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Mental Illness History

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Mental illness is something we have been trying to treat since the beginning of civilization. Many different approaches have been used, everything from physical surgeries to spiritual healing. But most recently, medicines have been the most popular form of treatment. As time has gone on, pharmaceuticals have become safer and more efficient, with less side effects, and therefore, more ethical to use. Throughout all aspects of ethics, the good sides of using medicines to treat mental illnesses far outweigh the bad. “The history of treating mental illnesses dates as far back as 5000 B.C.E. with the evidence of “trephined skulls.” In the ancient world cultures, a well-known belief was that mental illness was “the result of supernatural phenomena” …show more content…

“By the late 1950s and early 1960s, new medications began to change the face of psychiatry. Thorazine and other first generation anti-psychotics profoundly improved institutionalized psychotic patients, as did newly developed antidepressants for the severely depressed … State mental hospitals rapidly emptied as medicated patients returned to the community (the "deinstitutionalization movement")” (Reidbord). However, these medicines had extreme side effects and often hurt patients. Since they were so new, and laboratory testing wasn’t well-regulated, the effects of drugs weren’t too well known. For example, the medicine mentioned, Thorazine, has these side effects listed as common: “[e]xtrapyramidal reactions (e.g., Parkinson-like symptoms, dystonia, akathisia, tardive dyskinesia), drowsiness, dizziness, skin reactions or rash, dry mouth, orthostatic hypotension, amenorrhea, galactorrhea, weight gain” (Drugs.com). A newer medicine, called Zoloft, has side effects less scary than Thorazine: “diarrhea, dizziness, drowsiness, dyspepsia, fatigue, insomnia, loose stools, nausea, tremor, headache, paresthesia, anorexia, decreased libido, delayed ejaculation, diaphoresis, ejaculation failure, and xerostomia.” (Drugs.com). So overall, these newer medicines are much safer than older medicines, and used in a more widespread manner and studied more …show more content…

Side effects are a big one, with many patients experiencing them. For example, “[a]bout 75% of people who take lithium for bipolar disorder have some side effects, although they may be minor” (WebMD.com). So that means 3 out of 4 people, which is a large amount. Although the severity varies, side effects can still be annoying, making it a -7. Along with side effects, psychiatric drugs are often grouped into classes. It’s generally thought that if a few drugs don’t work from one class of drugs then the entire class won’t work. “SSRIs ease depression by increasing levels of serotonin in the brain … SSRIs are called selective because they seem to primarily affect serotonin, not other neurotransmitters” (Mayoclinic.org). So if Zoloft and Celexa don’t work, Lexapro probably won’t either; this is a -4, because many classes are available. Something else to think about is the skill of the doctor prescribing the medicine. Many general practitioners don’t have much experience in psychiatric conditions, making misdiagnosis common. “As per the survey taken by the National Depressive and Manic-Depressive Association (DMDA), 69 percent of patients with bipolar disorder are misdiagnosed initially” (Singh, Rajput). This makes misdiagnosis a -9. Altogether, this is a -20, making it the same score as the positive

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