Antidepressant Use On The Rise: No Mental Health Diagnosis Needed

Since all drugs have side effects, and since all drugs affect the functioning of the nervous system, it is vital that we only use drugs when necessary and in accord with their intended purpose. We have such a close relationship with drugs that we tend to forget just how dangerous they can be. Stories like this one serve to highlight a spreading misuse of potentially harmful drugs.

From USA Today:

Americans are popping more antidepressants than ever before to deal with everyday stress, and non-psychiatrists are increasingly willing to prescribe the drugs to patients with no mental health diagnosis, a new study finds.

Antidepressants such as Prozac, Paxil and Lexapro are now the third most widely prescribed group of drugs in the United States, and many people may take them for minor complaints without being fully aware of potential risks, the researchers said.

"Both consumers and prescribers of antidepressants should be more knowledgeable about the indications (or symptoms) that antidepressants are better for," said study lead author Dr. Ramin Mojtabai, an associate professor of psychiatry at the Johns Hopkins Bloomberg School of Public Health in Baltimore. "Although these drugs do not have many acute side effects, there may be more long-term adverse effects."

The study, published in the August issue of Health Affairs, found that the percentage of prescriptions for antidepressants written by non-psychiatrists more than doubled from about 4 percent to almost 9 percent over the 12-year period.

This included 9,454 antidepressant prescriptions for patients without a diagnosis of depression or other mental illness typically treated with the medication. For that group, the rate jumped from 2.5 percent at the start of the study period to 6.4 percent, the researchers said.

The study cautioned that a psychiatric diagnosis could have been made in some cases, but simply wasn't noted in the records studied.

The drugs prescribed to patients without a diagnosed mental health condition were more likely provided to white women between the ages of 35-64 and patients with public insurance and chronic medical conditions, such as diabetes and heart disease. The data also suggested that people complaining of nervousness, sleep problems, sexual dysfunction and an inability to quit smoking may be taking antidepressants, the study said.

Americans are turning to drugs to deal with everyday stress more frequently as the stigma of using antidepressants decreases, said Mojtabai, noting more than 10 percent of Americans now take antidepressants in any given year.

Direct marketing to consumers and reports of fewer side effects may help explain why patients and doctors are more open to antidepressants, he said.

But there may be consequences to that choice.

Some research has shown that withdrawal from antidepressants after many years "is not pleasant," said Mojtabai, who added that a possible link to diabetes has also been found. Not enough is known about how their use plays out in the long term, said Mojtabai.

Another expert agreed that Americans are turning more to prescribed pills to deal with the ups and downs of life, but he noted that in the past, alcohol and other drugs served the same purpose.

"Before antidepressants came along, many people simply turned to drinking and smoking to cope with minor stress," said Tony Tang, adjunct professor in the department of psychology at Northwestern University in Evanston, Illinois.

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