Psst! Meds are drugs. Pass it on!

Homepage of the Drug War Philosopher, Brian Quass

Psst! Meds are drugs. Pass it on!

by Brian Ballard Quass, the Drug War Philosopher

May 24, 2026

When I first began my philosophical study of American drug attitudes seven years ago, I was actually afraid to broach the topic of antidepressants, because I did not want to alienate myself from the 1 in 4 American women who take a psychiatric medicine every day of their life. ¹ I soon realized, however, that a critique of the psychiatric pill mill was crucial to a critique of American drug attitudes. It is, in fact, highly revealing that we are a country that hates drugs and yet one in which we actually encourage all obstreperous individuals in our lives to "take their meds." Mothers who think that they hate drugs, actually encourage their kids to take their meds. The only way to make sense of this striking hypocrisy is to assume that those who say such things actually believe that there is a qualitative difference between "meds" and "drugs," and this is simply not true. While there has long been a PR campaign afoot to imply that antidepressants work "scientifically" while "drugs" merely treat the "symptoms," this has turned out to be a lie. As Noam Shpancer pointed out in Psychology Today in 2022, "we don't know why antidepressants work,"² to which I would add, we don't know that they DO work, if by "work" we mean to empower uses rather than to sedate them and render them satisfied with a subpar status quo.

"This is why I consider antidepressants to be creepy."

Even if we were to insist, in spite of the evidence or lack thereof, that antidepressants do work scientifically (whatever that means), this would immediately raise the question, "What do we mean by 'work'?" Do we mean that the antidepressant user is becoming the person that they wish to be with their use, or do we mean that the user is becoming the person that the pharmaceutical companies and government think that they SHOULD be in a profit-driven American society? This is why I consider antidepressants to be creepy. These are drugs that go straight to the brain to irreversibly muck about with brain chemistry. These are also drugs for which dependency is a feature, not a bug. This means that users are signing up to experience life, for the rest of their life, in the way that pharmaceutical companies assume that they SHOULD experience life. There will be no ecstasy, therefore, no help getting outside the box of one's internal scripts. Those who wish to live large are out of luck. We must be contented with the paltry serving of happiness that the government and Big Pharma consider it safe to dish out to us.

And what about this idea that it is wrong to treat the symptoms? That is simply not true. Of course, that statement has some meaning when it comes to physical illnesses. If you've got, heaven forbid, cancer of the throat, you should not try to treat it by merely sucking on cough drops. But when it comes to problems with mood and mentation, it is far better to treat the symptoms than to irreversibly modify brain chemistry in one particular way based on the theories of a financially-motivated biochemical determinist working for a pharmaceutical company. If a given symptomatic intervention does not help, you can try another. If the Big Pharma drug fails, you're stuck on it for life. Besides, there are extended benefits to "treating the symptoms." If I smoke opium on a weekend to better appreciate, say, an opera, it does far more than give me what Drug Warriors would pejoratively describe as a temporary "high" (a state of being, by the way, which could just as easily be described as "a feeling of spiritual transcendence"). The benefits of such use extend throughout the week, since I look forward to that weekend of opium smoking, and even materialists will grudgingly admit that a state of positive anticipation contributes to psychological well-being.

Finally, the idea that we can figure out "the real reason" for our depression is presumptuous. Science looks for easy answers. But only God him or herself could know, let alone tease apart, all the factors that result in our attitudes as human beings and then rank them as to their deterministic value in any particular case. Besides, it is crazy to start casting about for explanations for depression without first dealing with the gorilla in the room, the fact that we have outlawed all drugs that can inspire and elate. This is why it is so frustrating to perform any research on these subjects. Almost every single medical pundit completely ignores the fact that drug prohibition has specifically outlawed those drugs that inspire and elate. In other words, it has specifically outlawed all drugs that could help the depressed. So when a psychiatrist like Gabriel Maté tells me I am suffering from inner pain, I say, "Well, yes, I'm sure that is true, but that is really changing the subject. First, let's re-legalize Mother Nature and then let me decide if I still even feel the need to be discussing my life with you in the first place!"

