Table of Contents
Preface xi
Introduction: Our "Wicked" Problem with Antidepressants xiii
Part 1 The Medicalization of Our Mental Health and Antidepressant Prescribing 1
1 How Our Mental Health Became Medical 3
2 The Myth of the Chemical Imbalance 8
3 The Unrecognized Power of the Pill 11
4 Mental Health: The Business 14
Part 2 The Power of the Informed Patient 19
5 Alternatives Worth Considering 21
6 Being Informed About Our Treatment Options 24
7 The Importance of Informed Consent 26
8 Knowing Antidepressant Benefits and Risks 32
9 The Many Adverse Effects Including Akathisia 41
10 Antidepressant-Induced Suicide 63
11 Antidepressants and Our "Medically Unexplained Symptoms" 71
12 Becoming Our Own Antidepressant Expert 78
13 Antidepressant Long-Term Effects 80
14 Dependence and Our New Balanced State 88
15 Withdrawal: The Relapse Trap and Research 93
Part 3 Safe Antidepressant Management and Withdrawal 107
16 Adopting a Harm Reduction Approach 109
17 Learning About Our Antidepressants and Listening to Our Body 112
18 Withdrawal and the Existing Professional Advice 119
Part 4 Special Concerns 125
19 Same But Not The Same: Understanding Generics 127
20 Prescribing Antidepressants to Children and Young People 131
21 The Elderly, Vulnerability and Antidepressants 138
22 Antidepressants, the Armed Forces, PTSD and Suicide 142
Part 5 Patient Experiences 149
Conclusion 239
The Resource Guide 246
Useful Resources 248
Additional Reading 265
Key Articles, Information and Research 270
Acknowledgments 284
References 286