Tips to a Happier You in 2012~Choosing to See Truth



As a pharmacist who became the patient for seven years, I gained quite the understanding on depression. If you’ve never experienced it, I’m rejoicing with you! It’s not a place you want to go. If you have experienced it…well, I’m right there with you. 


In the gloomy pit of despair and hopelessness that is depression, desperation is born. The desire to be out of that pit is overwhelming. We will do anything to get out. 


Prozac, one of the most prescribed medications for depression, was approved by the FDA just as I began practicing. It was the first antidepressant in its class of serotonin reuptake inhibitors. That particular class has grown drastically over the last twenty-two years and has actually spun off into a new class—serotonin-norepinephrine reuptake inhibitors. For a list of the serotonin reuptake inhibitors, click here. For a list of serotonin-norepinephrine reuptake inhibitors, click here.


During my first fourteen years as a pharmacist, I couldn’t begin to tell you how many Prozac, Zoloft, and Paxil prescriptions I filled. I never understood the desperation behind those prescriptions. In the last few years, Cymbalta—one of the newer antidepressants—has gained popularity. Drug companies in the U.S. have invested millions in research, marketing, and advertising making antidepressants the most prescribed class of drugs in our country. 


A 2007 article at CNN Health, “CDC: Antidepressants most prescribed drugs in U.S.,” says the following: 

According to a government study, antidepressants have become the most commonly prescribed drugs in the United States. They’re prescribed more than drugs to treat high blood pressure, high cholesterol, asthma, or headaches. CNN’s Elizabeth Cohen discusses the CDC study on antidepressants.

In its study, the U.S. Centers for Disease Control and Prevention looked at 2.4 billion drugs prescribed in visits to doctors and hospitals in 2005. Of those, 118 million were for antidepressants.

A 2011 article at Harvard Health Solutions, “Astounding increase in antidepressant use by Americans,” gave the following statistics: 

  • According to a report by the National Center for Health Statistics (NCHS), the rate of antidepressant use in this country among teens and adults (people ages 12 and older) increased by almost 400% between 1988–1994 and 2005–2008.
  • 23% of women in their 40s and 50s take antidepressants, a higher percentage than any other group (by age or sex)
  • Women are 2½ times more likely to be taking an antidepressant than men (click here to read a May 2011 article in the Harvard Mental Health Letter about women and depression)
  • 14% of non-Hispanic white people take antidepressants compared with just 4% of non-Hispanic blacks and 3% of Mexican Americans
  • Less than a third of Americans who are taking a single antidepressants (as opposed to two or more) have seen a mental health professional in the past year
  • Antidepressant use does not vary by income status
Are you getting the picture? 

During my seven years as a patient, I was desperately searching for a cure for my depression (among other things). I tried a few of the antidepressants, none of which helped my depression. Cymbalta, in particular, caused so many side effects and drug interactions, I think it made me more depressed. And when I decided to go off of it, I had to wean very slowly to avoid withdrawals (nausea, vomiting, and diarrhea) from this drug that we are told is not addictive. 

Okay. I’ve said all that to say this: 

We’ve got to stop trying to take the easy way out of everything. 

God created our brain—every little complex, intricate detail—to deal with sadness and depression. He also gave us our eyes—the sense of sight.  

In an article at Mood-Factory on the power of color, Susan Minamyer tells us this: 

Bright colors, such as yellow, reflect more light and stimulate the eyes. Yellow is the color that the eye processes first, and is the most luminous and visible color in the spectrum. 

And what color did God decide for the sun? 

I don’t believe that to be a coincidence. 

Seasonal Affective Disorder gives us further proof of this. It’s a kind of depression that occurs a certain time of the year, usually in the winter months. There is even a special type of light you can buy that mimics sunlight. And yes, I have one of those too. 

