Antidepressants  Halve the Recovery Rate  Prozac Boys Study: 23% Developed Manic Like  5% V

Law Project for Psychiatric The Psychiatric Rights (PsychRights®) Drugging of America: Who’s Crazy?  Public Interest Law Firm  Mission: To Mount a Strategic Litigation Campaign Against Forced Anthropology (Sergei Bogojavlensky Class) Psychiatric Drugging and University Alaska Anchorage Electroshock. March 3, 2010  National in Scope

James B. (Jim) Gottstein, Esq.  Adopted Drugging of Children & Youth Law Project for Psychiatric Rights [email protected] as Priority Few Years Ago http://PsychRights.org/ 1 3/1/2010 2 3/3/2010

While Some People find Psychiatric Drugging of Neuroleptics Helpful . . . Children

 Psychiatric Drugs Causing Massive Amount of  1 in 23 on stimulants (3.5 million) Harm  No long term benefit; short term benefit mainly for adults  Life Spans Now 25 Years Shorter  1 in 40 on antidepressants  Halve the Recovery Rate  Prozac Boys Study: 23% developed manic like  5% v. 40% recovery Rate in recent study symptoms; 19% more drug induced hostility  6-fold Increase in Mental Illness Disability  Bipolar Rate soars Rate • From close to none in 1995 to 800,000 by 2003 • Then come the neuroleptics & anticonvulsants  Current System Does Not Allow Non Drug misbranded as mood stabilizers. Choices  Many Now on Neuroleptics, even six month olds.  Hugely and Unnecessarily Expensive  Child MH Disability Rate Soars from Essentially Zero in 1987 to 600,000 by 2007.  Huge Unnecessary Human Toll 3 3/3/2010 4 3/3/2010

Anticonvulsants Misbranded Antidepressants as Mood Stabilizers

 Increase Suicidality & Violence  Can Cause:  Hostility, Aggression, Depression &  Addictive Confusion  Lose “effectiveness” over time  Liver Failure  Cause Mania  Bipolar Diagnoses  Fatal pancreatitis  Severe & lethal skin disorders  May Cause  Mild cognitive impairment with chronic use Source: Brain Disabling Treatments in Psychiatry, Breggin, Springer, 2008 Source: Brain Disabling Treatments in Psychiatry, Breggin, Springer, 2008 5 3/3/2010 6 3/3/2010

1 Stimulants Benzodiazepines

 No convincing evidence  Aggression of short or long term  Effective for only a few weeks  Insomnia improvement in cognitive ability or  Depression, suicide  Highly Addictive academic performance  Headaches  Some People Simply Can Not Get Off  Brain Damage  Stomach aches  Cardiovascular Harm,  Obsessive Compulsive Them including cardiac arrest Behaviors  Can cause mania  Stunts Growth  Quadruple Cocaine Abuse Rate  Mania, psychosis,  Can cause violence hallucinations  Many more  Agitation

Source: Brain Disabling Treatments in Psychiatry, Breggin, Springer, 2008 7 3/3/2010 8 3/3/2010

Why?Why? ...... DiscussionDiscussion . . . Is society taking such a harmful, counterproductive approach?

9 3/3/2010 10 3/3/2010

Fear and Absolution Medical Model (Adults)

 National Institute of Mental Health:  “Schizophrenia is a chronic, severe, and  Fear disabling brain disorder”  People Diagnosed with Serious Mental  “Bipolar disorder, also known as manic- Illness no More Prone to Violence depressive illness, is a brain disorder that causes unusual shifts in a person’s  Absolution mood, energy, and ability to function.”  By Accepting “Medical Model,” No one is  “Research indicates that depressive Responsible illnesses are disorders of the brain.”

Source: NIMH website accessed March 23, 2008 11 3/3/2010 12 3/3/2010

2 The Medical Model, The Hunger Strike and the APA

 2003 Hunger Strike Challenged American Psychiatric Ass’n to provide reliable scientific evidence of Medical Model and APA essentially admitted it could not.  Query: Does a headache demonstrate an aspirin deficiency?  Largest “experiment” demonstrated not genetic.

13 3/3/2010 14 3/3/2010

Big Pharma Corruption of Other Factors Process

 Social Control  Fraudulent Clinical Trials  It is Not the Thinking, but  Ghostwritten Articles Objectionable Behavior  Continued Medical Education  FDA Abdication/Capture by Industry Sponsorship  Magic Pill/Drug Culture  Buying “Key Opinion Leaders”  Psychiatry’s Drive for Legitimacy  Drug Detailers/Goodies to Doctors  Big Pharma Corruption of Research

15 3/3/2010 16 3/3/2010

Solutions Are Many Children & Youth (Adults)

 Drugs are for the convenience of the  Hearing Voices Network Approach adults in their lives  Strange or Unusual Beliefs  Drug Companies Targeted Children & (“delusions”) Youth Market  Psychosocial Approaches  Poor Children & Youth (Medicaid)  Soteria  Disempowered parents  Open Dialogue  Foster Children & Youth  Peer Directed  God Help Them

18 3/3/2010 19 3/3/2010

3 Hearing Voices Open Dialogue (Finland) Network: Five Year Study of Psychotic Patients

Question is not “what is  82% did not have any residual wrong with you,” but “what psychotic symptoms; happened to you?”  86% had returned to their studies or Help People Deal with full-time jobs; Voices  only 14% were on disability; and Similar Approach for  71% never took any neuroleptic “Delusions” medication.