"Don't tell ME what's nece! I tell YOU what's nece!"

I actually said something of the kind to my last psychiatrist and he subsequently "fired me" as a patient. (I'm sure it had nothing to do with my previous complaint via the Sentara Customer Service Hotline about the recent failure of the clinic to fill my prescription in a timely manner.) I had always been told that one should be perfectly honest with their psychiatrist about the way that they feel; how else were they going to help you, after all, right? But apparently that does not apply to patients who feel that the psychiatric status quo has turned them into a ward of the healthcare state. That's a belief that you're not supposed to have. Well, at least the doctor in question did not pathologize my heresy and seek to have me committed as being literally insane. It's ironic, though: after 40 years of humbly deferring to the medical system, I finally got up the courage to tell my psychiatrist what I really thought about this disempowering rigamarole, and I was rewarded for my frankness by being, as it were, kicked out on the street.

How dare I? I was the patient, after all. What did I know about such things?

I was reminded of the scene in "High Anxiety" when Dr. Thorndyke questions the need for psychiatric sessions to deal with his fear of heights.

DR. THORNDYKE: But, Professor, is it really nece--

PROFESSOR LILLOMAN: It IS "nece"! I know what is "nece"! Don't tell ME what's "nece," I tell YOU what's "nece."

Key Takeaways:

Meds are drugs.
It is not wrong to treat the symptoms when it comes to mood and mentation.
Only a god could know the real reason for our mental states.
There can be no intelligent discussion of antidepressants without a discussion of the drug prohibition which made those pills the only game in town for the depressed.

Notes for essay entitled Psst! Meds are drugs. Pass it on!:

1: Richard Louis Miller. 2017. Psychedelic Medicine : The Healing Powers of LSD, MDMA, Psilocybin, and Ayahuasca. Rochester, Vermont: Park Street Press. (up)
2: Shpancer, Noam. 2022. “Depression Is Not Caused by Chemical Imbalance in the Brain | Psychology Today.” Www.psychologytoday.com. July 24, 2022. https://www.psychologytoday.com/us/blog/insight-therapy/202207/depression-is-not-caused-chemical-imbalance-in-t (up)

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against the hateful war on US

The Drug War is one big entrapment scheme for poor minorities. Prohibition creates an economy that hugely incentivizes drug dealing, and when the poor fall for the bait, the prohibitionists rush in to arrest them and remove them from the voting rolls.

Prohibition is wrong root and branch. It seeks to justify the colonial disdain for indigenous healing practices through fearmongering.

People magazine should be fighting for justice on behalf of the thousands of American young people who are dying on the streets because of the drug war.

Even the worst forms of "abuse" can be combatted with a wise use of a wide range of psychoactive drugs, to combat both physical and psychological cravings. But drug warriors NEED addiction to be a HUGE problem. That's their golden goose.

I'm told that science is completely unbiased today. I guess I'll have to go back and reassess my doubts about Santa Claus and the Tooth Fairy.

I don't believe in the materialist paradigm upon which SSRIs were created, according to which humans are interchangeable chemical robots amenable to the same treatment for human sadness. Let me use laughing gas and MDMA and coca and let the materialists use SSRIs.

And where did politicians get the idea that irresponsible white American young people are the only stakeholders when it comes to the question of re-legalizing drugs??? There are hundreds of millions of other stakeholders: philosophers, pain patients, the depressed.

Problem 2,643 of the war on drugs: It puts the government in charge of deciding what counts as a true religion.

All drugs have positive uses. It's absurd to prohibit them because one demographic might misuse them.

That's how antidepressants came about: the idea that sadness was a simple problem that science could solve. Instead of being caused by a myriad of interrelated issues, we decided it was all brain chemistry that could be treated with precision. Result? Mass chemical dependency.

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Psst! Meds are drugs. Pass it on!

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against the hateful war on US

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Diary of a Drug Fiend