Now I’m not totally against antidepressants. I do believe in some cases they are necessary. 
But in the United States, we want immediate gratification. Consider this excerpt from the CNN Health article quoted above: 
Dr. Ronald Dworkin tells the story of a woman who didn’t like the way her husband was handling the family finances. She wanted to start keeping the books herself but didn’t want to insult her husband.
The doctor suggested she try an antidepressant to make herself feel better.
She got the antidepressant, and she did feel better, said Dr. Dworkin, a Maryland anesthesiologist and senior fellow at Washington’s Hudson Institute, who told the story in his book “Artificial Unhappiness: The Dark Side of the New Happy Class.” But in the meantime, Dworkin says, the woman’s husband led the family into financial ruin.

 

“Doctors are now medicating unhappiness,” said Dworkin. “Too many people take drugs when they really need to be making changes in their lives.”

We have a choice.  

We choose what we see. 

Your eye is a lamp that provides light for you body. 
When your eye is good, your body is filled with light.

We choose to see things that make us happy. We choose to see light or dark. We choose to see truth. 
Thy word is a lamp unto my feet 
and a light unto my path. 
(Psalm 119:105 KJV)

Doctors see only a sliver of our lives, yet we expect them to fix us. It’s not their fault, really.  With advertising and the Internet, we typically walk into their office knowing what we want. As patients, we need to look deeper. 

What are you choosing to see?

From my heart, 
Celeste
For more information, check out my delicious stacks: “Antidepressants” and “What you see is what you get.”

If this post was of particular interest to you, check out an older post, “America on Drugs.”

Tips for a Happier you in 2012~Do you have nature deficit disorder?


Since yesterday’s post was rather lengthy and also gave you tips to a happier you, I’ll make today’s tip simple and easy. 
Go outside! Just as in today’s prescription verse, there are many references in scripture to the calming power of nature–God’s creation. 
The Lord is my shepherd, I shall not want. He makes me lie down in green pastures. He leads me beside the still waters. He restores my soul. He leads me in the paths of righteousness for his name’s sake.
 Psalm 23:1-3 (ESV)
But ask the beasts, and they will teach you; the birds of the heavens, and they will tell you; or the bushes of the earth, and they will teach you; and the fish of the sea will declare to you. Who among all these does not know that the hand of the Lord has done this? In his hand is the life of every living thing and the breath of all mankind. Job 12:7-10 (ESV)
And why are you anxious about clothing? Consider the lilies of the field, how they grow: they neither toil nor spin, yet I tell you, even Solomon in all his glory was not arrayed like one of these. But if God so clothes the grass of the field, which today is alive and tomorrow is thrown into the oven, will he not much more clothe you, O you of little faith? 
Matthew 6:28-30 (ESV)
I have found that when I am indoors working all day, just a few minutes walking outside will help me feel refreshed and will lift my mood. If I get a headache from looking at a computer screen too long, I can walk outside, take a breath of fresh air, and it will disappear. 
There haven’t been any specific studies that I could find linking Vitamin D (which our bodies produce when we are exposed to sunlight) to depression. There are, however, many implications that Vitamin D may be related to depression when we consider Seasonal Affective Disorder (SAD). SAD is a depressive disorder that occurs often during cold, winter months that occurs because people don’t get enough sunlight and exposure to UVB rays. 
An article I read recently on MSN suggests one of the reasons Americans in history were not so affected by depression: 
“What it means: “For 300,000 generations, humans were hunter-gatherers and farmers,” says Pretty. “Yet for the last six to eight generations, we have been living in an increasingly industrialized world. The disconnection from nature is deeply felt.” Which is why a mere five minutes of nature can have such a profound impact, he says. “That small amount of time makes more sense when you see it in the context of where people are coming from—stepping outside from a stressful day, for example,” he says. In many cases, the effect can be almost immediate; your mood lifts as if by magic.” Here’s the link to read more: MSN article: Five Minutes Outside Can Boost Your Mood
Also, the number of people on antidepressants in the United States is staggering. One out of every ten Americans over the age of 12 years old is taking and antidepressant. What are we doing wrong that Americans are searching out prescriptions for depression? I recently read an international article alluding to the fact that other countries look at Americans as a bunch of psychos because of all of the psychotropic drugs that we take. Now that can make me SAD. Here is the link to the article if you’d like to see more statistics: CDC Statistics on Antidepressant Use
God gave us instruction in His word, and now without realizing it, scientists are proving that following these instructions are exactly what we need! 

