History of Mental Health Relalted Drugs

fascinating book with that certainly raises loads of issues, questions, and many concerns all of which have been and will continue to be debated for many many years to come. the personal anecdotes were occasionally a bit distracting from the overall story but maybe that was just part of the distracting nature of this mental health world.

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Great synopsis of psychiatry

A good listen for anyone who's on medication. The chapters on SSRIs and placebos seems so damning to the profession that I almost want to hear a rebuttal from psychiatrists, or something. Is the monoamine hypothesis basically nonsense?

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Narrator mispronunciations too distracting

This important book is worth it, but please get a new narrator, the mispronunciations are far too numerous and distracting.

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It's autobiographical & it's incredibly education

I worked in psych for my career. I found this book highly educational and was a great review of psych meds. though I disagree with the author on Timothy Leary politicizing LSD. I believe it was a political assault by Nixion on the counter culture. Otherwise her courage and lose are clear. An getting an education on psycho active drugs is priceless.

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15 people found this helpful

Pronunciation!!

Please make sure readers know how to pronounce all the words, and please tell editors to step their game to catch the glaring errors. There were several throughout the book, and my ears hurt so much I could barely make it through the Ketamine section.

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6 people found this helpful

Hope for Help

Lauren Slater is both a psychologist and a patient. She writes about the development of the drugs psychiatry has used to treat people with mental illness, spending a chapter on each type beginning with Thorazine in the 1950s, but also interspersing the book with her own personal experience with depression. We know at least the basic causes of most chronic diseases and therefore we can develop drugs that can directly focus on the fundamental problem, blood thinners to reduce the risk of strokes, insulin to treat diabetes, and we can continue to develop drugs following similar strategies to do an even better job while reducing the side effects. But, even though there are many promising theories, no one really knows what causes mental illnesses. We can know that certain areas of the brain do control certain things, but what’s the underlying cause. Some people with chronic depression are helped by drugs that increase serotonin, but some people with high serotonin levels also have chronic depression, and some people with low serotonin levels have no chronic depression. 

For decades, mental illness was thought to be caused by external factors, distant parents, clinging parents, fears, traumatic (even minor ones) events in childhood or adulthood. It was not until the mid-20th century that the idea that mental illness could be caused by a chemical imbalance. But, we still don’t have a deep understanding of how that works. So, all the significant drugs for mental illness have come about by accident--in testing another drug for some other illness, they found that it affected a person’s mental state. And, often they must be taken for life, while gradually losing effectiveness over time, thus requiring ever stronger doses while also causing serious side effects that may be shortening the patient’s life significantly. 

The author takes a fairly balanced view of the problems and solutions, which I think would be hard to do when you are also a patient. She agrees that mental illness is often due to external factors, often during childhood, though also due to traumatic events as an adult (PTSD, for example), and also is often a chemical imbalance, and even more likely is a combination of both. She believes in talk therapy and also believes in medication, but also thinks that our society often goes too far in one direction or the other and that currently we are too willing to rely on medication. She herself has been dependent on medication for 35 years and is still not confident that she is better because of it, at least when looking at the long term. She says, “Thanks to psychiatry’s drugs, I have a mind that can appreciate the beauty around me, but on the other hand, thanks to psychiatry’s drugs, I am dying faster than you are.” She also spends a bit of time discussing natural ‘drugs’ like lithium (not a chemical composition but a natural element) and “magic mushrooms.” She also looks at the hallucinogenic drugs such as LSD and Ketamine that were misused and put under strict control such that they can’t be effectively studied anymore, even though there is evidence that under controlled doses they can help certain mental illnesses to the point that they problem goes away and the drugs can be discontinued. She does push for bringing them back into the research stream and believes that they may become the future of psychiatric medication. 

If you’re interested in a deep understanding of mental illness and psychiatric therapy, this book won’t satisfy you, but if you just want to understand it better, it does a pretty good job. Sometimes the transition between the science and history to her own personal history is a bit abrupt, and yet I’d like to have heard more of her personal experiences. She does describe vividly her own breakdowns, lapses into paranoia, and departures from reality. She had been hospitalized five times between the ages of 13 and 24. But, the book begins with her walking through an abandoned mental institution as a reminder of what we used to do with people with mental and psychotic disorders. Everything had been left in place after it closed down. In one room she picked up an old dusty pillow on a bed and found a note under the pillow with one word, “Help.” The book is not really a book of answers, but of some partial answers and lots of questions. But, at least there is now some hope of help. 

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1 person found this helpful

Very informative book

Very informative book and I appreciate the objectivity in which it was written. I also appreciated the mixture of historical information and the author’s personal journey. That said, at times, the language was a bit too flowery for me. Still a very good book!

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Very interesting and useful book

I listened the book with great interest. The history of development of psychoactive and therapeutic drugs is amazingly fascinating. Author combines historical perspective and personal struggles with mental desease with great skill. I also liked philosophical aspect of the book.

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Sobering

Lauren Slater was very thorough in her research of the history of mental health treatments. Her reviews of psychotropic drugs have extra meaning, since she is also a "client" who has experienced many of these drugs herself. I work in the mental health field as a counselor so the science of how each drug works in the brain was immensely helpful. I finished the book with more caution about the use of any drug than I was before (hence my review tile), and more open to hallucinogenics for certain cases. Very interesting read.

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65 people found this helpful

HIGHLY recommend!!

This is a longer book, but I have thoroughly enjoyed it's entirety. The last several chapters are my favorite, or maybe the last half, although the first half very informative and beneficial! I put it on 2x the speed to lessen the time.

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