Iatrogenic Insanity. You are a Survivor
"You are a survivor" said a
psychiatrist whom I had consulted eight years previously for a second opinion.
He remembered me. I did not remember him. My memory of the past eight years is
wobbly. The 20 years before that are almost totally blank. "You are a
survivor" is the only positive thing a doctor has said about me. One
should not have to ‘survive’ going to a doctor. This is my letter to my doctors.
I have written it from my notes, my emails, and my medical records.
You
Call Yourselves Doctors. You Once Took an Oath to Do No Harm
I had been prescribed a benzodiazepine [a tranquillizer (Ativan)] for a
sleep disorder subsequent to an adverse reaction to a cluster of immunizations.
I had taken a low dose from time to time for several years.
It seemed to help but I
was becoming anxious. Everyone put it down to stress. At that time I
did not know that anxiety was a possible adverse effect of the benzodiazepine.
Nor did I know about interdose interval withdrawal – many benzodiazepines are so
short-acting they cause withdrawal symptoms between doses. I had no idea
that I had become addicted. I knew only that when I took it, I felt less
‘wired.’
Benzodiazepine Withdrawal
When my elderly mother died, my
sleep worsened and I started taking the benzodiazepine regularly. Within a
very short time the problem became much worse and I also became jittery. I tried to
withdraw from the benzodiazepine. I felt horrible. You insisted I was
"depressed."
You said it was because of my traumatic childhood. My
childhood was not the issue. The
issue was your drugs.
Anxiety Disorder, Major
Depression With Agitation
You didn’t recognize my adverse
reactions to the benzodiazepine.
And you didn’t recognize the withdrawal syndrome.
You diagnosed me with 'Anxiety Disorder' and
'Depression.' You
gave me an antidepressant. When I became agitated and developed a tremor
as drug effects, you said I had 'Major Depression with Agitation.'
When the agitation became so severe that I lost my sleep entirely, you gave me
even more antidepressants. You also gave me sleeping pills.
Adjustment Disorder, Vegetative
Depression, Bipolar Disorder, Psychotic Depression
You said I had an 'Adjustment Disorder' – but the only things I wasn’t adjusting to, were your drugs. I collapsed frequently, sometimes on the street, and was twice taken by ambulance to an emergency room. You did not recognize that one of the drugs was causing my blood pressure to drop precipitously.
When I started twitching and
shaking uncontrollably, you gave me more sleeping pills – to be taken three
times a day and at night. When I fell asleep during an appointment, you
said I had ‘Vegetative Depression.' When
I was in constant motion, you said I had 'Bipolar
Disorder.' You then settled on
'
Psychotic Depression.'
You gave me antipsychotics. I
started howling like a dog. I marched in place. My body movements
became chaotic. My face twitched, and my tongue darted in and out of my
mouth.
You gave me 35 different
psychiatric drugs. You gave me a new drug almost every week. You said you
were 'unmasking' mental disorders.
You didn’t allow for a wash-out period between drugs.
You were treating the adverse effects of pharmacy and polypharmacy with more
polypharmacy. Why did I accept all those drugs?
I would have done anything, agreed to anything, ingested
anything to stop the horrendous agitation - it’s called akathisia.
A
Diagnosis of Dementia. A Living Will and a Do Not Resuscitate Directive
I couldn’t stop moving. You said
it was a symptom of my mental illness. You told me I was demented.
I was afraid I would kill myself.
I was afraid I wouldn’t kill myself. I wrote a Living
Will and a Do Not Resuscitate directive. I gave away my belongings.
I wrote farewell letters. I detailed how my ashes
were to be disposed. I asked my husband to shave my face – one of your drugs
caused the growth of facial hair. My husband watched in helpless
disbelief, horror and grief. It was truly Kafkaesque.
Dissociative Identity Disorder,
Somatization Disorder, "An Excellent Candidate for ECT"
I wanted to withdraw from the
drugs and went to a psychiatric facility for help. You seized me and kept
me there forcibly. You said I had
'
Dissociative Identity
Disorder' and 'Somatization Disorder.'
You said I was 'delusional, self-absorbed, and violently agitated.'
You cold-turkeyed me off many of the drugs and wrote
that I was 'an excellent candidate for ECT.'
I refused treatment, but you
coerced my husband into signing. You told him electroshock was the last
and only option. You held me for 10 weeks and treated me to 25 general
anesthetics and 25 bilateral, grand mal seizures. I don’t remember much
except the assembly line of gurneys on shock days. I shook from terror as
I looked up at your cold, matter-of-fact faces and waited for merciful oblivion
as the anesthetic hit. You kept me on the sleeping pills – three times a day,
once at night and you added new drugs. You told me I would require
institutionalization, medication for the rest of my life, and weekly maintenance
electroshock treatments. I did not go back for maintenance ECT and I gradually
tapered myself off all drugs. For years I lived with the fear that you would
have me returned to your facility and committed for more electroshock. I
was no longer a human being.
You could not have been more destructive.
.
Second Opinions
You had medicated me to insanity.
From my medical records I see that I had requested second and third opinions.
Some of your comments are of interest: “The current symptoms began within
several weeks of stopping the Ativan.” "A sense that the benzodiazepines were
contributing to instability through withdrawal/rebound effects."
“Nervous system hyperarousal.” “I support the current
therapeutic recommendations involving minimal use of medication.”