From my heart,


Celeste

Understanding the “Why” Behind Depression


     During the process of writing my “Tips to a Happier You” series, I’ve thought about how I felt in the midst of my depression. Would I have been receptive to small, practical tips to help my depression? I can tell you the answer is no. There are just some lessons we have to learn the hard way. If I could have put some of these things into practice, I’m sure I would not have had to endure the hell I went through…oh if I’d only listened to some of the instruction given to me! But honestly, I let myself fall into the “I need it NOW” trap.
 
I let myself get wrapped up in the desire for immediate gratification. I wanted a magic pill to solve all of my problems. And let me tell you, there are drug companies that advertise their drugs on television and promise to do just that. Just like any advertising, they tell you all the benefits and none of the risks. They tell you how good the drug is going to make you feel, but they neglect to tell you all of the risks associated with taking it. Sure they mention some of the more common side effects, but only after they have you totally hooked on the awesomeness of their miracle drug. And when they do list any side effects, it comes through your television  mimicking the voice of the teacher in Charlie Brown, and it’s in the last three seconds of the commercial. 
     Okay, now that I’ve bashed antidepressants, let me say this: There is a real need for antidepressants, and they are appropriate under the right circumstances.
I just don’t believe they need to be the first choice treatment. 
Often when someone is placed on an antidepressant, it is situational. They have become depressed as a result of some event in their life. Sadness is a natural first response to any type of trauma we might experience. We become self-absorbed. We tend to think “poor me.” The next step we take is critical, and is dependent on the condition of our brain. The person 
who will end up depressed doesn’t have the ability to think, “What do I do from here?” 
     Here’s why (sorry, I’m about to get a little “sciency” on you): We have a part of our brain called the pre-frontal cortex. It is the part of our brain that reacts to trauma. If there is enough serotonin in our brain to activate the pre-frontal cortex, we will be sad, but will be able to recover from the trauma and look forward. If our brain is low on serotonin, our pre-frontal cortex is essentially dead and that’s when we can’t see the light at the end of the tunnel. It’s a physical abnormality, and it’s why people cannot typically “will” themselves out of depression. 
     Whether you are on an antidepressant or not, the tips I am giving here can be incorporated into your lifestyle. All of these tips are small, practical habits you can incorporate into your life and will benefit you whether you’re on an antidepressant or not. Once you have a few in place and are feeling better, you very well might be able to slowly come off of the antidepressant. You certainly don’t have incorporate all of these tips, just whichever ones strike your fancy! 

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America on Drugs

Bear with me here guys, this is a long post, and this comes from years of being a pharmacist and the personal experience of being a patient…but for anyone on an antidepressant or other “brain” drug, you need to read this:


Your Brain on Drugs…no, I won’t be showing you a picture of a fried egg, though I must say it’s a great analogy! We know street drugs fry your brain, that’s a no-brainer! (Sorry =o)
I’m talking about prescription drugs…and not just the “controlled” ones. I’m talking about all of the psychotropic drugs prescribed in the United States today. As a pharmacist, it has made me crazy to see this huge increase in my years in this industry. As a patient, I fell right into the trap. Let me give you just a few statistics from reputable sources to put it in perspective for you…


A study was done by the American Medical Association from 1988 to 1994, during which time the visits to a physician for depression increased from 10.99 million in 1988 to 20.43 million in 1994. Visits for stimulant drugs increased from .57 million to 2.86 million. In a much more recent study, the Centers for Disease Control the percentage of people who use five or more prescriptions drugs increased by 70% in the last 10 years. It’s obvious to me that this increase is largely due to the increase in psychotropic prescription visits. 


