are allergic to milk.
Wrong.
If Big Pharma has conquered sadness, it is only because they have rendered Americans impervious to both happiness AND sadness. Big Pharma has merely made us able to tolerate the materialist status quo that we otherwise might have been so gauche as to deride and scorn.
Author's Follow-up: March 21, 2023
It's hard to write honestly about the Drug War -- almost nobody does because it requires calling out Big Pharma 23 drugs that are used by at least 25% of Americans. So if one is interested in gaining "followers," they're tempted to avoid the topic entirely. The problem is that if everyone avoids the topic, things will never change.
We must not evaluate antidepressants in the abstract, asking merely "Do they make sense as therapy?" but rather "Do they make sense given the fact that the Drug War outlaws almost all psychoactive medicines?" I submit that no one in their right mind would take antidepressants (and certainly no one in their right mind SHOULD take antidepressants) if psychoactive medicines were legal. The former drugs will make you a patient for life and tranquilize you, while the latter drugs will inspire you and many of them are not even habit forming.
Moreover, even if they're habit-forming, so what? They still would not turn you into an eternal patient, with all the expense and stigma that represents. Moreover, psychiatry has no problem with making lifetime drug users with antidepressants: the fact that they disapprove of all other dependence-causing psychoactive medicine is a philosophical and business call, not a scientific one. They value a subdued patient -- but that is not my goal in life: my goal is to thrive in life.
Author's Follow-up: August 6, 2023
I recently got a Tweet from a psychiatrist who told me that SSRIs would still be desired and prescribed when all medicines were legal. If that turned out to be true, it would only be because prohibition was not accompanied by the promotion and unbiased understanding of all drugs. There are drugs out there so wonderful viz SSRIs that they make one laugh and cry and feel reborn. Under the right conditions, they can improve and sharpen your goals in life and make you want to live. The psych in question simply does not know about such drugs. Otherwise he would never have said that SSRIs should still have a role.
"Let's see: I can take this drug that inspires me and makes me compassionate and teaches me to love nature in its byzantine complexity, or I can take Prozac which makes me unable to cry at my parents' funeral. Hmm. Which shall it be?" Only a mad person in a mad world would choose SSRIs.
If America cannot exist without outlawing drugs, then there is something wrong with America, not with drugs.
"Everything one does in life, even love, occurs in an express train racing toward death. To smoke opium is to get out of the train while it is still moving. It is to concern oneself with something other than life or death." -Jean Cocteau
Prohibition turned habituation into addiction by creating a wide variety of problems for users, including potential arrest, tainted or absent drug supply, and extreme stigmatization.
Cop and detective shows are loaded with subtle drug war propaganda, including lines like, "She had a history of drug use, so..." The implication being that anyone who uses substances that politicians hate cannot be trusted.
Antidepressants might be fine in a world where drugs were legal. Then it would actually be possible to get off them by using drugs that have inspired entire religions. In the age of prohibition, however, an antidepressant prescription is usually a life sentence.
The scheduling system is a huge lie designed to give an aura of "science" to America's colonialist disdain for indigenous medicines, from opium, to coca, to shrooms.
Rick Strassman reportedly stopped his DMT trials because some folks had bad experiences at high doses. That is like giving up on aspirin because high doses of NSAIDs can kill.
Americans love to hate heroin. But there is no rational reason why folks should not use heroin daily in a world in which we consider it their medical duty to use antidepressants daily.
It is a truism to say that we cannot change the world and that therefore we have to change ourselves -- but the drug war outlaws even this latter option.
Wade Davis writes that cocaine was outlawed because 400 people consumed toxic doses worldwide. What about the 49,000 that commit suicide every year because we have outlawed drugs that could cheer them up!!!