Laura Delano Profile picture
Aug 29 11 tweets 3 min read Read on X
A quick 🧵 on 3 basic facts about psychiatric drugs that you've likely not been told-- facts I wish my parents and I had learned prior to starting a 14-year old me on a long-term regimen that would eventually grow to include #SSRIs, benzos, mood stabilizers, and antipsychotics.
There are currently ~65 mill Americans taking psych drugs (according to 2022 @CDCgov numbers)-- many of them for years. Since our trusted psychiatric guild authorities like the APA don't seem to be sharing these basic facts, it's up to us to inform ourselves.

Let's dive in 👇
1. The safety and effectiveness of psychiatric polypharmacy-- in other words, of taking a prescribed regimen of multiple psychiatric drugs like #SSRIs, mood stabilizers, and benzodiazepines at the same time-- has never been adequately determined.
2. The average length of a psychiatric drug efficacy trial is typically 6-8 weeks. In other words, there is essentially no evidence base for safe or effective long-term psychiatric drug use, despite the huge numbers of people who are prescribed them for months or years.
3. Psychiatric drug research outcomes are generally based on vague, unscientific, subjective rating scales (i.e. "On a scale of 1 to 10..."). Some of these rating scales are even copyrighted by drug companies, who then share these tools w/ the public for free. How generous! Image
To be clear: this isn't to say that psychiatric drugs can never feel helpful to people (especially when used in the short term)-- they most certainly can...
... The point I'm making is that if you (or someone you care about) has been on one or more psychiatric drug for longer than a few weeks, as I once was, you are essentially an unwitting guinea pig in a vast, unmonitored, unscientific experiment.
Has this vast, unmonitored, unscientific social experiment of addressing mental and emotional pain with long-term psychiatric drug use actually helped lessen suffering on the whole in America?
With rates of suicidal despair and anxiety higher than ever before, at the same as more people than ever before are being psychiatrically medicated, I think the numbers speak for themselves.
These 3 facts about psych drugs might be shocking to you; they certainly were to me when I first learned them years ago, newly in the wake of coming off a polypharmacy regimen I'd taken through my most formative years, only to see my life fall progressively more apart.
Until such time as we can trust psychiatric authorities to provide us with straightforward facts about their diagnoses and treatments, we must take it upon ourselves to dig into the evidence base. My new book, Unshrunk, shows how I did this for myself (link in bio). Image

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More from @LauraDelano

Jun 7
1/ Currently, people who are thinking about coming off SSRIs or other psych meds are faced with a serious dilemma: there are ZERO SAFE OFF-RAMPS from psychiatric drugs available within the conventional mental health system. 🧵🧵🧵 Image
2/ In the rare instances that tapering-- euphemistically called "discontinuation"-- is discussed by official authorities, recommendations are FAR TOO FAST, leading many people to experience debilitating, prolonged withdrawal symptoms that are often mistaken for a "relapse."
3/ All psychiatric drugs are approved on the basis of short-term trials, were never intended for long-term use, and can cause physical dependence when taken for months or years. Yet doctors are taught how to put people on psychiatric drugs-- not how to safely taper them off.
Read 9 tweets
Aug 30, 2022
So many people rely on painful memories of past catastrophes from the last time they stopped their psychiatric meds as justification for why they need to be on them, or proof of how #mentallyill they are. For years, I was one of these people.
What most if not all of us aren't told prior to starting these meds is that the human brain will compensate for the ongoing presence of a psychoactive chemical (which all psychiatric drugs are), changing its structure and functioning in order to maintain a state of homeostasis.
Depending on which neurotransmitters a particular drug interferes with, the brain (along with other systems in the human body, which are all interdependent upon each other) will shut parts of itself down, ramp parts of itself up, or otherwise disable itself, to put it crudely.
Read 10 tweets

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