Our society is in danger. Real danger. Christians and non-Christians alike. Many physicians  are prescribing narcotics, antidepressants, anticonvulsants, and other miscellaneous psychotropic drugs like candy, and do not realize the true danger they are putting their patients in. Different doctors and different pharmacies lead the way to missed information and drug interactions. Doctors cannot possibly keep up with all of the drug interactions possible between the thousands of prescription drugs on the market today. Even as a pharmacist, I ended up with a potentially life threatening drug interaction that my doctor(s) and pharmacist missed. I had not been working in pharmacy during the time Cymbalta was approved and put on pharmacy shelves, and due to an interaction with my migraine prescription medication, I ended up in a state for 24 hours where I did not know what was real and what wasn’t. I didn’t know if this world was real, or if I was dead or alive. At one point, I did not know David was my husband. Marlee was laying next to me in the bed and I actually asked David if she was dead. It was the scariest night of my entire life. I know this sounds crazy, and even when I was in the midst of it I felt sure that I would wake up in a straight jacket staring at four white walls!  


When my reality began to become more clear, due to my pharmacy training I knew what happened. I immediately began researching the medications I had taken, and quickly discovered I’d experienced serotonin syndrome. Now I must say should have known the possibility of this interaction, but in this case, my brain was, well, sick. Seizures, migraine, depression, and medication did not leave me in the mind to catch these things…my doctor and pharmacist should have caught it. I know that when my prescription was filled, the pharmacist was required to manually override a drug interaction possibility, which means they just overrode it by habit, without really looking, or just neglected to mention it. Last summer,in a total of approximately eight days working as a relief pharmacist, I called doctors on four separate occasions to warn them of this exact same interaction. All four times the prescriptions were changed. 


This incident is just one of millions that happen daily. While there are definitely patients that require psychotropic drug therapy, these drugs are widely overused. I’m not sure why doctors feel so much more comfortable prescribing these drugs now than in the past, but where therapy was once first course of treatment, doctors now tend to give the drug first, to “dial things down” before therapy is started. Once the patient gets the prescription, they do not want to follow up with expensive therapy. Our society of immediate gratification and prescription drug advertising on every venue possible lead us to the “quick fix.” After all, “Depression Hurts, Cymbalta can help.” Right? 


Due to the depression I experienced during my years of seizures, my doctors kept trying to get me to take an antidepressant. I finally conceded and began taking Cymbalta. If I wasn’t miserable before, I sure was then! After about a month on the Cymbalta, I felt horrible and was still depressed, so I decided I would wean off of it. Ha! Now that was a joke. The “non-addictive, harmless” antidepressant was everything but. I know you have all seen the commercial for Cymbalta, but in my research I stumbled across a youtube video that really makes the point.  It is a little on the extreme side, but only a little. 


Depression hurts, Cymbalta hurts more


Before I conclude, let me just say this…there is certainly a need and a place for antidepressants. We have just come to rely on the quick fix of drugs way too much. If you happen to be on Cymbalta and doing well, Yay! For me, many of the side effects of Cymbalta were front and center. As patients, we have just become too trusting:


First,we trust our doctors to know everything we need to know. No one can know everything. 


Second, we expect our pharmacists not to be too busy to counsel us every aspect of the drug, but they can’t control the 15 people waiting on prescriptions at once (and I can assure you, the chain pharmacies push the limit on the number of prescriptions allowed per pharmacist), nor can they control the hurry we are in to get out of the pharmacy.


Third, we trust the FDA not to put anything on the market that could harm us. It is sad we cannot depend on our government to keep our best interests at heart, but unfortunately, the almighty dollar often takes priority.


And yet, we are not trusting enough in God. We don’t believe and trust that God is all that we need. I know I used the verse on this prescription in another post, but it says so much. When God created the earth, and created man to inhabit the earth, he gave us everything we’d ever need. With so much emphasis placed on the synthetic psychotropic drugs available today, we lose our focus. We need to think simply and eternally at the same time. More talking, more prayer, more God. Put God at the head of your medical team, and let him lead you in the very best way to restore your mind…for eternity. 


From my heart, 
Celeste