20 3/3/2010 21 Psychotherapy Research, 2006; 16(2):214-28. 3/3/2010

Strategic Litigation (Adults) Goals

 Force System to Honor People’s  Substantially Increase Recovery Rate Rights after diagnosis of Serious Mental Illness  Change Path of Least Resistance  Substantially Reduce If Not Eliminate  Help Create Environment Force Supportive of Other Choices  System Support of People’s Non-  Public Education Potential Medication Choices

22 3/3/2010 23 3/3/2010

The Transformation PsychRights in Alaska Triangle Supreme Court

Public  Myers (2006) Attitudes  Best Interests  No Less Intrusive Alternative Available  Wetherhorn (2007)  Unable to Survive Safely in Freedom  System Not consider Effective Representation Issue Change  Wayne B (2008)  Necessity for Transcript by Masters Other Strategic Choices Litigation  Bigley (2009)  Available means feasible 24 3/3/2010 25 3/3/2010

4 Solutions Are Many Strategic Litigation (Children & Youth) (Children& Youth)

 CriticalThinkRx.Org Module 8: Evidence-Based Psychosocial PsychRights v. Alaska Interventions for Childhood Problems Medicaid Fraud Initiative  Help Parents   Help Children & Youth Deal with Their Model Complaint Emotional Problems United States ex rel PsychRights v. Matsutani, et al.

26 3/3/2010 27 3/3/2010

PsychRights v. Alaska Most Psych Drugs Given Children & Youth Through  Seeks injunction Against State to prohibit State administering or authorizing psych drugs to Medicaid is Fraud children & youth unless: 1. Evidence-based psychosocial interventions have  Prescriptions are Medicaid Fraud if not for been exhausted, a “medically accepted indication,” 2. Rationally anticipated benefits of psychotropic drug treatment outweigh the risks, meaning, one that is either approved by 3. The person or entity authorizing administration of the FDA or “supported by citations” in one the drug(s) is fully informed, and of three drug compendia, including 4. Close monitoring of, and appropriate means of DRUGDEX responding to, treatment emergent effects are in place.  Anyone Can Sue On Behalf of  Thrown out of Court for Lack of Standing; on Government to Recover for the Fraud and Appeal share in the recovery, if any. 28 3/3/2010 29 3/3/2010

Medicaid Fraud Model Medicaid Fraud Initiative Complaint

 Drafted for Former Foster Youth to be  Designed to Stop Harmful Practice by Causing Doctors (& other defendant relator classes) to Realize Inviting Financial Ruin  But anyone with “non-public” if Continue information can be relator  Defendants:  Cases Percolating in Various States  Prescribers & employers  Model Complaint  Pharmacies

30 3/3/2010 31 3/3/2010

5 $ Billion Drug Company U.S. ex rel PsychRights Settlements Haven’t v. Matsutani et al Stopped Practice

 $1.4 Billion Lilly/Zyprexa  32 Defendants  $2.3 Billion Pfizer, including Geodon  Additional Defendant Classes:  State Employees  Cost of doing business. • Authorize False Medicaid Claims  Caps Liability • Run Programs Submitting or Causing  Doctors Still Prescribing It False Claims to be Submitted  Medical Education Provider  Medicaid Still Paying

32 3/3/2010 33 3/3/2010

Concluding Query Suggested Reading

 Anatomy of an Epidemic, by Robert Whitaker (2010 – in press).  Is the country going to come to its  Mad in America: Bad Science, Bad Medicine and the Enduring Mistreatment of the Mentally Ill, by Robert Whitaker senses or follow folly’s path? (2001)  Alternatives Beyond Psychiatry, Peter Lehman & Peter  Easter Island Inhabitants Cut Down All Stastny, MD, Editors (2007). their Trees to Erect Statues for their  Agnes’s Jacket: A Psychologist’s Search for the Meaning of Gods, dooming their society Madness, by Gail Hornstein, PhD, Rodale Books, 2009.  Drug Induced Dementia, Grace E. Jackson, MD, Author  Dominican Republic, unlike Haiti, House, 2009.  A Fight to Be: A Psychologist’s Experience from Both Sides of managed its timber resources for the Locked Door, Ronald Bassman, Ph.D. (2007) future.  Rethinking Psychiatric Drugs: A Guide to Informed Consent, by Grace E. Jackson, MD, (2005)  Brain Disabling Treatments in Psychiatry: Drugs, Electroshock, and the Role of the FDA, Ed. 2 (2008) by Peter 34 3/3/2010 Breggin,35 MD. 3/3/2010