Apparently a trial of
discontinuing medication had been instituted (at the suggestion of the
psychiatrist I refer to in the first paragraph), but the prescribing
psychiatrist wrote it "had
been unsuccessful as it resulted in her symptoms worsening." He was obviously
ignorant of drug withdrawal effects. No one cared enough to follow up.
The Worst of Modern
Medicine: The Prescription Pad
You were puzzled by my
uncontrollable body movements. You used the best of modern medicine.
You sent me for a sleep study, an EEG, a CT scan, and an MRI. The cause of
the agitation, however, was sitting right there in your own office, on your own
desk – your prescription pad – the worst of modern medicine.
The 35 Pharmaceuticals
Here are my drugs as recorded in
my medical and pharmacy records – 35 or so of them in an eight-month period,
most of them prescribed in rapid succession in a four-month period by one psychiatrist.
Several were flipped back and forth. Some were given in different strengths.
Some I might have missed. Some others (not listed) were
given as “samples” provided by pharmaceutical sales representatives. All of
these were prescribed:
Ativan (Lorazepam), Rivotril
(Clonazepam), Xanax (Alprazolam), Clonazepam (Rivotril), Valium (Diazepam),
Celexa (Citalopram), Novo Pranolol (Propranolol), Amitriptyline (Elavil),
Propranolol, Imovane (Zopiclone), Effexor (Venlafaxine), Lithium Carbonate
(Lithium), Moclobemide (Manerix), Imovane (Zopiclone), Seroquel (Quetiapine),
Wellbutrin (Bupropion), Imovane (Zopiclone), Nortriptyline (Aventyl),
Nortriptyline (different strength), Perphenazine (Amitriptyline), Gabapentin
(Neurontin), Ativan-sublingual (Lorazepam), Trazodone (Desyrel), Ritalin
(Methylphenidate), Fluvoxamine (Luvox), Oxycontin (Oxycodone), Methotrimeprazine
(Nozinan), Paxil (Paroxetine), Remeron (Mirtazapine), Zyprexa (Olanzapine),
Risperdal (Risperidone), Parnate (Tranylcypromine), Haldol (Haldoperidol),
Aventyl (Nortriptyline), Cogentin (Benztropine), Loxapine, Chlorpromazine
(Largactil), Starnoc (Zaleplon.)
One of you even wrote: "The list
of previous psychotropic trials is impressive in its breadth." And he hadn’t
even seen the whole list!
Admit No Harm, The Oath of
Silence
I submitted a complaint to the
medical governing body of our province about the psychiatrist who did most of
the prescribing. I backed up my complaint with monographs for all the
pharmaceuticals I had been given – most with similar adverse effects of
agitation, insomnia, depression, suicidal thoughts. Several have 'black box'
warnings. My complaint was considered and dismissed by four people who never
met me. One is a ‘specialist’ whose name was blacked out.
The governing body found that the
psychiatrist’s documentation of our initial consultation, the medication trials,
and the "conversations of informed consent" was "insufficient.“ They found that
the use of lithium fell "below the standard of care." They wrote that he had
made changes to "fully comply with the standard of his profession," that he
had "initiated considerable measures to address the noted deficiencies in his
practice" and that he has "attended a medical record-keeping and psychiatry
courses."
At the same time they decided
that the diagnosis of ”major depression with agitation" was "clearly supported."
They dismissed akathisia. They found there was "no
evidence of unreasonable polypharmacy or excessive medication." They found
that medications were "switched in accordance with standard algorithms,
guidelines and evidence." They decided it was "quite proper and standard
to switch from one antidepressant to another without a washout."
“As to the
total number of medications used, although on paper this seems a lot over a
relatively short period of time, the reason for this is essentially the presence
of severe and on-going worsening symptoms and the lack of clinical response
along with the complaints of side effects." They decided that the "appropriate
disposition was to take no further action against the complaint."
I was naïve to believe that the
governing body was there to protect the public from harm. I now realize it is
there to protect those who harm the public. It is acceptable to
electroshock patients who have been medicated to insanity and still be in
compliance with the standard of the profession.
When you promise to do no harm, you
should acknowledge when it happens, and share so that it does not happen again.
You will never admit that you did harm and no one will ever learn from your
mistakes. The oath you took was ‘to admit no harm.'
You also took
‘the oath of silence.’
A Spontaneous Remission, Libel,
"Paranoid Ideation"
I have been drug-free for many
years and see no psychiatrists.
I had a 'spontaneous recovery' from every label
I had been given when I withdrew from the pharmaceuticals. Well, not
quite. When I tried to get help for the trauma I experienced at the hands
of doctors, I was told what I was saying was libelous and that I had "Paranoid
Ideation."
Doctors systematically destroyed
my brain and nervous system with drugs and electroshock. I have amnesia.
More than 20 years of my life are missing. Most of the memory of my life
with my husband is gone. I also have anterograde amnesia
– the loss of the ability to
create new memories. I have cognitive impairments, optic nerve damage,
tremors, seizures, vocal tics, diminished lung capacity, poor working memory and
poor organizational skills. I function with a wall of 'sticky note'
reminders.
In
Closing
Most of my friends are gone.
I was too much for them.
They weren’t enough for me. Mental illness has a
stigma. Psychiatric labels stick.
I live in terror of those who
forgot they once took an oath to do no harm. However, if I met any one of
you, my doctors, on the street, I would not recognize you. You stole my
memory.
Here is Iatrogenic
Insanity's story
on Youtube as part of a series:"Watch the Stories
of Harm the American Psychiatric Association Refused to
Hear: Lee's Story" http://www.youtube.com/watch?